Barriers and Facilitators to Exercise Compliance for Community Elders with COPD: A Cross-Sectional Study
Jieqiong Xia,* Jing Yang,* Xiaoli Yang, Siqi Zhang, Honghua Guo, Caihong Zhang International Nursing School, Hainan Medical University, Haikou, Hainan, People’s Republic of China*These authors contributed equally to this workCorrespondence: Siqi Zhang; Honghua Guo, Internatio...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2023-09-01
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| Series: | International Journal of COPD |
| Subjects: | |
| Online Access: | https://www.dovepress.com/barriers-and-facilitators-to-exercise-compliance-for-community-elders--peer-reviewed-fulltext-article-COPD |
| _version_ | 1797685462474686464 |
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| author | Xia J Yang J Yang X Zhang S Guo H Zhang C |
| author_facet | Xia J Yang J Yang X Zhang S Guo H Zhang C |
| author_sort | Xia J |
| collection | DOAJ |
| description | Jieqiong Xia,* Jing Yang,* Xiaoli Yang, Siqi Zhang, Honghua Guo, Caihong Zhang International Nursing School, Hainan Medical University, Haikou, Hainan, People’s Republic of China*These authors contributed equally to this workCorrespondence: Siqi Zhang; Honghua Guo, International Nursing School, Hainan Medical University, No. 3 Xueyuan Road, Longhua District, Haikou, Hainan, 571199, People’s Republic of China, Email hy0209044@hainmc.edu.cn; hy0209008@hainmc.edu.cnBackground and Aim: Exercise compliance was known as important to improve long-term health conditions for Chronic obstructive pulmonary disease (COPD) patients, however, little was known about the determinants which affect their exercise compliance. This study aimed to investigate factors related to exercise compliance of COPD elderly patients.Methods: This cross-sectional study included elderly patients with stable COPD participants. Random cluster sampling and a survey, including the Exercise Compliance Scale, mMRC Dyspnea Index Scale, Social Support Scale, Anxiety Self-Assessment Scale, and Self-rating Depression Scale, were used. Data were analyzed using Spearman correlation and backward logistic regression.Results: 124 participants (45.90%) had poor exercise compliance while 146 had good compliance (54.10%). The backward logistic regression showed household monthly income (¥ 501–¥ 1500: OR=21.54, P< 0.05; ¥ 3001–¥ 5000: OR=32.76, P< 0.05), two chronic comorbidities (OR=17.13, P< 0.05), and the moderate dyspnea (OR=16.87, P< 0.05) might help to improve exercise compliance. While female COPD patients (OR=0.11, P< 0.01) who had server dyspnea (OR=0.02, P< 0.05) and depression (OR=0.84, P< 0.05) might have more difficulties adhering to exercise.Conclusion: Low exercise compliance in community-dwelling elderly COPD patients could be affected by sex, monthly income level, number of chronic comorbidities, dyspnea, and depression.Keywords: chronic obstructive pulmonary disease, exercise compliance, elderly, community |
| first_indexed | 2024-03-12T00:45:28Z |
| format | Article |
| id | doaj.art-bfdbcaa77f6a49c98fe25e62149a675d |
| institution | Directory Open Access Journal |
| issn | 1178-2005 |
| language | English |
| last_indexed | 2024-03-12T00:45:28Z |
| publishDate | 2023-09-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Journal of COPD |
| spelling | doaj.art-bfdbcaa77f6a49c98fe25e62149a675d2023-09-14T19:09:02ZengDove Medical PressInternational Journal of COPD1178-20052023-09-01Volume 181965197486568Barriers and Facilitators to Exercise Compliance for Community Elders with COPD: A Cross-Sectional StudyXia JYang JYang XZhang SGuo HZhang CJieqiong Xia,* Jing Yang,* Xiaoli Yang, Siqi Zhang, Honghua Guo, Caihong Zhang International Nursing School, Hainan Medical University, Haikou, Hainan, People’s Republic of China*These authors contributed equally to this workCorrespondence: Siqi Zhang; Honghua Guo, International Nursing School, Hainan Medical University, No. 3 Xueyuan Road, Longhua District, Haikou, Hainan, 571199, People’s Republic of China, Email hy0209044@hainmc.edu.cn; hy0209008@hainmc.edu.cnBackground and Aim: Exercise compliance was known as important to improve long-term health conditions for Chronic obstructive pulmonary disease (COPD) patients, however, little was known about the determinants which affect their exercise compliance. This study aimed to investigate factors related to exercise compliance of COPD elderly patients.Methods: This cross-sectional study included elderly patients with stable COPD participants. Random cluster sampling and a survey, including the Exercise Compliance Scale, mMRC Dyspnea Index Scale, Social Support Scale, Anxiety Self-Assessment Scale, and Self-rating Depression Scale, were used. Data were analyzed using Spearman correlation and backward logistic regression.Results: 124 participants (45.90%) had poor exercise compliance while 146 had good compliance (54.10%). The backward logistic regression showed household monthly income (¥ 501–¥ 1500: OR=21.54, P< 0.05; ¥ 3001–¥ 5000: OR=32.76, P< 0.05), two chronic comorbidities (OR=17.13, P< 0.05), and the moderate dyspnea (OR=16.87, P< 0.05) might help to improve exercise compliance. While female COPD patients (OR=0.11, P< 0.01) who had server dyspnea (OR=0.02, P< 0.05) and depression (OR=0.84, P< 0.05) might have more difficulties adhering to exercise.Conclusion: Low exercise compliance in community-dwelling elderly COPD patients could be affected by sex, monthly income level, number of chronic comorbidities, dyspnea, and depression.Keywords: chronic obstructive pulmonary disease, exercise compliance, elderly, communityhttps://www.dovepress.com/barriers-and-facilitators-to-exercise-compliance-for-community-elders--peer-reviewed-fulltext-article-COPDchronic obstructive pulmonary diseaseexercise complianceelderlycommunity |
| spellingShingle | Xia J Yang J Yang X Zhang S Guo H Zhang C Barriers and Facilitators to Exercise Compliance for Community Elders with COPD: A Cross-Sectional Study International Journal of COPD chronic obstructive pulmonary disease exercise compliance elderly community |
| title | Barriers and Facilitators to Exercise Compliance for Community Elders with COPD: A Cross-Sectional Study |
| title_full | Barriers and Facilitators to Exercise Compliance for Community Elders with COPD: A Cross-Sectional Study |
| title_fullStr | Barriers and Facilitators to Exercise Compliance for Community Elders with COPD: A Cross-Sectional Study |
| title_full_unstemmed | Barriers and Facilitators to Exercise Compliance for Community Elders with COPD: A Cross-Sectional Study |
| title_short | Barriers and Facilitators to Exercise Compliance for Community Elders with COPD: A Cross-Sectional Study |
| title_sort | barriers and facilitators to exercise compliance for community elders with copd a cross sectional study |
| topic | chronic obstructive pulmonary disease exercise compliance elderly community |
| url | https://www.dovepress.com/barriers-and-facilitators-to-exercise-compliance-for-community-elders--peer-reviewed-fulltext-article-COPD |
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