Background
Physical activity has positive effects on health and can reduce symptoms in depressive conditions that negatively impact people's daily lives. Using physical activity as a treatment method can be equated with antidepressant medication for mild and moderate depression. To enable nurses to support individuals with depressive conditions in engaging in physical activity, a compilation of existing research on inhibiting and facilitating factors affecting participation is needed.
Aim
The aim was to illustrate inhibiting and facilitating factors for physical activity in individuals with depressive conditions.
Method
The literature review was based on 16 scientific original articles employing both qualitative and quantitative approaches within a non-systematic design. Data collection was conducted through searches in the PubMed, CINAHL, and PsycINFO databases using combined search terms. Selected articles underwent quality assessment based on Sophiahemmet University College's criteria for scientific classification and quality. An integrated data analysis was employed for the compilation and analysis of all 16 articles, and the results were discussed in relation to Prochaska and DiClemente's transtheoretical model of change.
Results
In the results, two main categories were identified: Inhibiting factors and Successful factors. The factors considered to limit the engagement in physical activity included the impact of depression, encompassing symptoms and their severity, lack of motivation, and the ability to translate intention into action. Factors promoting engagement in physical activity included continuous, professional, and social support in the form of scheduled exercise sessions, encouragement, and expected participation.
Conclusions
The symptoms of depression and the severity of the condition significantly impacted the engagement in physical activity. Through continuous, professional, and social support, strategies can be identified to overcome inhibiting factors. Physical activity increased when it felt manageable, was done for enjoyment, and involved a personal trainer. Nurses have the ability to establish trusting partnerships through a person-centered approach. Through exploratory conversations and persistent follow-up, they can support individuals with depressive conditions in symptom relief by encouraging increased physical activity.