稳定期COPD患者运动自主性现状及影响因素分析
Status and influencing factors of exercise autonomy among chronic obstructive pulmonary disease patients at slationary phase
目的 调查社区稳定期COPD患者运动自主性的现状,并分析运动自主性的影响因素,以指导COPD的院外控制.方法 采用便利抽样法选择郑州大学第一附属医院辖区3个目标社区的124例稳定期COPD患者进行问卷调查,统计其运动锻炼的现状,采用非条件Logistic逐步回归分析运动自主性的影响因素.结果 共回收有效问卷122份.122例患者中,51例(41.80%)从未进行呼吸功能锻炼, 33例(27.05%)偶尔呼吸功能锻炼,38例(31.15%)坚持呼吸功能锻炼.44例(36.07%)从未进行全身锻炼, 36例(29.51%)偶尔全身锻炼,42例(34.43%)坚持全身锻炼.53例患者运动自主性良好,住院次数较多是患者运动自主性的独立保护因素(P<0.05).结论 社区稳定期COPD患者运动自主性较差,住院次数较多的患者更倾向于积极开展运动.
更多Objective To investigate the status of exercise autonomy of chronic obstructive pulmonary disease (COPD) patients at stationary phase in community and to analyze the influencing factors of exercise autonomy so as to guide the external hospital control of COPD. Methods Totals of 124 COPD patients at stationary phase from three target communities in the area of the First Affiliated Hospital of Zhengzhou University were investigated by the method of convenience sampling. We analyzed the status of exercise among them. Non-conditional Logistic stepwise regression was used to determine the influencing factors of exercise autonomy. Results A total of 122 valid questionaires were collected. Among 122 patient, 51 (41.80%) patients never carried out, 33 (27.05%) occasionally carried out and 38 (31.15%) persisted in respiratory function exercise. Besides, 44 (36.07%) patients never carried out, 36 (29.51%) occasionally carried out and 42 (34.43%) persisted in all-round exercise. There were 53 patients with the good exercise autonomy. The frequent hospitalization was the independent protective factor of patients' exercise autonomy (P< 0.05). Conclusions COPD patients at stationary phase in community have poor exercise autonomy. Patients with more frequent hospitalization tend to carry out exercise more actively.
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