结核与肺部疾病杂志2026，Vol.7Issue(1)：86-91,6.DOI:10.19983/j.issn.2096-8493.20250214
慢性阻塞性肺疾病患者肺康复自我效能现状及影响因素分析
Analysis of the current status and influencing factors of lung rehabilitation self-efficacy in patients with chronic obstructive pulmonary disease
摘要
Abstract
Objective:This study aims to explore the current status of lung rehabilitation self-efficacy in patients with chronic obstructive pulmonary disease(COPD),analyze its influencing factors,and provide theoretical basis for the development of comprehensive lung rehabilitation programs.Methods:Three hundred COPD patients admitted to the Respiratory and Critical Care Medicine Department of Putian University Affiliated Hospital from June 2023 to August 2024 were selected as the research subjects for questionnaire survey.Data was collected using the Chinese version of the pulmonary rehabilitation self efficacy index(pulmonary rehabilitation adapted index of self-efficacy,PRAISE),Subjective wellbeing scale,Life satisfaction scale,and Anxiety and depression level measurement scale.Univariable and multivariable logistic regression analysis were done to explore the correlation between various factors and pulmonary rehabilitation self-efficacy.Results:Among the 300 patients,192(64.0％)had low levels of lung rehabilitation self-efficacy,while 108(36.0％)had high levels.Multivariable analysis showed that high subjective well-being(OR=3.512,95％CI:1.897-6.503),high life satisfaction(OR=2.949,95％CI:1.582-5.509),and FEV1％pred ≥50％(OR=2.135,95％CI:1.128-4.041)were protective factors affecting self-efficacy,while anxiety(OR=0.382,95％CI:0.208-0.702)and depression(OR=0.416,95％CI:0.227-0.763)were risk factors.Conclusion:The overall self-efficacy of COPD patients in pulmonary rehabilitation is low,influenced by multiple psychological factors.Targeted interventions are needed in clinical practice to improve rehabilitation outcomes.关键词
肺疾病,慢性阻塞性/康复/自我效验/因素分析,统计学Key words
Pulmonary disease,chronic obstructive/Rehabilitation/Self efficacy/Factor analysis,statistical分类
医药卫生引用本文复制引用
吴逸冰,方利军,陈粱钦,林国盛,林建芬,郭燕雪,陈楠..慢性阻塞性肺疾病患者肺康复自我效能现状及影响因素分析[J].结核与肺部疾病杂志,2026,7(1):86-91,6.基金项目
Science and Technology Project of Putian University(2023060) 莆田学院科技项目(2023060) （2023060）
