Volume 21 Issue 7
Jul.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(7): 1157-1160
ZHAI Wenshuang, CAI Hanjiong, QIAN Jia, GUO Liqin. Study on the variability curve of family mode pulmonary rehabilitation compliance in patients with chronic obstructive pulmonary disease[J]. Chinese Journal of General Practice, 2023, 21(7): 1157-1160. doi: 10.16766/j.cnki.issn.1674-4152.003073
Citation: ZHAI Wenshuang, CAI Hanjiong, QIAN Jia, GUO Liqin. Study on the variability curve of family mode pulmonary rehabilitation compliance in patients with chronic obstructive pulmonary disease[J]. Chinese Journal of General Practice, 2023, 21(7): 1157-1160. doi: 10.16766/j.cnki.issn.1674-4152.003073
shu

Study on the variability curve of family mode pulmonary rehabilitation compliance in patients with chronic obstructive pulmonary disease

doi: 10.16766/j.cnki.issn.1674-4152.003073
  • 1.

    Department of Respiratory Medicine, Jiangnan Hospital Affiliated to Binjiang College of Zhejiang University of Traditional Chinese Medicine, Hangzhou, Zhejiang 311201, China

Funds:

 2021KY271

  • Received Date: 2022-11-28
    Available Online: 2023-08-28
    Abstract
  •   Objective  To study the variety rule of family mode pulmonary rehabilitation compliance in patients with chronic obstructive pulmonary disease (COPD), find influencing factors, and identify intervention nodes.  Methods  Eighty-two COPD patients who were hospitalized in the Department of Respiratory and Critical Care Medicine, Jiangnan Hospital Affiliated to Zhejiang University of Traditional Chinese Medicine from January to December 2021 were selected as the research subjects, and a prospective observational study was conducted. For the patients included in the study, they filled out the rehabilitation manual during hospitalization, established rehabilitation files, teach pulmonary rehabilitation methods, and issued pulmonary rehabilitation prescriptions. During the 0-12 weeks after the patients were discharged from the hospital, telephone or on-site follow-up was conducted every 2 weeks, and the adherence level score of each follow-up was recorded according to the "COPD Patient Pulmonary Function Exercise Adherence Scale". SPSS 25.0 was used to analyze the date, and MATLAB 2020 software was used to fit the data, draw variation curves, and search for compliance influencing factors and change time nodes.  Results  The compliance level of COPD patients with family mode pulmonary rehabilitation was generally low, increased from 0 to 4 weeks, and gradually decreased after 4 weeks. The compliance level was the highest in the fourth week, with an average of (34.46±5.99) points. There were significant differences in the level of compliance of patients with different education levels, ages and medical payment methods (P<0.01). Multivariate regression analysis showed that medical payment methods were the main factors affecting patient compliance.  Conclusion  The compliance level of family mode pulmonary rehabilitation in COPD patients is generally low, and the compliance variation curve first increases and then decreases with time. Full medical insurance payment, choosing equipment suitable for family mode pulmonary rehabilitation and respiratory function exercise, and providing correct intervention in the stagnant and wandering area at the time when the compliance level gradually decreases in 4 to 6 weeks after discharge, are conducive to improving the family model of COPD patients rehabilitation compliance.

     

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