Compliance And Influencing Factors Of Home Pulmonary Rehabilitation In Stable COPD Patients

Objective:To investigate the status quo of home pulmonary rehabilitation compliance of patients with chronic obstructive pulmonary disease in stable period in Changchun City,Jilin Province,and to analyze the influencing factors.It provides a reference for improving the compliance of COPD patients in stable period and promoting the comprehensive and effective development of pulmonary rehabilitation in the future.Methods:The convenience sampling method was used to select the patients who were hospitalized and receiving pulmonary rehabilitation in the Department of Respiratory and Critical Care Medicine of a Grade III Class A hospital in Changchun City from January 2020 to November 2020 as the research objects.According to the pre-established inclusion and exclusion criteria,150 subjects were selected.The survey tools included: general information questionnaire,dyspnea index scale,family support self-rating scale,chronic disease self-efficacy scale,and home pulmonary rehabilitation compliance questionnaire for patients with stable COPD.Epidata3.1 and SPSS24.0 were used to input and analyze the data,and descriptive statistics were made on the general data of the research object by applying frequency and composition.Univariate analysis and multiple linear stepwise regression analysis were used to explore the main factors influencing compliance of patients with chronic obstructive pulmonary disease in home pulmonary rehabilitation.Results:(1)The mean score of home pulmonary rehabilitation compliance questionnaire for stable COPD patients was 3.66±0.52 points;Among them,28.1% of patients had a high level of pulmonary rehabilitation compliance,60.6% had a medium level of compliance,and 11.3% had a low level of compliance.(2)Home pulmonary rehabilitation compliance score of COPD patients in stable period: medication compliance score was 4.23±0.83 points;Exercise compliance was3.66±0.91 points.The compliance of oxygen therapy was 2.25±1.56 points.Life compliance was 4.08±0.50 points;Psychological compliance was 3.59±0.87 points.(3)Univariate analysis showed that Stability in patients with COPD pulmonary rehabilitation that occupy the home state of compliance in the patient’s gender,diet,cultural level,the expense way,pay cost pressure,the employment situation,the duration,place of residence,whether smoking,degree of difficulty to accept intend,pulmonary rehabilitation,life quality promotes whether,if someone has urged,whether there is sufficient time,difficulty in breathing has statistical index,family support level Learning significance.(4)Regression analysis showed that the main influencing factors of compliance with home pulmonary rehabilitation in stable COPD patients included the patient’s family support level,improvement of life quality,residence,acceptance willingness,course of disease,and availability of sufficient time.Conclusion:(1)The compliance of COPD patients at home with pulmonary rehabilitation in stable period was generally at a moderate level.In each dimension,medication and life compliance are good;Sports and psychological compliance was average;Family oxygen therapy compliance is poor.(2)The main influencing factors of home pulmonary rehabilitation compliance of COPD patients in stable stage include family support level,residence,acceptance intention,course of disease,improvement of life quality,and availability of sufficient time.(3)Factors influencing home pulmonary rehabilitation compliance of COPD patients in stable period: the main factors for medication compliance include family support level,cost payment pressure,and educational level;The main factors of exercise compliance are self-efficacy level,improvement of life quality,exercise habit,diet state,difficulty of pulmonary rehabilitation,and family support level.The factors of oxygen therapy compliance included course of disease,level of self-efficacy,level of family support,whether there was supervision,exercise habits,and whether the quality of life was improved;The main factors of life compliance are whether there is sufficient time,willingness to accept,family support level,residence;The main factors of psychological compliance are the level of self-efficacy,the level of family support,the pressure of payment and the willingness to accept.