Chauvin Stephanie, Durocher Evelyne, Richardson Julie, Beauchamp Marla K
School of Rehabilitation Science, McMaster University, Hamilton, Canada.
Department of Health Evidence and Impact, McMaster University, Hamilton, Canada.
Disabil Rehabil. 2022 Sep;44(19):5513-5519. doi: 10.1080/09638288.2021.1938246. Epub 2021 Jun 30.
Individuals with chronic obstructive pulmonary disease (COPD) often have mobility limitations; these may include challenges with balance and being at high risk of falling. Risk of falling can be reduced through exercise programs targeting balance; however, older adults with COPD may experience many barriers to exercise adherence. In this paper we present qualitative findings about the feasibility of a six-month home-based fall-prevention exercise program for older adults with COPD. The aim of the study is to describe the experiences of older adults with COPD who participated in a home-based fall prevention exercise program in order to determine their perceived facilitators and barriers to participation.
15 participants with COPD who had completed the six-month home-based program participated in one-on-one semi-structured interviews over the phone. Interpretive description methodology and thematic analysis were used.
Two major themes emerged with respect to participants' perspectives of the intervention and facilitators and barriers to participation: program personalization based on each individual's characteristics, lifestyles, and preferences; and self-motivation and support from family, friends, and healthcare providers.
Fall prevention exercise programs that are personalized and focus on providing support for older adults with COPD may help to improve adherence and reduce participants' risk of falling.Implications for rehabilitationIndividuals with COPD often have balance problems and a high risk of falling.Fall prevention programs can improve balance, but adherence is a commonly cited challenge.Patient experiences suggest that fall prevention programs should be personalized and incorporate social support to improve adherence to fall prevention exercises.
慢性阻塞性肺疾病（COPD）患者常存在行动受限问题；这些问题可能包括平衡方面的挑战以及跌倒风险高。通过针对平衡的运动计划可以降低跌倒风险；然而，患有COPD的老年人在坚持锻炼方面可能会遇到许多障碍。在本文中，我们呈现了关于一项为期六个月的针对患有COPD的老年人的居家预防跌倒运动计划可行性的定性研究结果。该研究的目的是描述参与居家预防跌倒运动计划的患有COPD的老年人的经历，以确定他们所感知到的参与的促进因素和障碍。
15名完成了为期六个月居家计划的COPD患者通过电话参与了一对一的半结构化访谈。采用了解释性描述方法和主题分析法。
关于参与者对干预措施以及参与的促进因素和障碍的看法，出现了两个主要主题：根据每个人的特征、生活方式和偏好进行计划个性化；以及自我激励和来自家人、朋友及医疗服务提供者的支持。
个性化且专注于为患有COPD的老年人提供支持的预防跌倒运动计划可能有助于提高依从性并降低参与者的跌倒风险。对康复的启示COPD患者常存在平衡问题且跌倒风险高。预防跌倒计划可以改善平衡，但依从性是一个常见的挑战。患者的经历表明，预防跌倒计划应该个性化并纳入社会支持，以提高对预防跌倒运动的依从性。
