背景:先前的研究集中在可能预测未完成肺康复(PR)的人口统计学因素上。我们旨在确定促进完成公关的关键可修改因素。方法:对完成PR后出院评估的参与者进行了混合方法调查。描述性统计和归纳主题分析用于分析调查答复,用调查员三角测量。结果:在2022年11月至2023年4月期间参加PR出院评估的187名患者中,有62名(33%)返回了匿名调查。渴望改善健康和福祉是最初致力于课程和继续进行公关的主要原因。工作人员的积极影响是第二个最常见的原因。享受公关计划,被问责上课,以及其他小组成员的重要性是确定的其他关键主题。结论:总之,我们的研究结果表明,公关服务需要实施策略,确保定期推广和加强PR的健康益处,以及实施PR模式,这些模式最好地垄断熟练员工对激励患者完成PR的积极影响.
Background: Previous studies have focused on demographic factors that might predict non-completion of pulmonary rehabilitation (PR). We aimed to identify key modifiable factors that promote completion of PR. Methods: A mixed methods survey was offered to participants completing a discharge assessment following PR. Descriptive statistics and inductive thematic analysis were used to analyse the survey responses, with investigator triangulation. Results: 62 of 187 (33%) patients attending a PR discharge assessment between November 2022 and April 2023 returned the anonymised survey. Desire to improve health and wellbeing was the main reason for both initially committing to a course and for continuing with PR past transient thoughts of leaving. The positive impact of staff was the second most common reason. The enjoyment of the PR programme, being held accountable to attend classes, and the importance of other group members were other key themes identified. Conclusions: In conclusion, our findings suggest PR services need to implement strategies which ensure regular promotion and reinforcement of the health benefits of PR as well as implementation of PR modalities which best monopolise on the positive impact skilled staff have on motivating patients to complete PR.