Tığlı Ayça, Ayvazoğlu Soy Ebru Hatice, Aytar Aydan, Moray Gökhan, Haberal Mehmet
From Vocational School of Health Sciences, Baskent University, Ankara, Turkey.
Exp Clin Transplant. 2019 Jan;17(Suppl 1):270-276. doi: 10.6002/ect.MESOT2018.P123.
Transplantation offers better quality of life and long-term survival benefits. Further knowledge is needed regarding exercise in daily life of transplant recipients. Here, we investigated the relationship between exercise perception and physical activity level, body awareness, and illness cognition in renal transplant patients.
Our study included 53 renal transplant recipients (Standardized Mini-Mental Test score = 26.35 ± 1.36; age = 41.11 ± 13.52 year, body mass index = 25.96 ± 5.26 kg/m², elapsed time after transplant = 3.68 ± 1.53 year). Perceived benefits and barriers to exercise, physical activity level, body awareness, and illness cognition were assessed with the Exercise Benefits/Barriers Scale, International Physical Activity Questionnaire, Body Awareness Questionnaire, and Patient Illness Perception Questionnaire, respectively. Correlations were established with Spearman test for nonparametric data, with regression analysis used to find determinants of physical activity levels.
We observed correlations between physical activity level and perceived benefits and barriers to exercise. There was a positive relationship between body awareness and perceived benefits and barriers to exercise and also illness cognition, with significant correlation between perceived benefits and barriers to exercise and illness cognition (P < .05). Perceived benefits and barriers to exercise (P = .006, R = 0.373, R2 = 0.139, beta = 0.373, t = 2.867, F = 8.22) were determining factors for physical activity level.
Psychologic and physical factors, including negative emotions and body dissatisfaction, are risk factors for poor quality of life. Although it is important to increase quality of life, tools to enhance body awareness and to develop strategies to alter motor behaviors in daily living activities are needed. Treatment and assessment strategies on body awareness and illness perception should be considered, with emphasis on the importance of physical activity posttransplant.
移植可提供更好的生活质量和长期生存益处。关于移植受者日常生活中的运动，还需要更多的了解。在此，我们研究了肾移植患者运动感知与身体活动水平、身体意识和疾病认知之间的关系。
我们的研究纳入了53名肾移植受者（标准化简易精神状态检查得分 = 26.35 ± 1.36；年龄 = 41.11 ± 13.52岁，体重指数 = 25.96 ± 5.26 kg/m²，移植后经过时间 = 3.68 ± 1.53年）。分别使用运动益处/障碍量表、国际身体活动问卷、身体意识问卷和患者疾病感知问卷评估运动的感知益处和障碍、身体活动水平、身体意识和疾病认知。对非参数数据采用Spearman检验建立相关性，使用回归分析来找出身体活动水平的决定因素。
我们观察到身体活动水平与运动的感知益处和障碍之间存在相关性。身体意识与运动的感知益处和障碍以及疾病认知之间存在正相关，运动的感知益处和障碍与疾病认知之间存在显著相关性（P < 0.05）。运动的感知益处和障碍（P = 0.006，R = 0.373，R² = 0.139，β = 0.373，t = 2.867，F = 8.22）是身体活动水平的决定因素。
心理和生理因素，包括负面情绪和身体不满，是生活质量差的风险因素。虽然提高生活质量很重要，但需要工具来增强身体意识，并制定策略来改变日常生活活动中的运动行为。应考虑关于身体意识和疾病感知的治疗和评估策略，强调移植后身体活动的重要性。
