Investigating the obstacles in the practice of pulmonary rehabilitation for chronic obstructive pulmonary disease and multiple correspondence analysis_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

QI Mengsha ¹ , LI Wei ¹ , HE Ping ¹ , LIU Shuyun ² , DONG Meijun ³ , YANG Hao ³ ,  TANG Fengming ¹

1. Department of Respiratory and Critical Medicine, People’s Hospital of Wenjiang, Chengdu, Sichuan 611135, P. R. China;
2. Department of Science and Education, People’s Hospital of Wenjiang, Chengdu, Sichuan 611135, P. R. China;
3. School of Psychology, Chengdu Medical College, Chengdu, Sichuan 610500, P. R. China;

Corresponding?author：

TANG Fengming, Email: 414909490@qq.com

Keywords：

Pulmonary rehabilitation; Obstacles; Medical staff; Multiple correspondence analysis

DOI：

10.7507/1671-6205.201908081

Video：

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Objective To understand the obstacles in the practice of pulmonary rehabilitation between doctors and patients.Methods Medical staff and patients with chronic obstructive pulmonary disease (COPD) in public hospitals in this region were randomly sampled, and a questionnaire survey was conducted on possible obstacles to the practice of pulmonary rehabilitation.Results Total of 265 medical staff and 120 COPD patients were recruited in this survey. The obstacles of pulmonary rehabilitation practice of medical staff in clinical work are poor cooperation of patients and their families (84.2%), medical staff’s insufficient awareness of pulmonary rehabilitation (82.3%), and lack of practice and guidelines (78.9%), lack of objective conditions such as site, equipment and equipment (75.1%), lack of multidisciplinary teams (74.3%), pulmonary rehabilitation has fallen by the wayside (73.6%) etc. The main obstacles for COPD patients in pulmonary rehabilitation are lack of access to relevant knowledge (52.4%), insufficient knowledge (36.5%), inconvenient transportation, economic problems and other objective conditions (33.3%). After multiple correspondence analysis, there are differences in the degree of correlation between obstacle factors and groups with different characteristics.Conclusions There are many factors hindering the development of pulmonary rehabilitation and there are certain differences among different populations, but the lack of understanding of pulmonary rehabilitation between doctors and patients is the primary problem. It is necessary to improve the cognition of both doctors and patients on pulmonary rehabilitation, and then to solve the obstacles in the implementation of pulmonary rehabilitation.

Citation： QI Mengsha, LI Wei, HE Ping, LIU Shuyun, DONG Meijun, YANG Hao, TANG Fengming. Investigating the obstacles in the practice of pulmonary rehabilitation for chronic obstructive pulmonary disease and multiple correspondence analysis. Chinese Journal of Respiratory and Critical Care Medicine, 2021, 20(2): 91-94. doi: 10.7507/1671-6205.201908081 Copy

1.	中華醫學會呼吸病學分會慢性阻塞性肺疾病學組. 慢性阻塞性肺疾病診治指南(2013 年修訂版). 中國醫學前沿雜志(電子版), 2014, (2): 67-79, 80.
2.	Vestbo J, Hurd SS, Agusti AG, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Respir Crit Care Med, 2013, 187(4): 347-365.
3.	李俊英. 以肺康復為核心的慢性阻塞性肺疾病延續性護理研究進展. 養生保健指南, 2019, (29): 235.
4.	鄭亞威, 趙宇浩, 舒運錄, 等. 傳統健身功法聯合常規藥物治療穩定期慢性阻塞性肺疾病的 Meta 分析. 廣州中醫藥大學學報, 2019, 36(6): 852-861.
5.	Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease. NHLBI/WHO workshop report. Bethesda, National heart, lung and blood institute, April 2001; Update of the Management Sections. (2003-07-01). http://www.goldcopd.com.
6.	尹輝明, 楊春蘭, 邱飛. 慢性阻塞性肺疾病與肺康復治療. 中國醫師雜志, 2018, 20(12): 1767-1770.
7.	Maltais F, Bourbeau J, Shapiro S, et al. Effects of home-based pulmonary rehabilitation in patient with chronic obstructive pulmonary disease: a randomized trial. Ann Intern Med, 2008, 149: 869-878.
8.	吳學敏, 侯來永, 白偉, 等. 呼吸訓練對緩解期老年重度 COPD 患者生存質量及日常生活活動的影響. 中國康復醫學雜志, 2006, 21(4): 307-310.
9.	周玉蘭, 劉翱, 劉樞曉. 慢性阻塞性肺疾病康復期患者呼吸肌功能鍛煉臨床觀察. 中國康復理論與實踐, 2005, 11(10): 848-849.
10.	慢性阻塞性肺疾病診治指南(2007 年修訂版). 中華醫學會呼吸病學分會慢性阻塞性肺疾病學組. 中華結核和呼吸雜志, 2007, 30(1): 8-17.
11.	賀宇彤, 栗華, 劉杰, 等. 河北省食管癌死亡趨勢分析. 中國公共衛生, 2009, 25(2): 227-228.
12.	李克均, 馮麗云, 時松和, 等. 多重對應分析及其在工作滿意度研究中的應用. 中國衛生統計, 2007, 24(1): 19-21.
13.	劉莉, 平智廣, 李琳琳, 等. 成人多代謝異常與家族史的多重對應分析. 中華流行病學雜志, 2012, 33(3): 260-264.
14.	杜強, 賈麗艷. SPSS統計分析從入門到精通. 北京: 人民郵電出版社, 2009, 427-435.
15.	張文彤, 董偉. SPSS 統計分析高級教程(第 3 版). 北京: 高等教育出版社, 2018, 279-280.
16.	廖生武, 朱宏, 譚碧慧. 社區老年慢性病人群“互聯網+醫養結合”健康管理服務的困境及對策. 中國全科醫學, 2019, 22(7): 770-776.
17.	席明霞, 唐朝, 卿利敏, 等. 醫院–社區–家庭護理模式在慢性阻塞性肺疾病患者肺康復中的應用. 中國護理管理, 2015, 15(3): 308-310.
18.	曹雅麗, 焦東輝, 趙治國, 等. 醫院–社區–家庭肺康復管理模式在慢性阻塞性肺疾病患者中的運用. 中國臨床護理, 2017, 9(4): 344-347.

1. 中華醫學會呼吸病學分會慢性阻塞性肺疾病學組. 慢性阻塞性肺疾病診治指南(2013 年修訂版). 中國醫學前沿雜志(電子版), 2014, (2): 67-79, 80.
2. Vestbo J, Hurd SS, Agusti AG, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Respir Crit Care Med, 2013, 187(4): 347-365.
3. 李俊英. 以肺康復為核心的慢性阻塞性肺疾病延續性護理研究進展. 養生保健指南, 2019, (29): 235.
4. 鄭亞威, 趙宇浩, 舒運錄, 等. 傳統健身功法聯合常規藥物治療穩定期慢性阻塞性肺疾病的 Meta 分析. 廣州中醫藥大學學報, 2019, 36(6): 852-861.
5. Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease. NHLBI/WHO workshop report. Bethesda, National heart, lung and blood institute, April 2001; Update of the Management Sections. (2003-07-01). http://www.goldcopd.com.
6. 尹輝明, 楊春蘭, 邱飛. 慢性阻塞性肺疾病與肺康復治療. 中國醫師雜志, 2018, 20(12): 1767-1770.
7. Maltais F, Bourbeau J, Shapiro S, et al. Effects of home-based pulmonary rehabilitation in patient with chronic obstructive pulmonary disease: a randomized trial. Ann Intern Med, 2008, 149: 869-878.
8. 吳學敏, 侯來永, 白偉, 等. 呼吸訓練對緩解期老年重度 COPD 患者生存質量及日常生活活動的影響. 中國康復醫學雜志, 2006, 21(4): 307-310.
9. 周玉蘭, 劉翱, 劉樞曉. 慢性阻塞性肺疾病康復期患者呼吸肌功能鍛煉臨床觀察. 中國康復理論與實踐, 2005, 11(10): 848-849.
10. 慢性阻塞性肺疾病診治指南(2007 年修訂版). 中華醫學會呼吸病學分會慢性阻塞性肺疾病學組. 中華結核和呼吸雜志, 2007, 30(1): 8-17.
11. 賀宇彤, 栗華, 劉杰, 等. 河北省食管癌死亡趨勢分析. 中國公共衛生, 2009, 25(2): 227-228.
12. 李克均, 馮麗云, 時松和, 等. 多重對應分析及其在工作滿意度研究中的應用. 中國衛生統計, 2007, 24(1): 19-21.
13. 劉莉, 平智廣, 李琳琳, 等. 成人多代謝異常與家族史的多重對應分析. 中華流行病學雜志, 2012, 33(3): 260-264.
14. 杜強, 賈麗艷. SPSS統計分析從入門到精通. 北京: 人民郵電出版社, 2009, 427-435.
15. 張文彤, 董偉. SPSS 統計分析高級教程(第 3 版). 北京: 高等教育出版社, 2018, 279-280.
16. 廖生武, 朱宏, 譚碧慧. 社區老年慢性病人群“互聯網+醫養結合”健康管理服務的困境及對策. 中國全科醫學, 2019, 22(7): 770-776.
17. 席明霞, 唐朝, 卿利敏, 等. 醫院–社區–家庭護理模式在慢性阻塞性肺疾病患者肺康復中的應用. 中國護理管理, 2015, 15(3): 308-310.
18. 曹雅麗, 焦東輝, 趙治國, 等. 醫院–社區–家庭肺康復管理模式在慢性阻塞性肺疾病患者中的運用. 中國臨床護理, 2017, 9(4): 344-347.

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