我们为什么要坚持下去:对COPD患者在丹麦长期远程康复计划中的动机和参与度的定性纵向研究
Maria Olsen1, Christina Nielsen1, Christina Emme2
1Respiratory Research Unit and Department of Respiratory Medicine, Copenhagen University Hospital - Hvidovre, Hvidovre, 2650, Denmark.
Patient preference and adherence
|November 19, 2025
概括
在COPD患者中,肺部远程康复 (PTR) 的动机在25周内从基于恐惧的自主参与演变为自主参与. 持续的坚持是由接受,物理因素和强大的外部支持系统推动的.
科学领域:
- 肺部康复治疗 肺部康复治疗
- 慢性阻塞性肺病 (COPD) 是一种慢性阻塞性肺病.
- 远程医疗服务是远程医疗服务.
背景情况:
- 肺部远程康复 (PTR) 是一种有效的COPD治疗方法.
- 影响长期动机和坚持PTR的因素尚不清楚.
研究的目的:
- 调查COPD患者25周维护PTR计划期间动机和参与的演变.
- 在远程肺部康复中确定持续坚持的关键决定因素.
主要方法:
- 定性纵向循环横截面研究.
- 16名中度至非常严重的COPD患者参加了10周和25周的半结构面试.
- 数据使用演和归纳内容分析进行分析,以理论领域框架为指导.
主要成果:
- 三个新兴的类别:接受和希望,身体因素和外部支持.
- 参与者表现出更多的COPD接受,并从恐惧驱动过渡到持续的,自主参与.
- 简单的PTR访问,一致的治疗师支持和同行鼓励对于坚持至关重要.
结论:
- 在PTR中的动机在25周内从恐惧驱动的发展到自主,反思性的参与.
- 外部支持和可访问的远程交付对于长期坚持维护PTR计划至关重要.
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