Exercise Stage and Processes of Change in Patients with Chronic Obstructive Pulmonary Disease

• Published in: The Journal of Nursing Research Vol. 13; no. 2; pp. 97 - 105
• Main Authors: 楊佩瑄(Pei-Shuan Yang), 陳彰惠(Chung-Hey Chen)
• Format: Journal Article
• Language: English
• Published: China (Republic : 1949- ) 台灣護理學會 01.06.2005; Lippincott Williams & Wilkins, Inc
• Subjects: Adult; Aged; Aged, 80 and over; Analysis of Variance; Attitude to Health; Cognition; Cross-Sectional Studies; Exercise - psychology; Female; Health Behavior; Health Knowledge, Attitudes, Practice; Humans; Life Style; Male; Middle Aged; Models, Psychological; Nursing Methodology Research; Outpatients - education; Outpatients - psychology; Patient Education as Topic; Pulmonary Disease, Chronic Obstructive - prevention & control; Pulmonary Disease, Chronic Obstructive - psychology; Self Efficacy; Surveys and Questionnaires; Taiwan; Thinking; Taiwan; 慢性阻塞性肺疾病; transtheoretical model; 跨理論模式; exercise behavior; 運動行為; chronic obstructive pulmonary disease
• ISSN: 1682-3141
• DOI: 10.1097/01.JNR.0000387531.30266.75

This study uses a horizontal investigative method; the purpose of this study was the application of the transtheoretical model to the exercise behavior of patients with chronic obstructive pulmonary disease (COPD). Constructed questionnaires were utilized to interview the subjects; the questionnaires contained personal demographics, stages of exercise, and processes of change. Purposive sampling was conducted at a medical center in Southern Taiwan. Ninety-eight valid questionnaires were collected. Subjects ranged 39-83 years of age (M = 68.1, SD = 10.4). Exercise activities in the sample were divided between pre-contemplation (25.5%), contemplation (2%), preparation (21.4%), action (4.1%), and maintenance (46.9%). Walking proved the most common exercise method. For processes of change, the ranked top was counter-conditioning indicating that COPD patients most frequently sought alternative activities to replace status of no exercise. In terms of interrelations between ten processes and five stages, the precontemplation stage scored manifestly lower on processes of change than any other stage. The findings of this study provide guidance to clinical practitioners in developing stage-matched interventions, promotional strategies with a variety of program planning, and sug-gestions for research agencies in the future.