Barriers to sedentary behavior change in patients with lower extremity arteriosclerosis obliterans:a quali-tative study
10.3761/j.issn.0254-1769.2025.18.012
- VernacularTitle:下肢动脉硬化闭塞症患者久坐行为改变困境的质性研究
- Author:
Xiaoqin LUO
1
;
Liangxiang XIA
;
Yongke ZENG
;
Yan ZHENG
;
Silin ZHENG
Author Information
1. 646000 泸州市 西南医科大学护理学院
- Publication Type:Journal Article
- Keywords:
Arteriosclerosis Obliterans;
Sedentary Behavior;
Capacity-Opportunity-Motivation-Behavior Model;
Qualitative Study;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(18):2252-2257
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the challenges in sedentary behavior modification among patients with lower extremity arteriosclerosis obliterans(ASO),with the goal of informing the development of personalized physical acti-vity interventions to address sedentary behavior patterns.Methods A purposive sample of 16 patients diagnosed with lower extremity ASO was recruited as participants from the department of vascular surgery at a tertiary hospital in Sichuan province between August and November 2024.Semi-structured interviews were conducted to collect data and the Colaizzi 7 steps was used to analyze the data based on Capacity-Opportunity-Motivation-Behavior model.Results 3 themes and 12 sub-themes were identified,namely capacity(lower extremity and somatic dysfunction,psychological perception constraints,disease literacy deficits),motivation(inadequate perceived value of physical activity,diminished self-efficacy,kinesiophobia,negative cognitive framing),opportunity(generalization of guidance on disease knowledge,constrained healthcare resources,the normalization of sedentary entertainment practices,financial burden constraints,inadequate family support).Conclusion The factors influencing sedentary behavior in ASO patients are complex and diverse.Healthcare professionals need to comprehensively assess the multifaceted factors contributing to patients' difficulties in changing sedentary behavior,and develop targeted strategies accordingly to promote improvements in their sedentary habits.