Department of Nursing, The First Affiliated Hospital, Zhejiang University School of Medicine, China.
School of Medicine, Huzhou University, Huzhou Central Hospital, Huzhou, Zhejiang Province, China.
Geriatr Nurs. 2024 Mar-Apr;56:138-147. doi: 10.1016/j.gerinurse.2024.01.002. Epub 2024 Feb 10.
Patients with moderate to severe COPD frequently experience dyspnea, which causes these patients to acquire a fear of dyspnea and a fear of activity. This study developed a cognitive intervention combined with active cycle of breathing technique (ACBT) intervention program based on the fear-avoidance model, with the goal of evaluating the program's effectiveness in improving dyspnea-related kinesiophobia in patients with moderate to severe COPD. This study had a total of 106 participants. For 8 weeks, the intervention group (N=53) received cognitive combined with ACBT, while the control group (N=53) received standard care. The findings of the four times the dyspnea belief questionnaire were collected indicated that the combined intervention had a better impact on reducing dyspnea-related kinesiophobia than did routine nursing (P<0.05), and the impact persisted even after the intervention. Additionally, it may enhance dyspnea and quality of life, increase exercise capacity, and lower the BODE index.
中重度 COPD 患者常伴有呼吸困难，这使患者对呼吸困难和活动产生恐惧。本研究基于恐惧-回避模型，制定了认知干预联合主动呼吸循环技术（ACBT）干预方案，旨在评估该方案对改善中重度 COPD 患者呼吸困难相关运动恐惧的效果。本研究共纳入 106 例患者。干预组（n=53）接受认知联合 ACBT 干预 8 周，对照组（n=53）接受常规护理。四次呼吸困难信念问卷的结果显示，联合干预在减轻呼吸困难相关运动恐惧方面优于常规护理（P<0.05），且干预后仍有持续影响。此外，该方案还可能改善呼吸困难和生活质量，提高运动能力，降低 BODE 指数。
