Investigation and influencing factors of pulmonary rehabilitation exercise compliance in patients with AECOPD after mechanical ventilation and early extubation
Objective To investigate and understand the compliance with pulmonary rehabilitation exercises in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)after early weaning from mechanical ventilation,and to analyze the influencing factors,with the aim of improving outcomes.Methods A total of 106 patients with AECOPD undergoing mechanical ventilation were statistically analyzed for their compliance of pulmonary rehabilitation exercise after early extubation.Multifactorial regression analysis was employed to identify factors influencing the compliance with post-weaning pulmonary rehabilitation exercises in AECOPD patients on mechanical ventilation,and a risk prediction model was constructed.Results In the 106 patients with AECOPD after mechanical ventilation,compliance score of pulmonary rehabilitation exercise was(4.41±1.16)points,with 45 cases(42.45%)scoring>5 points and 61 cases(57.55%)scoring≤5 points.Multivariate Logistic analysis showed that education level of junior high school or below(OR=4.438,P=0.012),smoking history(OR=3.700,P=0.031),disease duration≤5 years(OR=3.985,P=0.016),drug dependence(OR=13.911,P=0.003),negative emotion(OR=8.680,P=0.001),and Mini Nutritional Assessment(MST)score≥2 points(OR=11.190,P=0.001)were independent risk factors of pulmonary rehabilitation exercise compliance.An independent risk prediction model for the compliance with pulmonary rehabilitation exercises among AECOPD mechanically ventilated patients after early extubation was constructed.The model's predictive performance was validated using the Hosmer-Lemeshow test(χ2=7.026,P=0.426),with an area under the curve(AUC)of 0.890.Conclusions Education level of junior high school or below,smoking history,course of disease≤5 years,drug dependence and negative emotion are independent risk factors of pulmonary rehabilitation exercise compliance in patients with AECOPD after mechanical ventilation and early extubation.Early prevention and intervention strategies can be implemented clinically to improve exercise compliance.
acute exacerbation of chronic obstructive pulmonary diseasemechanical ventilationcompliance of pulmonary rehabilitation exerciseinfluencing factor
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