Perceptions of barriers to and facilitators of exercise rehabilitation in adults with lung transplantation: a qualitative study in China
Abstract Background Exercise is crucial for pulmonary rehabilitation and improving the prognosis of lung transplantation (LTx) patients. However, many LTx patients in China have low exercise tolerance and compliance, and the reasons behind these challenges have not been fully elucidated. Therefore,...
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| Format: | Article |
| Language: | English |
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BMC
2024-02-01
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| Series: | BMC Pulmonary Medicine |
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| Online Access: | https://doi.org/10.1186/s12890-024-02882-5 |
| _version_ | 1797275977077751808 |
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| author | Hui Yang Saisai Liu Jingru Chen Yaxin Qiao Chengcheng Wang Wenping Zhang Li Wei Ruiyun Chen |
| author_facet | Hui Yang Saisai Liu Jingru Chen Yaxin Qiao Chengcheng Wang Wenping Zhang Li Wei Ruiyun Chen |
| author_sort | Hui Yang |
| collection | DOAJ |
| description | Abstract Background Exercise is crucial for pulmonary rehabilitation and improving the prognosis of lung transplantation (LTx) patients. However, many LTx patients in China have low exercise tolerance and compliance, and the reasons behind these challenges have not been fully elucidated. Therefore, this qualitative research aims to identify the barriers to and facilitators of exercise rehabilitation in LTx patients. Methods From January to July 2023, 15 stable LTx patients were recruited and participated in in-depth, semi-structured, face-to-face interviews at Henan Provincial People’s Hospital. The interview transcripts were analyzed using the COM-B model and the Theoretical Domains Framework (TDF). Results Six general themes including 19 barriers and 14 facilitators for the exercise rehabilitation of LTx patients were identified based on the COM-B model and TDF. The barriers to exercise included physical limitations, insufficient exercise endurance, lack of knowledge, and lack of motivation. The facilitators of exercise included motivation, self-efficacy, perceived significance of exercise rehabilitation, and social support. Conclusion The study offers detailed insight into the development and implementation of exercise rehabilitation intervention strategies for LTx patients. By combining COM-B model and TDF, the study provides strong evidence that active behavior change strategies are required for LTx patients to promote their participation in exercise rehabilitation. Professional support, pulmonary rehabilitation training, behavior change technology, and digital health tools are essential for strengthening the evidence system for reporting exercise efficacy and effectiveness. |
| first_indexed | 2024-03-07T15:21:47Z |
| format | Article |
| id | doaj.art-4aee1a1cd740427ba22eaf41b5340a57 |
| institution | Directory Open Access Journal |
| issn | 1471-2466 |
| language | English |
| last_indexed | 2024-03-07T15:21:47Z |
| publishDate | 2024-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pulmonary Medicine |
| spelling | doaj.art-4aee1a1cd740427ba22eaf41b5340a572024-03-05T17:34:32ZengBMCBMC Pulmonary Medicine1471-24662024-02-0124111410.1186/s12890-024-02882-5Perceptions of barriers to and facilitators of exercise rehabilitation in adults with lung transplantation: a qualitative study in ChinaHui Yang0Saisai Liu1Jingru Chen2Yaxin Qiao3Chengcheng Wang4Wenping Zhang5Li Wei6Ruiyun Chen7Department of Thoracic surgery, Henan Key Laboratory for Nursing, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Henan University People’s HospitalDepartment of Thoracic surgery, Henan Key Laboratory for Nursing, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Henan University People’s HospitalDepartment of Thoracic surgery, Henan Key Laboratory for Nursing, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Henan University People’s HospitalInstitute of Nursing and Health, Henan UniversityDepartment of Thoracic surgery, Henan Key Laboratory for Nursing, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Henan University People’s HospitalDepartment of Thoracic surgery, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Henan University People’s HospitalDepartment of Thoracic surgery, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Henan University People’s HospitalDepartment of Thoracic surgery, Henan Key Laboratory for Nursing, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Henan University People’s HospitalAbstract Background Exercise is crucial for pulmonary rehabilitation and improving the prognosis of lung transplantation (LTx) patients. However, many LTx patients in China have low exercise tolerance and compliance, and the reasons behind these challenges have not been fully elucidated. Therefore, this qualitative research aims to identify the barriers to and facilitators of exercise rehabilitation in LTx patients. Methods From January to July 2023, 15 stable LTx patients were recruited and participated in in-depth, semi-structured, face-to-face interviews at Henan Provincial People’s Hospital. The interview transcripts were analyzed using the COM-B model and the Theoretical Domains Framework (TDF). Results Six general themes including 19 barriers and 14 facilitators for the exercise rehabilitation of LTx patients were identified based on the COM-B model and TDF. The barriers to exercise included physical limitations, insufficient exercise endurance, lack of knowledge, and lack of motivation. The facilitators of exercise included motivation, self-efficacy, perceived significance of exercise rehabilitation, and social support. Conclusion The study offers detailed insight into the development and implementation of exercise rehabilitation intervention strategies for LTx patients. By combining COM-B model and TDF, the study provides strong evidence that active behavior change strategies are required for LTx patients to promote their participation in exercise rehabilitation. Professional support, pulmonary rehabilitation training, behavior change technology, and digital health tools are essential for strengthening the evidence system for reporting exercise efficacy and effectiveness.https://doi.org/10.1186/s12890-024-02882-5BarriersFacilitatorsExercise rehabilitationLung transplantationQualitative research |
| spellingShingle | Hui Yang Saisai Liu Jingru Chen Yaxin Qiao Chengcheng Wang Wenping Zhang Li Wei Ruiyun Chen Perceptions of barriers to and facilitators of exercise rehabilitation in adults with lung transplantation: a qualitative study in China BMC Pulmonary Medicine Barriers Facilitators Exercise rehabilitation Lung transplantation Qualitative research |
| title | Perceptions of barriers to and facilitators of exercise rehabilitation in adults with lung transplantation: a qualitative study in China |
| title_full | Perceptions of barriers to and facilitators of exercise rehabilitation in adults with lung transplantation: a qualitative study in China |
| title_fullStr | Perceptions of barriers to and facilitators of exercise rehabilitation in adults with lung transplantation: a qualitative study in China |
| title_full_unstemmed | Perceptions of barriers to and facilitators of exercise rehabilitation in adults with lung transplantation: a qualitative study in China |
| title_short | Perceptions of barriers to and facilitators of exercise rehabilitation in adults with lung transplantation: a qualitative study in China |
| title_sort | perceptions of barriers to and facilitators of exercise rehabilitation in adults with lung transplantation a qualitative study in china |
| topic | Barriers Facilitators Exercise rehabilitation Lung transplantation Qualitative research |
| url | https://doi.org/10.1186/s12890-024-02882-5 |
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