慢性阻塞性肺疾病患者运动自我调控效能的潜在剖面分析及护理启示  

Latent profile analysis of exercise self-regulation efficacy in COPD patients and nursing implications

作　　者：李涵宇 于璐尧 蒋智丽 陈莉萍 韩毛毛 黄丽华[1] Li Hanyu;Yu Luyao;Jiang Zhili;Chen Liping;Han Maomao;Huang Lihua(The First Affiliated Hospital Zhejiang University School of Medicine,Hangzhou Zhejiang 310020,China;Taizhou Second People's Hospital,Taizhou Zhejiang 317299,China;The Affiliated Hospital of Hangzhou Normal University,Hangzhou Zhejiang 310022,China;Haining People's Hospital,Jiaxing Zhejiang 314499,China)

机构地区：[1]浙江大学医学院附属第一医院,浙江杭州310020 [2]台州市第二人民医院,浙江台州317299 [3]杭州师范大学附属医院,浙江杭州310022 [4]海宁市人民医院,浙江嘉兴314499

出　　处：《护理与康复》2025年第4期1-7,共7页Journal of Nursing and Rehabilitation

基　　金：浙江大学“双一流”建设护理优势特色学科科研培育基金,编号HL2024019。

摘　　要：目的探讨慢性阻塞性肺疾病患者运动自我调控效能现状及其潜在分型,为优化干预路径和实施方案提供借鉴。方法采用便利抽样法于2023年12月至2024年8月选取在浙江省3所医院门诊及住院部就诊的稳定期慢性阻塞性肺疾病患者为研究对象。使用一般资料调查表、运动自我调控效能量表、锻炼益处/障碍量表、呼吸困难信念量表对患者进行调查,分析患者运动自我调控效能潜在类别的差异。结果共纳入323例患者,患者的运动自我调控效能量表得分为(94.28±23.24)分,运动自我调控效能可被分为3个分型,分别为低效能-低适应组(17.6%)、中效能-躯体症状组(43.3%)、高效能-高自律组(39.0%)。运动恐惧得分越高、有合并疾病的患者归属于“低效能-低适应组”的概率较大。结论慢性阻塞性肺疾病患者运动自我调控效能处于中低水平且存在明显异质性,医护人员应关注患者的运动自我调控效能状况,重点关注“低效能-低适应组”“中效能-躯体症状组”的患者。Objective To investigate the current status and potential subtypes of exercise self-regulation efficacy in patients with chronic obstructive pulmonary disease(COPD),thereby providing insights for optimizing intervention strategies and implementation plans.Methods A convenience sampling method was employed to select stable COPD patients from outpatient and inpatient departments of three hospitals in Zhejiang Province,between December 2023 and August 2024.The data were collected by using a general information questionnaire,the Exercise Self-Regulatory Efficacy Scale,the Exercise Benefits/Barriers Scale,and the Breathlessness Beliefs Questionnaire.Latent profile analysis was conducted to identify differences in exercise self-regulation efficacy among patients.Results A total of 323 patients were included.The mean score of the Exercise Self-Regulatory Efficacy Scale was 94.28±23.24.Exercise self-regulation efficacy was classified into three subtypes:low efficacy-low adaptation group(17.6%),moderate efficacy-physical symptoms group(43.3%),and high efficacy-high self-discipline group(39.0%).Patients with higher scores in kinesiophobia and comorbid conditions were more likely to belong to the"low efficacy-low adaptation group".Conclusion The exercise self-regulation efficacy of COPD patients is at a moderate to low level with significant heterogeneity.Healthcare professionals should pay attention to the exercise self-regulation efficacy status of COPD patients,particularly those in the"low efficacy-low adaptation group"and"moderate efficacy-physical symptoms group".

关 键 词：慢性阻塞性肺疾病 运动自我调控效能 潜在剖面分析 

分 类 号：R473.56[医药卫生—护理学]