Construction Of Exercise Program For Parkinson’s Disease Patients In The Early And Middle Stages

ObjectiveTo establish a systematic,complete and consistent exercise program for Parkinson’s Disease patients in the early and middle stages,and provide reference for patients in China to retard the disease progression and improve the quality of life.MethodsThe descriptive qualitative study was used,and 13 Parkinson’s Disease patients in the early and middle stages were selected for semi-structured interviews with purpose sampling and the largest differentiated sampling.We systematically searched the relevant literatures for exercise of the patients,analyzed and summarized the included literatures by the literature analysis method to determine the content related to exercise.Based on qualitative interview,summary of evidence and group discussion,as well as guided by the theory of planned behavior,the program framework was established and the exercise program for Parkinson’s Disease patients in the early and middle stages was preliminarily formed.The program items revised according to Delphi method,and the final draft of the exercise program for the patients was finally formed.Results1.Semi-structured interviews were conducted with 13 Parkinson’s Disease patients in the early and middle stages,and 3 theme groups and 14 themes were extracted based on plan-behavior theory.From the three aspects of sports attitude,sports support as well as sports perception and control,the influencing factors of patients were deeply explored,which will provide a basis for the formulation of intervention measures.2.A total of 19 articles were included and analyzed by the literature analysis.There were 9 aspects and 37 items about exercise implementation,exercise timing,exercise evaluation and testing,exercise safety,etc.3.After the two rounds of consultation,a physical exercise program for patients with early and middle Parkinson’s disease was formed.It includes two stages,7 primary items,25 secondary level items and 47 specific measures.21 experts were invited for both rounds of correspondence,and they put forward 24 specific suggestions.The expert’s authority coefficient was 0.89.The coefficient of variation(CV)of the first round of expert correspondence was in the range of 0.06～0.26,the three levels of coordination coefficient were 0.15、0.22 and 0.21 and significance test results are all P<0.01.The coefficient of variation(CV)of the second round of expert correspondence was in the range of 0.09～0.36,the three levels of coordination coefficient were 0.23、0.21 and 0.12 and significance test results are all P<0.00.ConclusionsThis study analyzed the influencing factors of exercise behavior from the perspective of patients through qualitative study with 13 Parkinson’s Disease patients in the early and middle stages,combined with literature analysis,the best evidence of exercise for the patients was summarized and refined.This study establish a exercise program for the patients based on our country’s national conditions and in line with the actual conditions.The program included two stages,7 first-level items,25 second-level items,and 47 specific measures,and had a reference for Parkinson’s Disease patients of China to carry out exercise.