Analysis of Obstructive Factors for Medical Staff to Implement Respiratory Rehabilitation Evidence Based on the Theoretical Domain Framework
Abstract
Objective: To explore the obstructive factors in the behavior of medical staff during the implementation of respiratory rehabilitation process, and to provide a basis for the rehabilitation management intervention of COPD. Methods: A descriptive nature research method was adopted. An interview outline was formulated based on the theoretical domain framework. From October to December 2024, 15 medical staff from the respiratory department of a tertiary hospital in Shaanxi Province were selected for semi-structured interviews. The interview data were analyzed using the Colaizzi 7-step analysis method. Result: The analysis of this study found that the obstructive factors for medical staff to implement respiratory rehabilitation include five theoretical domains. The problems are respectively the lack of knowledge about respiratory rehabilitation and insufficient training intensity, the insufficient self-recognition of implementing respiratory rehabilitation, the low awareness rate of patients and the low cooperation degree, the insufficient provision of instruments and facilities, the lack of rehabilitation training venues and respiratory rehabilitation clinics, and the lack of scientific and standardized respiratory rehabilitation management processes. Conclusion: There are many obstructive factors affecting the implementation of respiratory rehabilitation by medical staff. Clinical managers should take corresponding measures, continuously improve the rehabilitation management strategies for COPD, and promote the clinical application of the best evidence for respiratory rehabilitation.
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