Jayaseelan Gethsy, Bennett Paul N, Bradshaw Wendi, Wang Wei, Rawson Helen
Registered Nurse and a higher degree student, Deakin University, School of Nursing and Midwifery, Geelong, Victoria, Australia.
Director, Medical and Clinical Affairs, Satellite Healthcare, San Jose, CA.
Nephrol Nurs J. 2018 Mar-Apr;45(2):185-219.
Negative perceptions of people receiving hemodialysis towards exercise have been proposed as barriers to exercise. The aims of this study were to explore perceptions of patients on hemodialysis concerning exercise and to investigate whether exposure to an exercise program was associated with patients' perceptions. Participants (n=274) from 10 hemodialysis clinics completed an adapted English-language version of the Dialysis Patient-Perceived Exercise Benefits and Barriers Scale. Most patients agreed that exercise was positive towards preventing muscular wasting, bone disease, keeping body weight at a steady level, improving mood and quality of life, and enhancing their selfcare activities. Reported barriers to exercise were treatment side effects, fear of falling, family burden, exercise knowledge, and vascular access. The majority perceived exercise as positive for them and for people receiving hemodialysis. Patients who had witnessed or participated in an exercise program were more positive towards exercise than those who had not.
接受血液透析的人群对运动的负面看法被认为是运动的障碍。本研究的目的是探讨血液透析患者对运动的看法，并调查参与运动计划是否与患者的看法有关。来自10家血液透析诊所的274名参与者完成了一份改编后的英文版《透析患者感知运动益处与障碍量表》。大多数患者认同运动对预防肌肉萎缩、骨病、保持体重稳定、改善情绪和生活质量以及增强自我护理活动具有积极作用。报告的运动障碍包括治疗副作用、跌倒恐惧、家庭负担、运动知识和血管通路。大多数人认为运动对他们自己以及接受血液透析的人都有积极作用。目睹或参与过运动计划的患者比未参与过的患者对运动的态度更积极。
