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Updated: Jul 4, 2026
Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
Real-time assessment of exercise rehabilitation and symptoms in hospitalized COPD patients
Rong Cheng1,2, Hui Wu1, Peiran Guo1,2
1Nursing Department, Tianyou Hospital Affiliated to Wuhan University of Science and Technology, Wuhan, Hubei, China.
Objective:
Using ecological momentary assessment (EMA), this study aims to examine real-time associations between exercise rehabilitation and symptoms in hospitalized middle-aged patients with COPD and to explore the moderating role of self-efficacy.
Methods:
In this study, 168 middle-aged patients with COPD (mean age = 50.91 ± 4.27 years) underwent 7-day monitoring using EMA. Patients assessed dyspnea, irritability, and active exercise rehabilitation behavior three times daily via mobile devices. A multilevel linear model was used to analyze the dynamic relationship between active exercise rehabilitation behavior and symptoms, as well as the moderating effect of self-efficacy.
Results:
Dyspnea (β = -0.928, p < 0.001) and irritability (β = -0.469, p = 0.004) significantly predicted low active exercise rehabilitation behavior, while self-efficacy positively predicted active exercise rehabilitation behavior (β = 0.319, p = 0.001). In addition, self-efficacy significantly buffered the negative effect of irritability on active exercise rehabilitation behavior (β = -0.039, p < 0.05).
Conclusion:
Active exercise rehabilitation behavior is closely related to symptoms, and self-efficacy shows promising value in improving active exercise rehabilitation behavior. Clinical staff must dynamically manage patient clinical symptoms and incorporate self-efficacy into pulmonary rehabilitation programs to protect patients' active exercise rehabilitation behavior from the impact of negative emotional fluctuations.
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