Attitude and influencing factors on exercise in patients with moderately to severely active inflammatory bowel disease: a qualitative study

Objectives To explore the attitudes towards exercise, factors influencing exercise and exercise-related needs of patients with moderately to severely active inflammatory bowel disease.Design A qualitative phenomenological research.Setting The study was conducted at a comprehensive tertiary hospital...

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Main Authors: Jing Wang, Bingqing Lu, Shuping Tong, Yuehong Niu
Format: Article
Language:English
Published: BMJ Publishing Group 2023-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/12/e080084.full
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author Jing Wang
Bingqing Lu
Shuping Tong
Yuehong Niu
author_facet Jing Wang
Bingqing Lu
Shuping Tong
Yuehong Niu
author_sort Jing Wang
collection DOAJ
description Objectives To explore the attitudes towards exercise, factors influencing exercise and exercise-related needs of patients with moderately to severely active inflammatory bowel disease.Design A qualitative phenomenological research.Setting The study was conducted at a comprehensive tertiary hospital in Suzhou, China, which is a secondary care facility.Participants The study included 17 participants who met specific inclusion criteria: aged between 16 and 70 years, diagnosed with inflammatory bowel disease and in a state of moderate to severe disease activity. Participants were required to be capable of clear self-expression and provide voluntary consent. Exclusion criteria included the presence of cancer or severe physical illness, cognitive impairment or mental illness.Interventions Semistructured interviews were used to collect data.Results The exercise experiences of participants with moderate to severe inflammatory bowel disease yielded three themes: attitudes towards exercise, factors influencing exercise and exercise-related needs.Conclusion The majority of participants had negative attitudes towards exercise during periods of moderate to severe activity, largely influenced by disease activity, symptom management, inadequate knowledge of exercise and uncertainty about the value of exercise. Of particular note, professional guidance was generally recognised as stimulating a willingness to exercise positively, and participants demonstrated a strong need for professional guidance. Therefore, it is recommended that clear exercise guidelines for inflammatory bowel disease be constructed to ensure that patients receive safe and effective guidance to develop a healthy lifestyle in order to maximise the benefits of exercise.
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spelling doaj-art-dcbcd403d7da4a8a9bbf26ee5db4fcd52025-08-20T02:11:25ZengBMJ Publishing GroupBMJ Open2044-60552023-12-01131210.1136/bmjopen-2023-080084Attitude and influencing factors on exercise in patients with moderately to severely active inflammatory bowel disease: a qualitative studyJing Wang0Bingqing Lu1Shuping Tong2Yuehong Niu3School of Biomedical Sciences, The Chinese University of Hong Kong, Hong Kong, ChinaChinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Nursing, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, ChinaDepartment of Gastroenterology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, ChinaObjectives To explore the attitudes towards exercise, factors influencing exercise and exercise-related needs of patients with moderately to severely active inflammatory bowel disease.Design A qualitative phenomenological research.Setting The study was conducted at a comprehensive tertiary hospital in Suzhou, China, which is a secondary care facility.Participants The study included 17 participants who met specific inclusion criteria: aged between 16 and 70 years, diagnosed with inflammatory bowel disease and in a state of moderate to severe disease activity. Participants were required to be capable of clear self-expression and provide voluntary consent. Exclusion criteria included the presence of cancer or severe physical illness, cognitive impairment or mental illness.Interventions Semistructured interviews were used to collect data.Results The exercise experiences of participants with moderate to severe inflammatory bowel disease yielded three themes: attitudes towards exercise, factors influencing exercise and exercise-related needs.Conclusion The majority of participants had negative attitudes towards exercise during periods of moderate to severe activity, largely influenced by disease activity, symptom management, inadequate knowledge of exercise and uncertainty about the value of exercise. Of particular note, professional guidance was generally recognised as stimulating a willingness to exercise positively, and participants demonstrated a strong need for professional guidance. Therefore, it is recommended that clear exercise guidelines for inflammatory bowel disease be constructed to ensure that patients receive safe and effective guidance to develop a healthy lifestyle in order to maximise the benefits of exercise.https://bmjopen.bmj.com/content/13/12/e080084.full
spellingShingle Jing Wang
Bingqing Lu
Shuping Tong
Yuehong Niu
Attitude and influencing factors on exercise in patients with moderately to severely active inflammatory bowel disease: a qualitative study
BMJ Open
title Attitude and influencing factors on exercise in patients with moderately to severely active inflammatory bowel disease: a qualitative study
title_full Attitude and influencing factors on exercise in patients with moderately to severely active inflammatory bowel disease: a qualitative study
title_fullStr Attitude and influencing factors on exercise in patients with moderately to severely active inflammatory bowel disease: a qualitative study
title_full_unstemmed Attitude and influencing factors on exercise in patients with moderately to severely active inflammatory bowel disease: a qualitative study
title_short Attitude and influencing factors on exercise in patients with moderately to severely active inflammatory bowel disease: a qualitative study
title_sort attitude and influencing factors on exercise in patients with moderately to severely active inflammatory bowel disease a qualitative study
url https://bmjopen.bmj.com/content/13/12/e080084.full
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