Department of Rehabilitation, Asahi Rosai Hospital, 61 Hirakocho Kita, Owariasshi, Aichi, Japan.
Division of Creative Physical Therapy, Field of Prevention and Rehabilitation Sciences, Graduate School of Medicine, Nagoya University, 1-1-20 Daiko-minami, Higashi-ku, Nagoya, Aichi, Japan.
BMC Pulm Med. 2022 Sep 2;22(1):335. doi: 10.1186/s12890-022-02128-2.
There are various reports on factors associated with physical activity in patients with chronic respiratory diseases. However, there are no studies on the relationship between physical activity and psychological or environmental factors. In this study, we investigated the relationship between physical activity and psychological and environmental factors using questionnaires for patients with pneumoconiosis.
This cross-sectional study included patients with pneumoconiosis who underwent a pneumoconiosis health examination in 2019. A self-administered questionnaire was used to conduct the study. Physical activity was evaluated using the International Physical Activity Questionnaire, and subjective symptoms [dyspnea and quality of life (QOL)], environmental factors (environment around home and life space), psychological factors (depression, stage of change, self-efficacy, decisional balance, and outcome expectations), and others (e.g., experience with pulmonary rehabilitation) were investigated.
The number of respondents in the study was 185 (men: 171, women: 14). Age, dyspnea, stage of change, self-efficacy, outcome expectations, QOL, depression, decisional balance, and life space were significantly correlated with physical activity. In the multivariate analysis, outcome expectations and dyspnea were extracted as independent factors. In the path analysis, outcome expectations and dyspnea had a direct influence on physical activity. Dyspnea directly impacted not only physical activity but also outcome expectations, stage of change, QOL, life space, and depression.
Dyspnea and outcome expectations were associated with physical activity in patients with pneumoconiosis. To improve physical activity in pneumoconiosis patients, it was suggested that it may be necessary to improve dyspnea and promote an understanding of physical activity.
有许多关于慢性呼吸系统疾病患者身体活动相关因素的报告。然而，目前还没有关于身体活动与心理或环境因素之间关系的研究。在这项研究中，我们使用矽肺患者的调查问卷，调查了身体活动与心理和环境因素之间的关系。
这是一项横断面研究，纳入了 2019 年接受矽肺健康检查的矽肺患者。研究采用自填式问卷进行。身体活动采用国际身体活动问卷进行评估，主观症状（呼吸困难和生活质量）、环境因素（家庭周围环境和生活空间）、心理因素（抑郁、改变阶段、自我效能、决策平衡和结果预期）等进行了调查。
研究共纳入 185 名受访者（男性 171 名，女性 14 名）。年龄、呼吸困难、改变阶段、自我效能、结果预期、生活质量、抑郁、决策平衡和生活空间与身体活动显著相关。多元分析中，结果预期和呼吸困难被提取为独立因素。路径分析中，结果预期和呼吸困难对身体活动有直接影响。呼吸困难不仅直接影响身体活动，还直接影响结果预期、改变阶段、生活质量、生活空间和抑郁。
呼吸困难和结果预期与矽肺患者的身体活动有关。为了提高矽肺患者的身体活动水平，建议改善呼吸困难并促进对身体活动的认识。
