结核与肺部疾病杂志2025，Vol.6Issue(3)：269-276,8.DOI:10.19983/j.issn.2096-8493.20250047
慢阻肺病肺康复患者自我效能在自我感受负担与远程康复使用意愿间的中介效应
The mediating effect of self-efficacy between self-perceived burden and willingness to use remote rehabilitation in patients with chronic obstructive pulmonary disease undergoing pulmonary rehabilitation
摘要
Abstract
Objective:To examine the relationship between self-efficacy,self-perceived burden,and willingness to use telerehabilitation among pulmonary rehabilitation patients with chronic obstructive pulmonary disease(COPD),and to explore whether there is a mediating effect of self-efficacy between self-perceived burden and willingness to use telerehabilitation among pulmonary rehabilitation patients with COPD.Methods:This prospective study enrolled 108 patients with COPD who were admitted to the Department of Respiratory and Critical Care Medicine at Tianjin Medical University General Hospital between June and November 2024.Participants were selected using a convenience sampling approach.Data were collected using four validated instruments:a general information questionnaire,the Self-Perceived Burden Scale,the COPD Self-Efficacy Scale,and the Telerehabilitation Willingness Scale for COPD patients.A mediation model was subsequently constructed and tested to evaluate the indirect effects of self-efficacy.Results:The mean total score for self-efficacy among patients with COPD undergoing pulmonary rehabilitation was 89.96±15.54,while the mean scores for self-perceived burden and willingness to use telerehabilitation were 28.36±5.30 and 76.84±23.09,respectively.Pearson correlation analyses revealed that self-efficacy was strongly negatively associated with self-perceived burden(r=-0.834,P＜0.05),whereas willingness to engage in telerehabilitation was also negatively correlated with self-perceived burden(r=-0.713,P＜0.05).In contrast,self-efficacy was positively associated with willingness to use telerehabilitation(r=0.792,P＜0.05).Structural equation modeling indicated that self-efficacy partially mediated the relationship between self-perceived burden and willingness to use telerehabilitation,accounting for 28.17％of the total effect.Conclusion:Among patients with COPD undergoing pulmonary rehabilitation,self-perceived psychological burden was found to directly influence their willingness to participate in telerehabilitation.Moreover,enhancing self-efficacy exerted an indirect facilitating effect on this willingness,underscoring its mediating role in the rehabilitation decision-making process.关键词
肺疾病,慢性阻塞性/康复/问卷调查Key words
Pulmonary disease,chronic obstructive/Rehabilitation/Questionnaires分类
临床医学引用本文复制引用
赵盼盼,李娜,王砚..慢阻肺病肺康复患者自我效能在自我感受负担与远程康复使用意愿间的中介效应[J].结核与肺部疾病杂志,2025,6(3):269-276,8.基金项目
呼吸疾病青年实用研究项目 Youth Practical Research Program on Respiratory Diseases （）
