Perceptions of Sedentary Behaviour in People with Chronic Obstructive Pulmonary Disease (COPD) Following a Recent Hospital-Managed Exacerbation: A Qualitative Exploration.

IF 2.1 4区 医学 Q3 RESPIRATORY SYSTEM
Stefanie Harding, Angela Glynn, Alan Richardson, Ana-Carolina Gonçalves, Luke Hodgson
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Abstract

Background: Individuals with chronic obstructive pulmonary disease (COPD) often lead sedentary lives, which is linked to negative health outcomes. Understanding the causes of this behaviour is essential for designing effective interventions. In the time following a hospital discharge, people with COPD may be especially sedentary and develop habits that contribute to this behaviour. Therefore, this is an important point at which to evaluate the reasons behind sedentary behaviour.

Methods: From one acute hospital in England, 12 participants with a recent COPD exacerbation were recruited. Following discharge, semi-structured interviews were conducted to identify perceptions of and barriers and facilitators to reducing sedentary behaviour. Reflexive thematic analysis was employed.

Findings: Two themes developed: "Focusing on survival" and "Loneliness, social isolation and lack of purpose". Factors contributing to sedentary behaviour include the need for rest, social isolation, symptom management, fear of dying or being readmitted to hospital from over-exertion, adherence to health professional advice, and lack of motivation and purpose. Concerns about socioeconomic disparities were noted. Participants were ready to embrace positive lifestyle changes.

Conclusion: Our study found some people with COPD, recently discharged from hospital, may adopt a sedentary lifestyle to manage symptoms and daily activities. Interviews highlight the need to tackle socioeconomic disparities, social support, and feelings of social disconnection. Misconceptions about sedentary behaviour being part of recovery underline the need for education for individuals with COPD and health professionals. The findings suggest strategies to reduce sedentary time, such as enjoyable activities, community involvement, and incorporating sedentary behaviour reduction into pulmonary rehabilitation.

慢性阻塞性肺疾病(COPD)患者在近期医院管理恶化后的久坐行为认知:一项定性探索
背景:慢性阻塞性肺疾病(COPD)患者通常过着久坐不动的生活,这与负面的健康结果有关。了解这种行为的原因对于设计有效的干预措施至关重要。在出院后的一段时间里,慢性阻塞性肺病患者可能特别久坐不动,并形成有助于这种行为的习惯。因此,这是评估久坐行为背后原因的重要一点。方法:从英国一家急性医院招募了12名近期COPD加重的参与者。出院后,进行了半结构化访谈,以确定减少久坐行为的认知、障碍和促进因素。采用反身性主题分析。结果:形成了两个主题:“注重生存”和“孤独、社会孤立和缺乏目标”。导致久坐行为的因素包括需要休息、社会隔离、症状管理、担心死亡或因过度劳累而再次入院、遵守健康专业建议以及缺乏动力和目标。有人注意到对社会经济差距的关切。参与者准备接受积极的生活方式改变。结论:我们的研究发现,一些最近出院的COPD患者可能采用久坐的生活方式来控制症状和日常活动。访谈强调了解决社会经济差距、社会支持和社会脱节感的必要性。关于久坐行为是康复的一部分的误解强调了对慢性阻塞性肺病患者和卫生专业人员进行教育的必要性。研究结果提出了减少久坐时间的策略,如愉快的活动,社区参与,以及将减少久坐行为纳入肺部康复。
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来源期刊
CiteScore
4.40
自引率
0.00%
发文量
38
审稿时长
6-12 weeks
期刊介绍: From pathophysiology and cell biology to pharmacology and psychosocial impact, COPD: Journal Of Chronic Obstructive Pulmonary Disease publishes a wide range of original research, reviews, case studies, and conference proceedings to promote advances in the pathophysiology, diagnosis, management, and control of lung and airway disease and inflammation - providing a unique forum for the discussion, design, and evaluation of more efficient and effective strategies in patient care.
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