The Effects of a Daily Physical Activity Promotion Program on Physical Fitness, Symptom Status, and Quality of Life Among People with Chronic Obstructive Pulmonary Disease
Keywords:
daily physical activity, physical fitness, symptom status, quality of life, chronic obstructive pulmonary diseaseAbstract
Physical activity in daily life is one of the approaches to exercise and pulmonary rehabilitation in people with chronic obstructive pulmonary disease (COPD). The objective of this quasi-experimental study was to examine the effects of a daily physical activity promotion program on physical fitness, symptom status, and quality of life. The participants were 38 COPD patients attending the Asthma and COPD clinic at a hospital in Eastern Thailand who were purposefully selected. Simple random sampling was used to assign the participants into an experimental (n = 19) and a control (n = 19) group. The experimental group received a daily physical activity promotion program and data were collected every three months over a nine-month period. The control group received usual care. The program’s outcomes were evaluated using a 6 Minute Walk Test (6MWT) for physical fitness, the symptom status questionnaire, and the quality of life questionnaire. The internal consistency of the symptom status questionnaire and the quality of life questionnaire were assessed using the Cronbach’s coefficient alpha method for internal consistency reliability, which were .90 and .86 respectively. Data were analyzed using descriptive statistics, repeated measures ANOVAs, independent t-tests, and Chi-square tests.
The results were as follows. First, the mean score for physical fitness in the experimental group at the 3-month point was significantly higher than at baseline (Mdiff = -61.89, p < .05). Additionally, the mean score for quality of life was significantly higher than at baseline at the 3-month point (Mdiff = 12.76, p < .05) and at the completion of the program (Mdiff = 11.70, p < .05). Second, the experimental group's mean scores for symptom status were significantly lower than that of the control group (Mdiff = .57, p < .05). Thus, nurses should continuously promote physical activity in daily life for the greatest benefit of people with COPD.
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