经鼻高流量湿化氧疗患者呼吸困难相关运动恐惧的现状及护理对策

The status and influencing factors of dyspnea-related kinesiophobia in patients with high-flow nasal cannula oxygen therapy

目的调查稳定期的经鼻高流量湿化氧疗患者呼吸困难相关运动恐惧水平及其影响因素。方法采用便利抽样法,选取2021年11月—2022年8月天津市5所三级甲等综合医院呼吸科住院患者195例,采用一般资料调查表、呼吸困难信念问卷、运动自我效能量表、Charlson合并症指数进行横断面调查,采用单因素分析及多元线性回归分析其影响因素。结果经鼻高流量湿化氧疗患者呼吸困难相关运动恐惧水平较高,呼吸困难信念问卷评分为(41.63±7.60)分,其中恐惧呼吸困难维度得分为(17.73±4.30)分,恐惧活动维度得分为(24.10±4.13)分。多元线性回归分析显示,年龄、病程、是否规律进行体育锻炼、运动自我效能、Charlson合并症指数为经鼻高流量湿化氧疗患者呼吸困难相关运动恐惧的影响因素(P<0.05)。结论经鼻高流量湿化氧疗患者呼吸困难相关运动恐惧水平较高,护理人员应根据影响因素制订综合干预措施促进患者参与体力活动及身体锻炼,提高运动耐力,改善生活质量。

Objective To investigate the current status of dyspnea-related kinesiophobia in patients with high-flow nasal cannula oxygen therapy(HFNC)and to analyze the influencing factors.Methods A total of 195 patients were recruited from the Department of Respiratory Medicine,the Central Hospital of Tianjin from November 2021 to August 2022.General data questionnaire,Chinese version of the Breathlessness Beliefs Questionnaire,Self-efficacy for Exercise Scale and Charlson comorbidities index were used for investigation.Univariate analysis and Logistic regression were performed to analyze the influencing factors.Results The patients had a high degree of kinesiophobia,and Breathlessness Beliefs Questionnaire score of the 195 patients was(41.63±7.60).Among them,the fear of dyspnea score is(17.73±4.30),and the fear of activity score is(24.10±4.13).Logistic regression analysis showed that age,course of disease,regular physical exercise,exercise self-efficacy and Charlson comorbidities index were the influencing factors of dyspnea-related kinesiophobia in HFNC patients.Conclusion The patients had a high degree of kinesiophobia.Clinical nursing staff can develop intervention measures to promote them to participate in physical activities and exercise to improve their exercise endurance and quality of life.