Meta-integration of factors affecting pulmonary rehabilitation in patients with AECOPD

WANG Yeting; LIU Pingfang; SUN Yuying; WANG Xiaoli

doi:10.12104/j.issn.1674-4748.2024.11.006

Abstract：Objective:To understand the factors affecting the low acceptance,referral,and completion rates of pulmonary rehabilitation in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)during clinical conversion through Meta-analysis.Methods:Relevant literature was retrieved from China National Knowledge Network(CNKI),China Biomedical Literature(CBM),Wanfang Database,VIP Database,PubMed,Web of Science,and the Cochrane Library from establishing the database to March 31,2023.The reference included in the systematic review were tracked to supplement the acquisition of relevant literature.The quality of the literature was evaluated using the quality evaluation criteria of the JBI evidence-based Health Care Center in Australia,and the results were integrated by the meta-integration method.Results:Finally,5 articles were included,involving 580 patients.A total of 28 research results were extracted and summarized into 6 new categories,with 4 integrated results:the patient's interest and the feasibility of the exercise plan affect the patient's initiative to participate in pulmonary rehabilitation,the disease itself and the physical and mental condition affect the patient's compliance with pulmonary rehabilitation,the patient's cognition and the role of medical staff affect the patient's acceptance of pulmonary rehabilitation,and environmental factors affect the patient's completion of pulmonary rehabilitation exercises.Conclusions:Health education should be strengthened and the positive role of medical staff should be played,family-based Internet+telemedicine rehabilitation should be developed,and personalized training plans should be formulated.