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终末期肾病患者的生活质量与运动康复

Quality of life and exercise rehabilitation in end stage renal disease.

作者信息

Kolewaski Carrie D, Mullally M Christina, Parsons Trisha L, Paterson Margo L, Toffelmire Edwin B, King-VanVlack Cheryl E

机构信息

School of Rehabilitation Therapy, Queens University, Kingston, Ontario.

出版信息

CANNT J. 2005 Oct-Dec;15(4):22-9.

Abstract

Using a qualitative approach, this study explored the perceptions of individuals with end stage renal disease (ESRD) regarding their physical, emotional, and social well-being after having participated in an eight-week hospital-based intra-dialytic exercise program. Individual semi-structured interviews (approximately 60 min. duration) were conducted with hemodialysis (HD) patients (n= 7) during their regular dialysis sessions, two weeks immediately following the completion of the exercise program. Interviews were audio-taped, transcribed verbatim, and content analysis was used to identify emerging themes. Data management was assisted by NVivo software. Using the interpretive paradigm, three primary themes emerged: improved performance in activities of daily living (ADL), positive change in HD experience, and enhanced sense of control. Participants reported an overall positive experience with the intra-dialytic exercise program and felt that their quality of life was enhanced to such an extent that they would choose to continue exercising while on HD.

摘要

本研究采用定性研究方法,探讨了终末期肾病(ESRD)患者在参加了为期八周的医院内透析期运动项目后,对其身体、情感和社会幸福感的看法。在运动项目结束后的两周内,于血液透析(HD)患者进行常规透析时,对7名HD患者进行了个体半结构化访谈(时长约60分钟)。访谈进行了录音,逐字转录,并采用内容分析法来确定新出现的主题。数据管理借助NVivo软件进行。采用解释性范式,出现了三个主要主题:日常生活活动(ADL)表现改善、HD体验的积极变化以及控制感增强。参与者报告称对透析期运动项目总体体验良好,并认为他们的生活质量得到了提高,以至于他们会选择在HD期间继续锻炼。

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