Barriers and enablers of physical activity and its association with daily steps after hospitalisation for a COPD exacerbation: what patients say matters

Beatriz Valeiro, Esther Rodríguez, Jaume Ferrer, A. Pasarín, Jordi Ibañez, M. Ramon
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Abstract

Exacerbations of chronic obstructive pulmonary disease (COPD) decrease physical activity (PA). PA interventions after these events are desirable but have had mixed results. Understanding the barriers and enablers of PA may help to improve their results. We aimed to assess the barriers and enablers of PA after COPD exacerbation and its association with daily steps.Cross-sectional analysis of patients with COPD enrolled during a hospitalisation for an exacerbation. PA was measured with an accelerometer for 7 days after discharge. Patients completed an ad-hoc 6-point Likert-scale questionnaire about 13 barriers and 9 enablers of PA. We analysed the association between each item and patients’ daily step counts.46 patients with FEV1%pred (mean (sd)) of 48.6 (15.9) completed the assessments. They were 65 (10) years old, spent 8 (2) days hospitalised, and walked 5633 (3314) steps·day−1after discharge. The patients who reported “breathlessness” (median (p25-p75)) (3813 (2664–5639)versus5549 (3692–9984), p 0.034) and “low mood” (3813 (2456–5471)versus5426 (3612–8942), p 0.047) as barriers(yes (≥2/6) versus no (<2/6) responders, respectively)took statistically fewer daily steps; whereas if they considered “PA as healthy” as an enabler walked statically more (5085 (3538–8703)versus2760 (2271–5298), p 0.031).some barriers and enablers of PA reported by patients after a COPD exacerbation relate to daily steps. Assessing PA barriers and enablers could be useful to improve future PA interventions after these events.
慢性阻塞性肺疾病加重住院后体育锻炼的障碍和促进因素及其与每日步数的关系:患者的意见很重要
慢性阻塞性肺病(COPD)病情加重会减少体力活动(PA)。在这些事件发生后进行体育锻炼干预是可取的,但效果不一。了解体育锻炼的障碍和促进因素可能有助于改善干预效果。我们的目的是评估慢性阻塞性肺病恶化后进行体育锻炼的障碍和促进因素,以及体育锻炼与每日步数的关系。在出院后的 7 天内,使用加速度计对患者的 PA 进行了测量。患者填写了一份6点李克特量表的临时问卷,内容涉及13项运动障碍和9项运动促进因素。我们分析了每个项目与患者每日步数之间的关联。46 名患者完成了评估,他们的 FEV1%pred 值(平均值(sd))为 48.6(15.9)。他们的年龄为 65(10)岁,住院 8(2)天,出院后每天步行 5633(3314)步。报告 "呼吸困难"(中位数(p25-p75))(3813(2664-5639)对 5549(3692-9984),p 0.034)和 "情绪低落"(3813(2456-5471)对 5426(3612-8942),p 0.而如果他们认为 "PA 是健康的 "是一种促进因素,那么他们的日行走步数就会增加(5085 (3538-8703)versus2760 (2271-5298),P 0.031)。对患者在慢性阻塞性肺病加重后进行自我锻炼的障碍和促进因素进行评估,将有助于改进未来对这些事件进行的自我锻炼干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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