JCNRJournal of Clinical and Nursing Research2208-36852208-3693Bio-Byword Scientific Publishing Pty. Ltd.10.26689/jcnr.v9i10.12536ArticleAnalysis of Obstructive Factors for Medical Staff to Implement Respiratory Rehabilitation Evidence Based on the Theoretical Domain Frameworkhttps://artdesignp.com/journal/JCNR/9/10/10.26689/jcnr.v9i10.12536GaoYing,NieJunying,BaiXiaoling,ShiYajuan,LiYing20259102025-10-31Objective: 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.

Gonçalves J, Díez J, Navarrete B, et al., 2025, Delphi Consensus on the Management of Patients With Advanced COPD: COPD-Avanz Working Group. Open Respiratory Archives, 2025(2): 100411.

Marina G, Jean-Marie G, Odile S, et al., 2025, Access to Respiratory Rehabilitation in France: Opinions of Pulmonologists and People with Chronic Obstructive Pulmonary Disease. Annals of Physical and Rehabilitation Medicine, 68(6): 101977.

Xie L, Liu Z, Hao S, et al., 2020, Assessment of Knowledge, Attitude, and Practice Towards Pulmonary Rehabilitation Among COPD Patients: A Multicenter and Cross-Sectional Survey in China. Respiratory Medicine, 2020: 106198.

Stafinski T, Nagase F, Avdagovska M, et al., 2022, Effectiveness of Home-Based Pulmonary Rehabilitation Programs for Patients with Chronic Obstructive Pulmonary Disease (COPD): Systematic Review. BMC Health Services Research, 22(1): 557.

Evidence-Based Rehabilitation Medicine Working Committee of the Chinese Association of Rehabilitation Medicine, Rehabilitation Information Research Institute, China Rehabilitation Research Center/China Rehabilitation Science Institute, et al., 2021, Evidence-Based Practice Guidelines for Clinical Rehabilitation of Chronic Obstructive Pulmonary Disease, Chinese Journal of Rehabilitation Theory and Practice.

Holland A, Cox N, Wolloff H, et al., 2021, Defining Modern Pulmonary Rehabilitation: An Official American Thoracic Society Workshop Report. Annals of the American Thoracic Society, 18(5): e12–e29.

Alison J, McKeough Z, Johnston K, et al., 2017, Australian and New Zealand Pulmonary Rehabilitation Guidelines. Respirology, 22(4): 800–819.

Gong Y, Chen J, Li P, et al., 2020, Expert Consensus on Pulmonary Rehabilitation Nursing for Chronic Respiratory Diseases. Chinese Journal of Nursing, 55(5): 709–710.

Xie Q, Luo Y, Hao F, et al., 2023, Summary of the Best Evidence for Home Respiratory Rehabilitation Nursing in Patients with Chronic Obstructive Pulmonary Disease. Chinese Journal of Nursing, 58(7): 857–863.

José L, Juan J, Marc M, 2019, Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease 2019 Report: Future Challenges. Archivos De Bronconeumologia, 2019(2): 65–67.

Chinese Thoracic Society, Chinese Medical Association Respiratory Branch, Chinese Association of Rehabilitation Medicine Respiratory Rehabilitation Professional Committee, et al., 2021, Chinese Guidelines for the Management of Respiratory Rehabilitation in Chronic Respiratory Diseases (2021). Chinese Journal of Health Management, 15(6): 521–538.

Luo G, 2022, Research on the Current Situation and Analysis of Pulmonary Rehabilitation Nursing in China, thesis, Guangzhou Medical University.

Luo Y, You J, Yang X, 2019, Survey on the Current Status of Chronic Respiratory Disease Management by Respiratory Specialist Nurses. Journal of Nursing Science, 34(17): 54–56.

Xu P, Jin Y, Guo P, et al., 2023, Barriers and Facilitators of Pelvic Floor Rehabilitation Behaviors in Pregnant Women with Stress Urinary Incontinence: A Qualitative Analysis Using the Theoretical Domains Framework. BMC Pregnancy and Childbirth, 2023(1): 300.

Boyd J, McMillan B, Easton K, et al., 2020, The Utility of the COM-B Model in Identifying Facilitators and Barriers to Maintaining a Healthy Postnatal Lifestyle Following a Diagnosis of Gestational Diabetes: A Qualitative Study. BMJ Open, 2020(8): e037318.

Swift E, O’Brien M, Peters S, et al., 2022, Healthcare Professionals’ Perceptions of Pulmonary Rehabilitation as a Management Strategy for Patients with Chronic Obstructive Pulmonary Disease: A Critical Interpretive Synthesis. Disability and Rehabilitation, 44(4): 520–535.

Sun A, Yin D, Feng W, et al., 2021, A Survey on the Current Status of Community Nurses’ Awareness of Respiratory Rehabilitation for Chronic Obstructive Pulmonary Disease in the Stable Phase in Beijing. Chinese Journal of Geriatric Care, 19(6): 75–77.

Aldhahir M, Alqahtani J, Al Draiwiesh I, et al., 2022, Healthcare Providers’ Attitudes, Beliefs, and Barriers to Pulmonary Rehabilitation for Patients with Chronic Obstructive Pulmonary Disease in Saudi Arabia: A Cross-Sectional Study. BMJ Open, 12(10): e063900.

Nolan C, Polgar O, Schofield S, et al., 2022, Pulmonary Rehabilitation in Idiopathic Pulmonary Fibrosis and COPD: A Propensity-Matched Real-World Study. Chest, 2022(3): 728–737.

Xie Q, 2023, Construction and Application Evaluation of a Family-Involved Respiratory Rehabilitation Program for Patients with Chronic Obstructive Pulmonary Disease, thesis, Peking Union Medical College.

Chien S, Hu H, Cho H, 2025, Long-Term Monitoring of Individuals with Chronic Obstructive Pulmonary Disease using Digital Health Technology: A Qualitative Study. Journal of Medical Internet Research, 2025(27): e63660.