School of Nursing, University of Wollongong, Wollongong, New South Wales, Australia.
Health Expect. 2023 Dec;26(6):2409-2417. doi: 10.1111/hex.13847. Epub 2023 Aug 12.
Chronic lung disease is a common and complex condition. Pulmonary rehabilitation programmes-either hospital-based or in the community are recommended in evidence-based clinical practice guidelines.
To explore the experience of older people with chronic lung disease involved in a peer support community-based exercise maintenance programme.
Participants were a part of the Lungs in Action programme run in a local community leisure centre through Lung Foundation Australia. All the programme participants (n = 25) were invited by an independent person through email and/or letter to participate in the study and provided with a participant information and consent form. Participants who returned consent forms were scheduled for group interviews. Participants were recruited over a 2-week period between 30 August and 13 September 2022. We conducted qualitative group interviews using a semi-structured interview guide to explore the experiences of older people living with chronic lung disease. Data were analysed using reflexive thematic analysis.
A total of 14 participants (eight female and six male) aged between 64 and 86 years were interviewed. Three themes emerged from the data: motivation, authentic social engagement, and sustainable achievement. Motivation stemmed from the participants' perceived health benefits, and from the trainers' motivation and encouragement. Participants discussed how sharing experiences created an environment of trust and understanding, fun and friendship. Social engagement and creating authentic relationships were key aspects raised by participants. Feeling more confident in themselves and being able to accomplish physical tasks, making activities of daily living more manageable featured highly in participants' responses.
Community-based peer support exercise groups enable environments for people with chronic lung disease to maintain physical fitness, and to connect with others to form friendships and have fun.
慢性肺部疾病是一种常见且复杂的病症。循证临床实践指南推荐在医院或社区开展肺部康复计划。
探索参与基于同伴支持的社区锻炼维持计划的老年慢性肺部疾病患者的体验。
参与者是澳大利亚肺部基金会通过当地社区休闲中心运行的 Lung in Action 计划的一部分。所有参与该计划的参与者（n=25）均通过电子邮件和/或信件被一位独立人士邀请参与研究，并提供了参与者信息和同意书。填写同意书的参与者将被安排参加小组访谈。参与者于 2022 年 8 月 30 日至 9 月 13 日期间通过 2 周时间招募。我们采用半结构化访谈指南进行定性小组访谈，以探索患有慢性肺部疾病的老年人的体验。使用反思性主题分析对数据进行分析。
共有 14 名年龄在 64 岁至 86 岁之间的参与者（8 名女性和 6 名男性）接受了访谈。数据中出现了三个主题：动机、真实的社交参与和可持续成就。动机源于参与者对健康益处的感知，以及培训师的动机和鼓励。参与者讨论了分享经验如何营造出信任和理解、乐趣和友谊的环境。社交参与和建立真实关系是参与者提出的关键方面。参与者表示，他们对自己更有信心，能够完成身体任务，使日常生活活动更易于管理。
基于社区的同伴支持锻炼小组为慢性肺部疾病患者提供了保持身体健康的环境，并与他人建立联系，形成友谊和乐趣。
