ABSTRACT
Objective:
The autonomy theory holds that the autonomy of individuals in the
rehabilitation process is crucial to the success of
rehabilitation. To explore the use of autonomous
rehabilitation programs in
patients with
bronchiectasis, This study was conducted through the
construction of a stable
family rehabilitation program for
bronchiectasis patients and the application of
patients self-
determination theory. To further explore the value of autonomy theory in
rehabilitation therapy.
Method:
The experimental group used
self-
determination theory as the guide for intervention on the basis of the
control groups. The two groups of
observation indexes included St. George's Respiratory
Questionnaire, FEV1 and FEV1 values,
lung capacity, V25, V50, maximal
ventilation,
compliance questionnaire,
anxiety self-assessment scale, and
depression self-assessment scale.
Results:
(1) The
lung capacity of the experimental group
patients (3.01 ± 0.82) L was higher than that of the
control group (2.86 ± 0.36) L, and the V25 value (2.63 ± 0.31) L/s, V50 value (4.31 ± 1.01) L/s, and maximum
ventilation volume (71.63 ± 18.35) L/min were all higher than those of the
control group, with P < .05; (2) After intervention, the SGRO score of
patients in the experimental group (38.66 ± 8.67)score was lower than that of the
control group (56.48 ± 9.86)score. The FEV1 score of
patients in the experimental group (9.35 ± 2.36)L was higher than that of the
control group (1.04 ± 0.29)L. After intervention, the FEV1 score of
patients in the experimental group was% (56.83 ± 9.21)% higher than that of the
control group (46.37 ± 7.67)%, with P < .05; (3) Comparison of
compliance scores between two groups of
patients before and after intervention the experimental group had scores for timed medication (4.89 ± 0.64)score, moderate
exercise (4.61 ± 1.04)score, and dietary
regulation (4.72 ± 0.87)score after intervention, all of which were higher than those of the
control group (P < .05); (4) The comparison of
anxiety and
depression between two groups of
patients showed that the
anxiety score (10.16 ± 3.03)score of the experimental group after intervention was lower than that of the
control group (13.03 ± 3.67)score, and the
depression score (9.35 ± 2.36)score of the experimental group after intervention was lower than that of the
control group (12.34 ± 3.01)score, with P < .05.
Conclusion:
Using the theory of autonomy to construct and apply the
rehabilitation program in the home stabilization stage of
bronchiectasis patients can improve respiratory and
lung function. At the same
time, it has a certain degree of promoting effect on improving
patients'
treatment compliance, and can improve
patients' emotional
state and reduce the occurrence of
anxiety and
depression. The results of this study
will provide a certain theoretical basis for the
construction of the
treatment and
rehabilitation program of clinically related
diseases. In the
future clinical
treatment, personalized
treatment intervention can be carried out according to the autonomy of
patients to improve the clinical
prognosis.
