Abstract:

Objective: This study aims to explore the current status of lung rehabilitation self-efficacy in patients with chronic obstructive pulmonary disease (COPD), analyze its influencing factors, and provide theoretical basis for the development of comprehensive lung rehabilitation programs. Methods: Three hundred COPD patients admitted to the Respiratory and Critical Care Medicine Department of Putian University Affiliated Hospital from June 2023 to August 2024 were selected as the research subjects for questionnaire survey. Data was collected using the Chinese version of the pulmonary rehabilitation self efficacy index (pulmonary rehabilitation adapted index of self-efficacy, PRAISE), Subjective wellbeing scale, Life satisfaction scale, and Anxiety and depression level measurement scale. Univariable and multivariable logistic regression analysis were done to explore the correlation between various factors and pulmonary rehabilitation self-efficacy. Results: Among the 300 patients, 192 (64.0%) had low levels of lung rehabilitation self-efficacy, while 108 (36.0%) had high levels. Multivariable analysis showed that high subjective well-being (OR=3.512, 95%CI: 1.897-6.503), high life satisfaction (OR=2.949, 95%CI: 1.582-5.509), and FEV₁%pred ≥50% (OR=2.135, 95%CI: 1.128-4.041) were protective factors affecting self-efficacy, while anxiety (OR=0.382, 95%CI: 0.208-0.702) and depression (OR=0.416, 95%CI: 0.227-0.763) were risk factors. Conclusion: The overall self-efficacy of COPD patients in pulmonary rehabilitation is low, influenced by multiple psychological factors. Targeted interventions are needed in clinical practice to improve rehabilitation outcomes.

Key words: Pulmonary disease, chronic obstructive, Rehabilitation, Self efficacy, Factor analysis, statistical