Factors Predicting Physical Activity Adherence in Patients with Chronic Obstructive Pulmonary Disease
Article Sidebar
Main Article Content
Abstract
Purpose: This study aimed to examine the predictability of family support, trust in healthcare providers, dyspnea, and knowledge of disease on physical activity adherence in patients with chronic obstructive pulmonary disease or COPD.
Design: Predictive correlational research.
Methods: The study samples included 119 patients with COPD, who received treatment and follow-up at the out-patient department of a tertiary hospital in Bangkok. The mini-cognitive instrument was used for cognitive screening. Data collection was performed using the record form of demographics and history of illness, and five questionnaires comprised of 1) Global Physical Activity Questionnaire, GPAQ 2) Modified Borg Scale 3) Bristol COPD Knowledge Questionnaire. 4) Social Support and Exercise Surveys and 5) The Health Care Relationship Trust Scale: Trust in Clinical Nurses, HCR. Data were analyzed using descriptive statistics and logistic regression analysis.
Main findings: The result showed that 90.8% of the sample were male; average age was 72.6 years (SD = 9.8) and 63.9% of participations were adherent to physical activity. Family support, trust in healthcare providers, dyspnea, and knowledge of disease all independent variables could together account for 27.8%Nagelkerke R2 = .28) of the variance explained in physical activity adherence in patients with COPD. It was also found that Family support, severe and moderate level of dyspnea could predict physical activity adherence in patients with COPD (OR = 13.08, 95%CI = 1.51, 113.46, p = .020; OR =0, 95%CI = .02, .45, p = .002 และ OR = .37, 95%CI = .15,, p = .035 respectively).
Conclusion and recommendations: To promote physical activity adherence among patients with COPD, according to the study findings, nurses should encourage families to increase their role in supporting the physical activities of the patients. Nurses should also help the patients develop skills in managing dyspnea and avoiding factors that cause difficulty in breathing.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright Notice: Nursing Science Journal of Thailand has exclusive rights to publish and distribute the manuscript and all contents therein. Without the journal’s permission, the dissemination of the manuscript in another journal or online, and the reproduction of the manuscript for non-educational purpose are prohibited.
Disclaimer: The opinion expressed and figures provided in this journal, NSJT, are the sole responsibility of the authors. The editorial board bears no responsibility in this regard.
References
Global Initiative for Chronic Obstructive Lung Disease (GOLD). Pocket guide to COPD diagnosis, management, and prevention: a guide for health care professionals 2020 edition [Internet]. Fontana, WI: Global Initiative for Chronic Obstructive Lung Disease; 2019 [cited 2020 Jan 7]. Available from: https://goldcopd.org/wp-content/uploads/2019/12/GOLD-2020-FINAL-ver1.2-03Dec19_WMV.pdf.
World Health Organization. Chronic respiratory diseases [Internet]. Geneva: World Health Organization; 2018 [cited 2019 Apr 10]. Available from: https://www.who.int/health-topics/chronic-respiratory-diseases#tab=tab_1.
Division of Non Communicable Diseases, Department of Disease Control, Ministry of Public Health. Number and rate of NCDs in 2016-2019 [Internet]. Nonthaburi: Division of Non Communicable Diseases, Ministry of Public Health; 2020 [cited 2021 Jan 10]. Available from: http://www.thaincd.com/2016/mission/documents-detail.php?id=13893&tid=32&gid=1-020.
Piggin J. What Is physical activity? A holistic definition for teachers, researchers and policy makers. Front Sports Act Living. 2020;2:72. doi: 10.3389/fspor.2020.00072.
World Health Organization. Global recommendations on physical activity for health. Geneva: World Health Organization; 2010 [cited 2019 Apr 10]. Available from: https://www.who.int/dietphysicalactivity/global-PA-recs-2010.pdf.
Albarrati AM, Gale NS, Munnery MM, Cockcroft JR, Shale DJ. Daily physical activity and related risk factors in COPD. BMC Pulm Med. 2020;20(1):60. doi: 10.1186/s12890-020-1097-y.
Bullard T, Ji M, An R, Trinh L, Mackenzie M, Mullen SP. A systematic review and meta-analysis of adherence to physical activity interventions among three chronic conditions: cancer, cardiovascular disease, and diabetes. BMC Public Health. 2019;19(1):636. doi: 10.1186/s12889-019-6877-z.
Waschki B, Kirsten A, Holz O, Müller K-C, Meyer T, Watz H, et al. Physical activity is the strongest predictor of all-cause mortality in patients with COPD: a prospective cohort study. Chest. 2011;140(2):331-42. doi: 10.1378/chest.10-2521.
World Health Organization. Adherence to long-term therapies: evidence for action. Geneva: WHO; 2003. 194 p.
Mahadevan R, Chaya S, Shankar P, Raj V. Adherence to exercise training in COPD patients-factors that predict patient adherence and non-adherence- a preliminary study. J Evol Med Dent Sci. 2019;8(46):3427-31. doi: 10.14260/jemds/2019/743.
Marques A, Jacome C, Cruz J, Gabriel R, Brooks D, Figueiredo D. Family-based psychosocial support and education as part of pulmonary rehabilitation in COPD: a randomized controlled trial. Chest. 2015;147(3):662-72. doi: 10.1378/chest.14-1488.
Bardach SH, Schoenberg NE. The role of primary care providers in encouraging older patients to change their lifestyle behaviors. Clin Gerontol. 2018;41(4):326-34. doi: 10.1080/07317115.2017.1376029.
Mullerova H, Lu C, Li H, Tabberer M. Prevalence and burden of breathlessness in patients with chronic obstructive pulmonary disease managed in primary care. PLoS One. 2014;9(1):e85540. doi: 10.1371/journal.pone.0085540.
de Lima AP, Benedetti T, de Oliveira LZ, Bavaresco SS, Rech CR. Physical activity is associated with knowledge and attitudes to diabetes Type 2 in elderly. J Phys Educ. 2019;30(1): e-3017. doi: 10.4025/jphyseduc.v30i1.3017.
Castillo SS, Smith L, Suárez AD, Sánchez GFL. Associations between physical activity and comorbidities in people with COPD residing in Spain: a cross-sectional analysis. Int J Environ Res Public Health. 2020;17(2):594. doi: 10.3390/ijerph17020594.
Trongsakul S, Lambert R, Clark A, Wongpakaran N, Cross J. Development of the Thai version of mini-cog, a brief cognitive screening test. Geriatr Gerontol Int. 2015;15(5):594-600. doi: 10.1111/ggi.12318.
Sallis JF, Grossman RM, Pinski RB, Patterson TL, Nader PR. The development of scales to measure social support for diet and exercise behaviors. Prev Med. 1987;16(6):825-36. doi: 10.1016/0091-7435(87)90022-3.
Buttapim S, Wanitkun N, Sindhu S, Kasemsarn C. Predictive factors of patients’ quality of life three months after post coronary artery bypass graft surgery. Thai Journal of Cardio-Thoracic Nursing. 2018;29(2):127-40. (in Thai).
Borg GA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14(5):377-81.
White R, Walker P, Roberts S, Kalisky S, White P. Bristol COPD Knowledge Questionnaire (BCKQ): testing what we teach patients about COPD. Chron Respir Dis. 2006;3(3):123-31. doi: 10.1191/1479972306cd117oa.
Tadsuan J, Wattanakitkrileart D, Sriprasong S. The effectiveness of COPD management program via smartphone applications on clinical status in patients with chronic obstructive pulmonary disease. Nursing Science Journal of Thailand. 2021;39(3):17-32.
Vaes AW, Garcia-Aymerich J, Marott JL, Benet M, Groenen MTJ, Schnohr P, et al. Changes in physical activity and all-cause mortality in COPD. Eur Respir J. 2014;44(5):1199-209. doi: 10.1183/09031936.00023214.
Chen Z, Fan VS, Belza B, Pike K, Nguyen HQ. Association between social support and self-care behaviors in adults with chronic obstructive pulmonary disease. Ann Am Thorac Soc. 2017;14(9):1419-27. doi: 10.1513/AnnalsATS.201701-026OC.
Witheethamsak P, Duangpaeng S. Predicting factors of physical activity among patients with chronic obstructive pulmonary disease. Journal of Nursing Division. 2017;44(3):58-79. (in Thai).
Mihaltan F, Adir Y, Antczak A, Porpodis K, Radulovic V, Pires N, et al. Importance of the relationship between symptoms and self-reported physical activity level in stable COPD based on the results from the SPACE study. Respir Res. 2019;20(1):89. doi: 10.1186/s12931-019-1053-7.