A qualitative study on facilitators and barriers of home-based pulmonary rehabilitation in patients with pulmonary hypertension
10.3760/cma.j.cn115682-20250219-00773
- VernacularTitle:肺动脉高压患者居家肺康复促进和阻碍因素的质性研究
- Author:
Mengshuang SHEN
1
;
Shuangyu WANG
;
Xuejie ZHAO
;
Xin DING
;
Mei LIN
Author Information
1. 天津医科大学总医院心内科，天津 300052
- Publication Type:Journal Article
- Keywords:
Pulmonary hypertension;
Home-based pulmonary rehabilitation;
Capability, opportunity, motivation, and behavior model;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2025;31(32):4348-4354
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the facilitators and barriers of home-based pulmonary rehabilitation in patients with pulmonary hypertension, in order to provide a basis for medical staff to formulate precise pulmonary rehabilitation interventions.Methods:The maximum variation purposive sampling method was used. From October to December 2023, a total of 12 patients with pulmonary hypertension attending the Department of Cardiology, Tianjin Medical University General Hospital, were selected as study participants and underwent semi-structured interviews. Colaizzi's phenomenological method was applied to analyze the data.Results:The facilitators of home-based pulmonary rehabilitation among patients with pulmonary hypertension included: capability factor (good exercise habits) ; opportunity factors (supervision and support from family members, professional guidance from medical staff) ; motivation factors (rehabilitation enthusiasm, perceived benefits of exercise). The barriers included: capability factors (obvious perception of physical symptoms, lack of knowledge about pulmonary rehabilitation, low level of e-health literacy) ; opportunity factors (unfavorable health environment, limited time) ; motivation factors (fear of exercise, lack of rehabilitation self-discipline) .Conclusions:Home-based pulmonary rehabilitation in patients with pulmonary hypertension is affected by multiple factors. Medical staff should adopt targeted interventions to promote patients' engagement in home-based pulmonary rehabilitation, with the aim of improving cardiopulmonary health, exercise endurance, and quality of life, thereby enhancing clinical prognosis.
