Clinical Nursing
Analysis of pulmonary rehabilitation adapted index of self-efficacy and influencing factors in elderly patients with chronic obstructive pulmonary disease
Chen Yuting, Qin Junmei, Duan Fei, Zhang Xiaoyan
Published 2024-06-11
Cite as Chin J Prac Nurs, 2024, 40(17): 1338-1343. DOI: 10.3760/cma.j.cn211501-20230721-00071
Abstract
ObjectiveTo explore the adaptive index of pulmonary rehabilitation self-efficacy and its influencing factors in elderly patients with chronic obstructive pulmonary disease (COPD), and to provide reference for formulating and implementing effective intervention strategies.
MethodsThis was a cross-sectional study. The convenience sampling method was used to select 279 elderly COPD patients hospitalized in the Department of Respiratory and Critical Care Medicine of Xinjiang Uygur Autonomous Region People′s Hospital from March 2023 to June 2023. They were investigated by the general information questionnaire, Chinese version of Pulmonary Rehabilitation Adapted Index of Self-Efficacy, Social Support Scale and Frailty Phenotype. Multiple linear stepwise regression analysis was used to explore the influencing factors of pulmonary rehabilitation self-efficacy in elderly patients with COPD.
ResultsThe age distribution of 279 elderly COPD patients was 117 cases aged 60-69, 102 cases aged 70-79, and 60 cases aged ≥ 80, including 134 males and 145 females. The total score of Chinese version of Pulmonary Rehabilitation Adapted Index of Self-Efficacy in elderly COPD patients was (24.95 ± 5.20) points, and the highest dimension of item mean score was exercise self-efficacy (1.99 ± 0.62) points, while the lowest mean score was strain capacity (1.88 ± 0.44) points. Multiple linear regression analysis showed that educational level, pulmonary function grade, COPD assessment test (CAT) score, social support level and frailty were influencing factors of pulmonary rehabilitation self-efficacy in elderly COPD patients (t values were - 9.01-3.36, all P<0.05), accounting for 43.4% of the total variation.
ConclusionsThe self-efficacy adaptation index of pulmonary rehabilitation in the elderly patients with COPD is at the middle-lower level. Health care providers should fully understand the relevant influencing factors, and establish targeted and individualized pulmonary rehabilitation intervention strategies on these basis to maximize the subjective initiative of patients.
Key words:
Pulmonary disease, chronic obstructive; Pulmonary rehabilitation; Self-efficacy; Influencing factors
Contributor Information
Chen Yuting
Department of Critical Care Medicine, People′s Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830000, China
Qin Junmei
Department of Critical Care Medicine, People′s Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830000, China
Duan Fei
Department of Hepatobiliary and Pancreatic Medical Diagnosis and Treatment Center, People′s Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830000, China
Zhang Xiaoyan
Department of Critical Care Medicine, People′s Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830000, China
