稳定期慢性阻塞性肺疾病患者久坐行为现状及影响因素分析
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女,硕士在读,学生

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苏州市科技发展计划(民生科技)项目(SYS2020110);苏州市护理学会姑苏护理人才“青苗”计划资助项目(SHQM202101);中华护理学会2019年度立项科研课题(ZHKY201921)


Sedentary behavior among stable COPD patients and its influencing factors
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    摘要:

    目的 了解稳定期慢性阻塞性肺疾病患者久坐行为现状,并分析其影响因素,为制订针对性干预措施提供参考。方法 便利选取苏州市6所医疗机构门诊就诊的慢性阻塞性肺疾病患者233例,采用一般资料问卷、国际体力活动问卷短卷、久坐行为日志、肺功能状态和呼吸困难问卷修订版、呼吸困难信念问卷、医院焦虑抑郁量表、社会支持评定量表进行调查。结果 稳定期慢性阻塞性肺疾病患者日均久坐行为时间为(7.42±2.40)h,159例(68.24%)患者的久坐行为总时间>6 h。logistic回归分析显示,是否了解久坐危害、吸氧情况、COPD评估测试量表评分、呼吸困难信念的恐惧活动维度得分是稳定期慢性阻塞性肺疾病患者久坐行为的影响因素(均P<0.05)。结论 稳定期慢性阻塞性肺疾病患者久坐时间较长,久坐行为较为普遍。医护人员需要采取有效干预策略,以提高患者体力活动水平,改善其疾病预后。

    Abstract:

    Objective To understand the status of sedentary behavior in stable COPD patients, and to analyze its influencing factors, so as to provide a reference for developing targeted intervention. Methods A total of 233 COPD patients were selected using convenience sampling from outpatient departments of 6 medical institutions in Suzhou, and they were investigated by using a general information questionnaire, the International Physical Activity Questionnaire (IPAQ), sedentary behavior log, Pulmonary Functional Status and Dyspnea Questionnaire-modified (PFSDQ-M), Breathlessness Beliefs Questionnaire (BBQ), Hospital Anxiety and Depression Scale (HADS) and Social Support Rating Scale (SSRS). Results The average daily sedentary time of the stable COPD patients was (7.42±2.40) h, and the daily sedentary time of 159 patients (68.24%) was more than 6 hours. Logistic regression analysis showed that,whether understanding the harm of sedentary behavior, the situation of oxygen inhalation, COPD Assessment Test score and the subscale score of fear of activity in BBQ were the influencing factors of sedentary behavior (P<0.05 for all). Conclusion The sedentary time of stable COPD patients is long, and their sedentary behavior is common. Medical staff should take effective intervention to enhance patients′ physical activity, and improve their prognosis.

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周丹丹,钮美娥,韩燕霞,吴振云,杨富凯.稳定期慢性阻塞性肺疾病患者久坐行为现状及影响因素分析[J].护理学杂志,2022,37(18):29-32+36

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  • 收稿日期:2022-04-19
  • 最后修改日期:2022-06-07
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  • 在线发布日期: 2023-08-29