Volume 24 Issue 2
Feb.  2026
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Article Navigation >  Chinese Journal of General Practice  > 2026  >  24(2): 209-213
XU Wenjin, WANG Qing, DAI Jinghong, MIAO Guiling, GAO Li, YANG Wenfen. A qualitative study of factors influencing pulmonary rehabilitation in patients with interstitial lung disease at home[J]. Chinese Journal of General Practice, 2026, 24(2): 209-213. doi: 10.16766/j.cnki.issn.1674-4152.004362
Citation: XU Wenjin, WANG Qing, DAI Jinghong, MIAO Guiling, GAO Li, YANG Wenfen. A qualitative study of factors influencing pulmonary rehabilitation in patients with interstitial lung disease at home[J]. Chinese Journal of General Practice, 2026, 24(2): 209-213. doi: 10.16766/j.cnki.issn.1674-4152.004362
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A qualitative study of factors influencing pulmonary rehabilitation in patients with interstitial lung disease at home

doi: 10.16766/j.cnki.issn.1674-4152.004362
  • 1.

    Department of Respiratory and Critical Care Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu 210015, China

Funds:

 82170076

 LKM2023024

  • Received Date: 2025-08-24
    Available Online: 2026-04-11
    Abstract
  •   Objective  To deeply understand the obstacles and promoting conditions of home-based pulmonary rehabilitation behaviors of patients with interstitial lung disease from the subjective experience of patients, and to provide theoretical support and practical guidance for formulating effective home-based pulmonary rehabilitation plans.  Methods  Based on the theory of planned behavior, through purposeful sampling and descriptive qualitative research, semi-structured interviews were conducted with 15 patients with interstitial lung disease who had home-based pulmonary rehabilitation experience in a tertiary grade A hospital in Nanjing from September to December 2024. Based on literature review, discussion within the research group, and pre-interviews, an interview outline was drafted. The interview process was recorded. MAXQDA 2022 software was used for data management and analysis, and content analysis was adopted to analyze the data.  Results  A total of 3 themes and 10 sub-themes were extracted, namely behavioral attitude factors (perceived rehabilitation benefits, fear of movement, negative rehabilitation expectations, and preference for rehabilitation programs), subjective normative factors (positive emotional feedback to motivate rehabilitation behaviors, the "game" driven by social role pressure and responsibility, and the driving effect of positive attitudes of medical staff), and perceived behavioral control factors (adverse physical symptoms, blocked access to rehabilitation resources, insufficient support from the rehabilitation environment).  Conclusion  The home-based pulmonary rehabilitation behavior of patients with interstitial lung disease is influenced by multiple factors such as behavioral attitude, subjective norms, and perceived behavioral control factors. Medical staff should start from the perspective of patients, comprehensively consider factors such as behavioral attitude, family and social support, and perceived difficulty of rehabilitation, enhance the perceived rehabilitation value of patients with interstitial lung disease, and promote patients to establish a positive behavioral attitude, improve the multi-faceted support system, and reduce the hindering factors for patients to participate in rehabilitation behaviors, providing patients with personalized, comprehensive and dynamically adjusted pulmonary rehabilitation plans.

     

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