Factors Predicting Physical Activity Adherence in Patients with Chronic Obstructive Pulmonary Disease

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Chotida Waraphan
Doungrut Wattanakitkrilert
Sarinrut Sriprasong
Napplika Kongpolprom


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.

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How to Cite
Waraphan, C., Wattanakitkrilert, D., Sriprasong, S. ., & Kongpolprom, N. . (2022). Factors Predicting Physical Activity Adherence in Patients with Chronic Obstructive Pulmonary Disease. Nursing Science Journal of Thailand, 41(1), 59–72. Retrieved from https://he02.tci-thaijo.org/index.php/ns/article/view/253467
Research Papers


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