摘要
目的基于信息-动机-行为(IMB)技巧模型,构建慢性阻塞性肺疾病(COPD)患者肺康复依从性的结构方程模型,定量分析模型中对康复行为作用影响因素的路径及强度。方法选取山西省某三级甲等医院200例COPD患者进行横断面调查,收集患者一般资料、COPD知识问卷、Herth希望量表、社会支持评定量表、COPD自我效能量表以及肺康复锻炼依从性的信息。结果构建的结构方程模型整体适配度较好,与预测结果一样,自我效能对依从性有直接影响(β=0.464,P<0.05),COPD知识、健康信念、社会动机通过自我效能间接影响康复依从性,效应值分别为0.245,0.166,0.062。结论与IMB模型一致,知识、动机和自我效能感与COPD患者康复锻炼依从性有关,应针对性地提高患者知识、动机和行为技巧,以影响患者的行为改变。
Objective To construct a structural equation model of pulmonary rehabilitation compliance in chronic obstructive pulmonary diseases(COPD)patients based on the information-motivation-behavioral(IMB)skills model,the path and intensity of the influencing factors on rehabilitation behavior in the model were quantitatively analyzed.Methods We selected 200 COPD patients from a tertiary hospital in Shanxi province for a cross-sectional survey,and collected general information,COPD knowledge questionnaire,Herth hope index scale,social support rating scale,COPD self-efficacy scale and pulmonary rehabilitation exercise compliance information.Results The overall fit of the constructed structural equation model was good.Like the predicted results,self-efficacy had a direct impact on compliance(β=0.464,P<0.05).COPD knowledge,health beliefs,and social motivation indirectly affect rehabilitation adherence through self-efficacy,with effect sizes of 0.245,0.166,and 0.062,respectively.Conclusion Consistent with the IMB model,knowledge,motivation and self-efficacy were related to the compliance of COPD patients with rehabilitation exercise,and patients’knowledge,motivation and behavioral skills should be improved in a targeted manner to infl uence their behavioral changes.
作者
张卉
张腾
李新
陈小瑜
何亚鹏
吴红霞
ZHANG Hui;ZHANG Teng;LI Xin;CHEN Xiaoyu;HE Yapeng;WU Hongxia(Shanxi Medical University,Taiyuan,030001,China)
出处
《护理实践与研究》
2022年第18期2732-2735,共4页
Nursing Practice and Research
关键词
信息-动机-行为技巧模型
慢性阻塞性肺疾病
肺康复依从性
影响因素
模型分析
Information-motivation-behavioral skill model
Chronic obstructive pulmonary diseases
Pulmonary rehabilitation compliance
Infl uencing factors
Model analysis
