障碍和促进者来行使对社区老年人COPD的合规性:一个跨部门研究
Jieqiong Xia1, Jing Yang1, Xiaoli Yang1
1International Nursing School, Hainan Medical University, Haikou, Hainan, People's Republic of China.
对于老年慢性阻塞性肺病 (COPD) 患者来说,遵守运动是至关重要的. 收入,并发性疾病,呼吸困难和抑郁症等因素会影响人们对炼计划的坚持.
科学领域:
- 老年学是一门学科.
- 肺部病理学 肺部病理学
- 健康 行为 健康行为
背景情况:
- 对于长期管理慢性阻塞性肺病 (COPD) 来说,坚持运动至关重要.
- 影响老年COPD患者坚持运动的决定因素仍未得到充分研究.
研究的目的:
- 调查COPD诊断的老年患者与炼遵守相关的因素.
- 在这个特定的人口群体中确定运动坚持的预测因素.
主要方法:
- 涉及稳定的COPD老年患者的横截面研究设计.
- 使用随机集群采样和验证的尺度:运动合规度量,mMRC呼吸障碍指数,社会支持度量,焦虑自我评估度量和自我评估抑郁度量.
- 统计分析包括斯皮尔曼相关性和后向物流回归.
主要成果:
- 超过一半 (54.10%) 的参与者表现出良好的运动遵从性.
- 运动遵守的积极预测因素包括更高的月收入,两种慢性并发症的存在和中度呼吸障碍.
- 坚持的负面预测因素是女性性别,严重呼吸障碍和抑郁症.
结论:
- 老年COPD患者的炼遵守是多因素的.
- 关键影响因素包括性别,社会经济地位 (月收入),并发症负担,呼吸障碍严重程度和心理健康 (抑郁症).
- 了解这些决定因素可以告知有针对性的干预措施,以改善炼坚持.
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