Zhu Tingting, Chen Xiuyun, Li Fang, Zhu Xinyu, Wang Qing, Yang Junjun, Bo Jixiang
School of Nursing and Public Health, Yangzhou University, Yangzhou, Jiangsu, China.
Department of Respiratory and Critical Care Medicine, Jiangsu Subei People's Hospital, Yangzhou, Jiangsu, China.
Br J Hosp Med (Lond). 2025 Jun 25;86(6):1-13. doi: 10.12968/hmed.2025.0146. Epub 2025 Jun 18.
Pulmonary rehabilitation is widely recognized as one of the most effective treatment strategies to improve dyspnea, health status, and exercise endurance in patients with chronic obstructive pulmonary disease (COPD). However, participation in pulmonary rehabilitation among patients experiencing acute exacerbation of COPD remains suboptimal. Current research primarily focuses on the knowledge, attitude, and practice (KAP) of pulmonary rehabilitation among COPD patients during hospitalization or at home, with limited studies investigating the transitional period following discharge. This study aimed to investigate the KAP of pulmonary rehabilitation during the discharge transition period and identify the associated influencing factors, providing significant reference and guidance for improving the rehabilitation outcomes in COPD patients. This cross-sectional study employed a convenience sampling method to recruit patients with acute exacerbation of COPD (AECOPD) treated at Jiangsu Subei People's Hospital between June 2023 and May 2024. Data collection instruments included a general data questionnaire, a COPD-specific pulmonary rehabilitation KAP questionnaire, and the Mini Nutrition Assessment-Short Form (MNA-SF). Univariate and multivariate linear regression analyses were conducted to identify factors influencing KAP of pulmonary rehabilitation in AECOPD patients during the discharge transition period. A total of 130 questionnaires were distributed, with 128 valid responses collected, yielding an effective response rate of 98.46%. The overall KAP score of AECOPD patients during the discharge transition period was 57.52 ± 8.92. Among the three dimensions, mean scores from the highest to the lowest were attitude (2.54 ± 0.29), practice (2.39 ± 0.36), and knowledge (2.15 ± 0.36). Univariate analysis revealed significant differences in KAP scores based on age, education level, monthly household income per capita, smoking history, degree of dyspnea, and nutritional status of AECOPD patients during the transitional discharge period ( < 0.05). Multivariate linear regression identified these same factors as significant influencers of KAP levels ( < 0.05). The KAP of pulmonary rehabilitation among AECOPD patients during the discharge transition period is at a moderate level and is significantly influenced by age, educational level, monthly household income per capita, smoking history, degree of dyspnea, and nutritional status. Healthcare professionals should design targeted interventions based on these factors to help patients recognize the importance and necessity of pulmonary rehabilitation, establish correct attitudes about it, and improve compliance with it, thereby improving long-term outcomes.
肺康复被广泛认为是改善慢性阻塞性肺疾病（COPD）患者呼吸困难、健康状况和运动耐力的最有效治疗策略之一。然而，COPD急性加重期患者参与肺康复的情况仍不尽人意。目前的研究主要集中在COPD患者住院期间或在家中对肺康复的知识、态度和实践（KAP），而对出院后过渡期的研究较少。本研究旨在调查出院过渡期肺康复的KAP，并确定相关影响因素，为改善COPD患者的康复结局提供重要参考和指导。 本横断面研究采用便利抽样方法，招募2023年6月至2024年5月在江苏省苏北人民医院接受治疗的COPD急性加重期（AECOPD）患者。数据收集工具包括一般资料问卷、COPD特异性肺康复KAP问卷和微型营养评定简表（MNA-SF）。进行单因素和多因素线性回归分析，以确定影响AECOPD患者出院过渡期肺康复KAP的因素。 共发放问卷130份，回收有效问卷128份，有效回收率为98.46%。AECOPD患者出院过渡期的KAP总分为57.52±8.92。在三个维度中，平均分从高到低依次为态度（2.54±0.29）、实践（2.39±0.36）和知识（2.15±0.36）。单因素分析显示，出院过渡期AECOPD患者的年龄、教育程度、人均家庭月收入、吸烟史、呼吸困难程度和营养状况对KAP评分有显著差异（<0.05）。多因素线性回归确定这些因素同样是KAP水平的显著影响因素（<0.05）。 AECOPD患者出院过渡期肺康复的KAP处于中等水平，受年龄、教育程度、人均家庭月收入、吸烟史、呼吸困难程度和营养状况的显著影响。医护人员应根据这些因素设计针对性干预措施，帮助患者认识肺康复的重要性和必要性，树立正确态度，提高依从性，从而改善长期结局。
