Qianyin Zhu , Peipei Gu , Yandie Wang , Fei Zeng , Meijuan Lan
{"title":"探讨肺移植受者在等候期的运动经验:一项质性研究","authors":"Qianyin Zhu , Peipei Gu , Yandie Wang , Fei Zeng , Meijuan Lan","doi":"10.1016/j.ijnurstu.2025.105160","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Lung transplantation is a crucial intervention for end-stage lung disease. However, the shortage of donor lungs often results in prolonged waiting times, during which some patients may experience disease deterioration or even death. Exercise during the waiting list period has been shown to improve cardiopulmonary function and postoperative outcomes in lung transplant candidates. Nevertheless, existing studies primarily focus on physiological indicators, with limited exploration of patients' subjective experiences.</div></div><div><h3>Objective</h3><div>To explore the exercise experiences and perspectives of lung transplant recipients during the waiting list period.</div></div><div><h3>Design</h3><div>A descriptive qualitative design was used.</div></div><div><h3>Setting</h3><div>A tertiary hospital in Zhejiang Province, China.</div></div><div><h3>Participants</h3><div>Fourteen lung transplant recipients (mean age 53, range 25–74; mean wait time 54 days, range 23–123) participated in the study.</div></div><div><h3>Methods</h3><div>A purposive sampling method was used to select lung transplant recipients from a tertiary hospital in Zhejiang Province, China, between December 2024 and February 2025. A content analysis approach was conducted to analyze the qualitative data.</div></div><div><h3>Result</h3><div>Four main themes emerged. The first theme, the duality of exercise experiences, included cumulative benefits, adverse physiological responses, and anxiety regarding exercise risks. The second theme, drivers of sustained exercise, involved intrinsic motivation and extrinsic incentives. The third theme, needs for professional support, reflected expectations for personalized exercise plans, safety monitoring and symptom guidance. The final theme, needs for informal support networks, underscored the necessity of family presence, peer interaction, and accessible exercise settings for emotional and practical support.</div></div><div><h3>Conclusion</h3><div>Exercise among lung transplant candidates during the waiting period is shaped by diverse physical responses, emotional attitudes, and social influences. These findings underscore the importance of tailoring exercise interventions to individual capabilities, concerns, and support needs. Combining personalized professional guidance with flexible informal support may reduce perceived risks and improve engagement with physical activity.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"170 ","pages":"Article 105160"},"PeriodicalIF":7.1000,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Exploring the exercise experiences of lung transplant recipients during the waiting list period: A qualitative study\",\"authors\":\"Qianyin Zhu , Peipei Gu , Yandie Wang , Fei Zeng , Meijuan Lan\",\"doi\":\"10.1016/j.ijnurstu.2025.105160\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Lung transplantation is a crucial intervention for end-stage lung disease. However, the shortage of donor lungs often results in prolonged waiting times, during which some patients may experience disease deterioration or even death. Exercise during the waiting list period has been shown to improve cardiopulmonary function and postoperative outcomes in lung transplant candidates. Nevertheless, existing studies primarily focus on physiological indicators, with limited exploration of patients' subjective experiences.</div></div><div><h3>Objective</h3><div>To explore the exercise experiences and perspectives of lung transplant recipients during the waiting list period.</div></div><div><h3>Design</h3><div>A descriptive qualitative design was used.</div></div><div><h3>Setting</h3><div>A tertiary hospital in Zhejiang Province, China.</div></div><div><h3>Participants</h3><div>Fourteen lung transplant recipients (mean age 53, range 25–74; mean wait time 54 days, range 23–123) participated in the study.</div></div><div><h3>Methods</h3><div>A purposive sampling method was used to select lung transplant recipients from a tertiary hospital in Zhejiang Province, China, between December 2024 and February 2025. A content analysis approach was conducted to analyze the qualitative data.</div></div><div><h3>Result</h3><div>Four main themes emerged. The first theme, the duality of exercise experiences, included cumulative benefits, adverse physiological responses, and anxiety regarding exercise risks. The second theme, drivers of sustained exercise, involved intrinsic motivation and extrinsic incentives. The third theme, needs for professional support, reflected expectations for personalized exercise plans, safety monitoring and symptom guidance. The final theme, needs for informal support networks, underscored the necessity of family presence, peer interaction, and accessible exercise settings for emotional and practical support.</div></div><div><h3>Conclusion</h3><div>Exercise among lung transplant candidates during the waiting period is shaped by diverse physical responses, emotional attitudes, and social influences. These findings underscore the importance of tailoring exercise interventions to individual capabilities, concerns, and support needs. Combining personalized professional guidance with flexible informal support may reduce perceived risks and improve engagement with physical activity.</div></div>\",\"PeriodicalId\":50299,\"journal\":{\"name\":\"International Journal of Nursing Studies\",\"volume\":\"170 \",\"pages\":\"Article 105160\"},\"PeriodicalIF\":7.1000,\"publicationDate\":\"2025-07-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Nursing Studies\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0020748925001701\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Nursing Studies","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0020748925001701","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Exploring the exercise experiences of lung transplant recipients during the waiting list period: A qualitative study
Background
Lung transplantation is a crucial intervention for end-stage lung disease. However, the shortage of donor lungs often results in prolonged waiting times, during which some patients may experience disease deterioration or even death. Exercise during the waiting list period has been shown to improve cardiopulmonary function and postoperative outcomes in lung transplant candidates. Nevertheless, existing studies primarily focus on physiological indicators, with limited exploration of patients' subjective experiences.
Objective
To explore the exercise experiences and perspectives of lung transplant recipients during the waiting list period.
Design
A descriptive qualitative design was used.
Setting
A tertiary hospital in Zhejiang Province, China.
Participants
Fourteen lung transplant recipients (mean age 53, range 25–74; mean wait time 54 days, range 23–123) participated in the study.
Methods
A purposive sampling method was used to select lung transplant recipients from a tertiary hospital in Zhejiang Province, China, between December 2024 and February 2025. A content analysis approach was conducted to analyze the qualitative data.
Result
Four main themes emerged. The first theme, the duality of exercise experiences, included cumulative benefits, adverse physiological responses, and anxiety regarding exercise risks. The second theme, drivers of sustained exercise, involved intrinsic motivation and extrinsic incentives. The third theme, needs for professional support, reflected expectations for personalized exercise plans, safety monitoring and symptom guidance. The final theme, needs for informal support networks, underscored the necessity of family presence, peer interaction, and accessible exercise settings for emotional and practical support.
Conclusion
Exercise among lung transplant candidates during the waiting period is shaped by diverse physical responses, emotional attitudes, and social influences. These findings underscore the importance of tailoring exercise interventions to individual capabilities, concerns, and support needs. Combining personalized professional guidance with flexible informal support may reduce perceived risks and improve engagement with physical activity.
期刊介绍:
The International Journal of Nursing Studies (IJNS) is a highly respected journal that has been publishing original peer-reviewed articles since 1963. It provides a forum for original research and scholarship about health care delivery, organisation, management, workforce, policy, and research methods relevant to nursing, midwifery, and other health related professions. The journal aims to support evidence informed policy and practice by publishing research, systematic and other scholarly reviews, critical discussion, and commentary of the highest standard. The IJNS is indexed in major databases including PubMed, Medline, Thomson Reuters - Science Citation Index, Scopus, Thomson Reuters - Social Science Citation Index, CINAHL, and the BNI (British Nursing Index).