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应用行为改变理论优化 COPD 患者肺康复治疗:综述。

Applying behavioral change theories to optimize pulmonary rehabilitation in COPD patients: A review.

机构信息

School of Nursing, Guangxi University of Chinese Medicine, Nanning, China.

Nursing Department, Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine, Nanning, China.

出版信息

Medicine (Baltimore). 2024 May 31;103(22):e38366. doi: 10.1097/MD.0000000000038366.

Abstract

This review meticulously evaluates the integration of behavioral change theories into pulmonary rehabilitation programs for chronic obstructive pulmonary disease (COPD) management, addressing the critical need for enhanced patient compliance and improved therapeutic outcomes. With COPD posing significant global health challenges, characterized by high morbidity and mortality rates, the manuscript underscores the potential of Self-Determination Theory, Social Cognitive Theory, the Transtheoretical Model, the Health Belief Model, and the Theory of Planned Behavior to foster meaningful health behavior changes among patients. Through a comprehensive literature analysis, it reveals how each model contributes to understanding patient behaviors in pulmonary rehabilitation contexts, advocating for their systematic application to craft more effective, patient-centered interventions. Despite the proven efficacy of these theories in various health domains, their current underutilization in pulmonary rehabilitation underscores a gap between theoretical knowledge and clinical practice. The review calls for an interdisciplinary approach that bridges this gap, highlighting the urgency of developing actionable, theory-based behavioral intervention plans. By doing so, it aims to advance COPD management strategies, ultimately improving the quality of life for individuals living with this debilitating disease.

摘要

这篇综述精心评估了行为改变理论在慢性阻塞性肺疾病(COPD)管理中的肺康复计划中的整合,以满足提高患者依从性和改善治疗效果的关键需求。由于 COPD 带来了重大的全球健康挑战,其发病率和死亡率都很高,因此本文强调了自我决定理论、社会认知理论、跨理论模型、健康信念模型和计划行为理论在促进患者进行有意义的健康行为改变方面的潜力。通过全面的文献分析,揭示了每个模型如何帮助理解肺康复环境中的患者行为,并提倡系统地应用这些模型来制定更有效的、以患者为中心的干预措施。尽管这些理论在各个健康领域的有效性已得到证实,但它们在肺康复中的当前应用不足,突显了理论知识与临床实践之间存在差距。该综述呼吁采取跨学科方法来弥合这一差距,强调制定基于理论的可操作行为干预计划的紧迫性。通过这样做,旨在推进 COPD 管理策略,最终改善患有这种使人衰弱疾病的个体的生活质量。

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本文引用的文献

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Lancet Respir Med. 2023 Nov;11(11):1020-1034. doi: 10.1016/S2213-2600(23)00261-8. Epub 2023 Sep 8.
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Pulmonary rehabilitation and physical interventions.肺康复和物理干预。
Eur Respir Rev. 2023 Jun 7;32(168). doi: 10.1183/16000617.0222-2022. Print 2023 Jun 30.
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