College of Nursing, Hebei University of Chinese Medicine, No. 3 Xingyuan Road, Shijiazhuang, China.
College of Nursing, Hebei Medical University, No. 361 Zhongshan East Road, Shijiazhuang, China.
Appl Nurs Res. 2024 Oct;79:151842. doi: 10.1016/j.apnr.2024.151842. Epub 2024 Aug 26.
Pulmonary rehabilitation plays a positive role in improving exercise tolerance and reducing readmission rates in patients with chronic obstructive pulmonary disease (COPD), while the adherence of pulmonary rehabilitation in COPD patients is still poor. The active cycle of breathing techniques based on the Hope Theory is a method to enhance patients' confidence in overcoming the disease and improve the intrinsic motivation of exercise through symptom improvement such as cough and sputum evacuation ability.
To investigate the effect of Hope Theory education combined with the active cycle of breathing techniques on pulmonary rehabilitation of COPD patients, including exercise adherence, cough and sputum evacuation ability, hope index and exercise self-efficacy.
The study assigned 70 COPD patients hospitalized into intervention and control groups to receive the active cycle of breathing techniques based on Hope Theory or routine treatment in order of admission. Data for cough and sputum evacuation ability, hope, exercise confidence were collected at baseline and after the program. Exercise adherence was assessed at the end of 1, 4 and 8 week following discharge.
The actual number of sample consisted of 65 patients divided into intervention (n = 33) and control (n = 32) groups due to severe complications, explicit refusal, disinterest and loss to follow-up. After two weeks of intervention, exercise adherence of the intervention group were better than those of the control group at the end of 4 and 8 week of discharge (P < 0.05). And there was an improvement in cough and sputum evacuation ability, hope and exercise self-efficacy outcomes in the intervention group, with a statistically significant difference between the two groups (P < 0.05).
The active cycle of breathing techniques based on Hope Theory education can improve cough and sputum evacuation ability, hope index, exercise self-efficacy, and exercise adherence of COPD patients.
肺康复对改善慢性阻塞性肺疾病（COPD）患者的运动耐力和降低再入院率有积极作用，但 COPD 患者的肺康复依从性仍较差。基于希望理论的主动呼吸循环技术是一种通过改善咳嗽和排痰能力等症状来增强患者战胜疾病信心和提高运动内在动机的方法。
探讨希望理论教育联合主动呼吸循环技术对 COPD 患者肺康复的影响，包括运动依从性、咳嗽排痰能力、希望指数和运动自我效能。
将 70 例住院 COPD 患者按入院顺序分为干预组和对照组，分别采用希望理论指导的主动呼吸循环技术和常规治疗。于基线和方案实施后采集咳嗽排痰能力、希望、运动信心等数据，于出院后 1、4、8 周末评估运动依从性。
实际纳入 65 例患者，分为干预组（n=33）和对照组（n=32）。2 周干预后，出院后 4、8 周末干预组运动依从性优于对照组（P<0.05）。干预组咳嗽排痰能力、希望和运动自我效能均有改善，且与对照组比较差异有统计学意义（P<0.05）。
基于希望理论教育的主动呼吸循环技术可提高 COPD 患者的咳嗽排痰能力、希望指数、运动自我效能和运动依从性。
