关键词: 肺疾病, 慢性阻塞性, 居家, 维持性, 肺康复, 护理

Abstract:

Objective To comprehend the present condition of sustaining within familial pulmonary rehabilitation for COPD patients，alongside exploring the factors that impact this continuity. Methods A convenience sampling method was used to select 392 COPD patients from outpatient clinics of 2 tertiary-level A hospitals and 1 community health service center in Huaihua in Hunan Province from December 2023 to February 2024 as survey respondents. Patients were surveyed using the general information questionnaire，the COPD Assessment Test，the Modified Medical Research Council Dyspnea Scale，the Exercise Benefits/Barriers Scale，and the Brief 2-Way Social Support Scale. Results We sent out 392 questionnaires and collected 362 valid ones，with an effective response rate of 92.47%. The percentage of COPD patients who never performed home pulmonary rehabilitation was 56.08%，and the maintenance time of health behaviors in home pulmonary rehabilitation was 17.40% for 1-3 months，7.18% for 4-6 months，4.70% for 7-12 months，and 14.64% for more than 1 year. The results of multiple linear regression analysis showed that exercise place，pulmonary rehabilitation health education，exercise habits before having COPD，perceived level of exercise behavior，and two-way social support were influential factors affecting the maintenance of health behaviors in pulmonary rehabilitation in the families of COPD patients，which explained 38.5% of the variability. Conclusion Patients with COPD have a low level of maintenance of health behaviors in home pulmonary rehabilitation，and health education on exercise rehabilitation for COPD patients and caregivers should be strengthened to enhance patients’ level of exercise perception and ability to utilize social support.

Key words: Pulmonary Disease, Chronic Obstructive, Home, Maintenance, Pulmonary Rehabilitation, Nursing Care