Effect of Behavioral Change Wheel Based Pulmonary Rehabilitation Nursing on Pulmonary Rehabilitation Compliance and Health Literacy in Patients with COPD

Mengjing HAN; Xiaoli DENG; Xuewen FANG; Yuelu LI; Wenjia TANG

doi:10.12259/j.issn.2095-610X.S20230606

Volume 44 Issue 6

Jun. 2023

Turn off MathJax

Article Contents

Article Navigation > Journal of Kunming Medical University > 2023 > 44(6): 162-168

Mengjing HAN, Xiaoli DENG, Xuewen FANG, Yuelu LI, Wenjia TANG. Effect of Behavioral Change Wheel Based Pulmonary Rehabilitation Nursing on Pulmonary Rehabilitation Compliance and Health Literacy in Patients with COPD[J]. Journal of Kunming Medical University, 2023, 44(6): 162-168. doi: 10.12259/j.issn.2095-610X.S20230606

Citation:

Mengjing HAN, Xiaoli DENG, Xuewen FANG, Yuelu LI, Wenjia TANG. Effect of Behavioral Change Wheel Based Pulmonary Rehabilitation Nursing on Pulmonary Rehabilitation Compliance and Health Literacy in Patients with COPD[J]. Journal of Kunming Medical University, 2023, 44(6): 162-168. doi: 10.12259/j.issn.2095-610X.S20230606

Citation:

Mengjing HAN, Xiaoli DENG, Xuewen FANG, Yuelu LI, Wenjia TANG. Effect of Behavioral Change Wheel Based Pulmonary Rehabilitation Nursing on Pulmonary Rehabilitation Compliance and Health Literacy in Patients with COPD[J]. Journal of Kunming Medical University, 2023, 44(6): 162-168. doi: 10.12259/j.issn.2095-610X.S20230606

PDF( 682 KB)

Effect of Behavioral Change Wheel Based Pulmonary Rehabilitation Nursing on Pulmonary Rehabilitation Compliance and Health Literacy in Patients with COPD

doi: 10.12259/j.issn.2095-610X.S20230606

1.
School of Nursing，Yunnan University of Traditional Chinese Medicine，Kunming 650500，China
2.
Department of Respiratory and Critical Care Medicine，the First People’s Hospital of Yunnan Province
3.
Department of Nursing，the First People’s Hospital of Yunnan Province，Kunming 650032，China

Received Date: 2023-03-11
Available Online: 2023-06-19
Publish Date: 2023-06-25

Abstract

Abstract

Objective To improve pulmonary rehabilitation compliance and health literacy in patients with chronic obstructive pulmonary disease. Methods A total of 96 COPD patients were selected as research subjects and divided into experimental group and control group by random number table method, with 48 cases in each group. The control group received routine nursing, health education and family pulmonary rehabilitation guidance, and the experimental group received pulmonary rehabilitation intervention guided by BCW theory, including breathing exercise, muscle relaxation exercise, breathing exercise exercise, walking and marching exercise. Pulmonary rehabilitation compliance, health literacy levels, improved Medical Research Council Respiratory Questionnaire （mMRC） scores, COPD Assessment Test （CAT） scores and pulmonary function indicators were compared between the two groups at 6 months after intervention. Results After intervention, the proportion of complete compliance of pulmonary rehabilitation compliance in the experimental group （60.4%） was better than that in the control group （25%）. The level of health literacy, mMRC score, CAT score and pulmonary function index of the two groups were improved, and the difference between the two groups was statistically significant （P < 0.05）. Conclusion The BCW-guided pulmonary rehabilitation intervention program can effectively improve the compliance of pulmonary rehabilitation and health literacy of patients with COPD, improve the lung function and quality of life of patients.
- Chronic obstructive pulmonary disease,
- Pulmonary rehabilitation,
- Behavior Change Wheel theory,
- Compliance,
- Health literacy,
- Nursing

FullText(HTML)

References(19)

References

[1]	梁振宇,王凤燕,陈子正,等. 2023年GOLD慢性阻塞性肺疾病诊断、管理及预防全球策略更新要点解读[J]. 中国全科医学,2023,26(11):1287-1298.
[2]	Wang C,Xu J,Yang L,et al. Prevalence and risk factors of chronic obstructive pulmonary disease in China (The China Pulmonary Health study): A national cross-sectional study[J]. Lancet,2018,391(10131):1706-1717. doi: 10.1016/S0140-6736(18)30841-9
[3]	徐佩红,郑晓璐,朱燕军. 综合性肺康复护理计划对住院老年慢阻肺患者的效果研究[J]. 中国全科医学,2020,23(S2):243-245.
[4]	Higashimoto Y,Ando M,Sano A,et al. Effect of pulmonary rehabilitation programs including lower limb endurance training on dyspnea in stable COPD:A systematic review and meta-analysis[J]. Respir Investig,2020,58(5):355-366.
[5]	Michie S,Van Stralen M M,West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions[J]. Implement Sci,2011,6:42. doi: 10.1186/1748-5908-6-42
[6]	叶菁菁,张咏梅,谢倩倩,等. 基于行为改变轮理论的健康教育与康复锻炼对全髋关节置换术后患者髋关节功能恢复的影响[J]. 现代预防医学,2021,48(6):1132-1135,1148.
[7]	彭倩. 基于BCW理论的护理干预对冠脉介入术后患者运动康复依从性及效果研究[D]. 郑州: 郑州大学, 2021.
[8]	Clarke A L,Jhamb M,Bennett P N. Barriers and facilitators for engagement and implementation of exercise in end-stage kidney disease: Future theory-based interventions using the Behavior Change Wheel[J]. Semin Dial,2019,32(4):308-319. doi: 10.1111/sdi.12787
[9]	中华医学会呼吸病学分会慢性阻塞性肺疾病学组,中国医师协分会慢阻塞性肺疾病工作委员会. 慢性阻塞性肺疾病诊治指南(2021年修订版会呼吸医师)[J]. 中华结核和呼吸志,2021,44(3):170-205.
[10]	BoltonC E,Bevan-Smith E F,Blakey J D,et al. British Thoracic Society Pulmonary Rehabilitation Guideline Development Group; British Thoracic Society Standards of Care Committee. British Thoracic Society guideline on pulmonary rehabilitation in adults[J]. Thorax,2013,68(Suppl 2):1-30.
[11]	中国医师协会呼吸医师分会,中华医学会呼吸病学分会,中国康复医学会呼吸康复专业委员会,《中华健康管理学杂志》编辑委员会. 中国慢性呼吸道疾病呼吸康复管理指南(2021年)[J]. 中华健康管理学杂志,2021,15(6):521-538.
[12]	宫玉翠,陈洁雅,李平东,等. 慢性呼吸疾病肺康复护理专家共识[J]. 中华护理杂志,2020,55(5):709-710.
[13]	Bourbeau J,Bartlett S J. Patient adherence in COPD[J]. Thorax,2008,63(9):831-838.
[14]	Maples P,Franks A,Ray S,et al. Development and validation of a low-literacy Chronic Obstructive Pulmonary Disease knowledge Questionnaire (COPD-Q)[J]. Patient EducCouns,2010,Oct,81(1):19-22.
[15]	Singh D,Agusti A,Anzueto A,et al. Global strategy for the diagnosis,management,and prevention of chronic obstructive lung disease:the GOLD science committee report 2019[J]. Eur Respir J,2019,53(5):1900164.
[16]	宋玛丽,岑慧红,罗俏玲,等. 社区COPD患者家庭肺康复现状调查及影响因素分析[J]. 中华现代护理杂志,2016,22(11):1486-1493.
[17]	Yohannes A M,Casaburi R,Dryden S,et al. Predictors of premature discontinuation and prevalence of dropouts from a pulmonary rehabilitation program in patients with chronic obstructive pulmonary disease[J]. Respir Med,2022,193:106742. doi: 10.1016/j.rmed.2022.106742
[18]	刘瑶. 稳定期中重度COPD患者健康素养情况及其与康复依从性的关系[D]. 唐山: 华北理工大学, 2018.
[19]	Stellefson M,Paige S R,Alber J M,et al. Association between health literacy,electronic health literacy,disease-specific knowledge,and health-related quality of life among adults with chronic obstructive pulmonary disease: cross-sectional study[J]. J Med Internet Res,2019,21(6):e12165. doi: 10.2196/12165

Relative Articles(20)

Relative Articles

[1]	Su ZHANG, Zheng HUANG, Na LI, Jing XU, Yiting TAO. A Two Sample Mendelian Randomization Study on Nut Intake and Chronic Obstructive Pulmonary Disease. Journal of Kunming Medical University, 2024, 45(11): 81-86. doi: 10.12259/j.issn.2095-610X.S20241112
[2]	Yanli MA, Cheng FENG, Liqing GUO, Xia GUO, Fengqiong ZHOU, Zhi-hui LIU, Yunhong MA. Application Value of Focused Solution Mode Nursing Intervention in Treatment Compliance and Quality of Life of Patients with Hepatitis C. Journal of Kunming Medical University, 2023, 44(2): 177-180. doi: 10.12259/j.issn.2095-610X.S20230212
[3]	Jinmei LU, Yuzhu LI, Lin WANG, Xin SU, Jinxiu LIN, Jianhui ZHANG. Study on the Effectiveness of Wearable Device-based Lung Rehabilitation in Patients with COPD. Journal of Kunming Medical University, 2023, 44(11): 175-182. doi: 10.12259/j.issn.2095-610X.S20231127
[4]	Qian HUANG, Meihua LI, Xiaojing TANG, Wei MA, Yanxia YANG, Qingling ZHENG, Jin HE. Correlation of Lung Function and HRCT Bronchial Wall Thickness in Patients with Chronic Obstructive Pulmonary Disease. Journal of Kunming Medical University, 2022, 43(2): 118-121. doi: 10.12259/j.issn.2095-610X.S20220224
[5]	Wei MA, Mei-hua LI, Xiao-jing TANG, Chao-feng REN, Yan-xia YANG, En-jie SI, Qian HUANG, Xiao-yi ZENG. Correlation between Pulmonary Artery Diameter by HRCT and Pulmonary Artery Pressure by Echocardiography in Patients with Chronic Obstructive Pulmonary Disease. Journal of Kunming Medical University, 2021, 42(6): 124-128. doi: 10.12259/j.issn.2095-610X.S20210643
[6]	Ye Xiu Lin , Yang Jiao , Li Min , Fang Yan , Tian Xi , Zhu Wen Zhuo . . Journal of Kunming Medical University, 2020, 41(02): 43-48.
[7]	He-ping LIU, Hong-mei WU, Yang LIU, Chun ZHANG, Wei-zhou WANG, Ding-yun YOU, Hong-xiang WU. Correlation between Anxiety Depression Symptoms of Patients with Chronic Obstructive Pulmonary Disease and CAT Score. Journal of Kunming Medical University, 2020, 41(12): 29-35. doi: 10.12259/j.issn.2095-610X.S20201212
[8]	Sun Shi Bo , Luo Zhuang , Du Xiao Hua , Yang Jiao , Ye Xiu Lin , Zhang Dong Xian , Yang Wei Min . . Journal of Kunming Medical University, 2019, 40(06): 109-113.
[9]	Yang Xia , Feng Mei , Wu Ying , Zhu Jing . . Journal of Kunming Medical University, 2019, 40(08): 83-87.
[10]	Huang Li , Huang Xian Xiang . A Study of the Level Expression and Clinical Efficacy of Noninvasive Mechanical Ventilation in the Treatment of Insulin-like Growth Factor Ⅰ, Ⅱ and Cathepsin B in Patients with Chronic Obstructive Pulmonary Disease. Journal of Kunming Medical University, 2018, 39(08): 74-79.
[11]	Liu Jian Hong , Zhou Ji Bo . . Journal of Kunming Medical University, 2017, 38(03): 39-42.
[12]	Bi Hong . The Analysis of Influential Factors of Pulmonary Function in Patients with Chronic Obstructive Pulmonary Disease in Kunming. Journal of Kunming Medical University,
[13]	Wang Qiu Ju . Effect of High Quality Nursing on the Negative Emotion and Treatment Compliance of Patients with Leukemia. Journal of Kunming Medical University,
[14]	Zhao Mei Ping . Influence of Nursing Intervention on Postpartum Adverse Emotions and Breastfeeding Compliance in Primipara. Journal of Kunming Medical University,
[15]	Zeng Hai Ping . . Journal of Kunming Medical University,
[16]	Yang Huan Zhi . . Journal of Kunming Medical University,
[17]	Dong Yu . . Journal of Kunming Medical University,
[18]	Liu Shi Chang . . Journal of Kunming Medical University,
[19]	. Clinic Analysis of COPD Patients Complicated with Pulmonary Embolism. Journal of Kunming Medical University,
[20]	. . Journal of Kunming Medical University,