Facilitators and barriers to pulmonary rehabilitation in postoperative lung cancer patients:a Meta-synthesis
10.3761/j.issn.0254-1769.2025.18.017
- VernacularTitle:肺癌术后患者肺康复行为促进与障碍因素的Meta整合
- Author:
Tingting XIAO
1
;
Lichun XU
;
Hui ZHENG
;
Meiling HUANG
;
Man ZHANG
;
Mingqi ZHANG
Author Information
1. 350000 福州市 福建医科大学护理学院
- Publication Type:Journal Article
- Keywords:
Lung Neoplasms;
Pulmonary Rehabilitation;
Root Cause Analysis;
Meta-Synthesis;
Qualitative Research;
Evidence-Based Nursing
- From:
Chinese Journal of Nursing
2025;60(18):2279-2286
- CountryChina
- Language:Chinese
-
Abstract:
Objective To synthesize qualitative studies on the experiences of postoperative lung cancer patients participating in pulmonary rehabilitation,aiming to comprehensively understand the barriers and facilitators influencing their engagement and to provide evidence-based insights for improving rehabilitation adherence.Methods Qualitative studies were retrieved from databases including Web of Science,PubMed,Cochrane Library,Embase,CNKI,Wanfang Data,VIPand Sinomed,with a search period spanning from database inception to January,2025.The methodological quality of eligible studies was assessed using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research.Extracted findings were mapped and synthesized using the Theoretical Domains Framework(TDF)and the Capability-Opportunity-Motivation-Behavior mode(COM-B).Results Ultimately,a total of 11 studies were included,yielding 48 findings.Using the Theoretical Domains Framework(TDF)and COM-B model,facilitators and barriers to pulmonary rehabilitation in postoperative lung cancer patients were mapped and consolidated into 14 categories,culminating in 2 synthesized findings.Conclusion Participation in pulmonary rehabilitation among postoperative lung cancer patients is influenced by multiple factors.Clinicians should develop patient-centered pulmonary rehabilitation plans by considering these factors and incorporating patients' attitudes and perspectives.
