Department of Nutrition and Dietetics, Princess Alexandra Hospital, Australia.
Bond University Nutrition and Dietetics Research Group, Bond University, Australia.
J Telemed Telecare. 2021 Oct;27(9):590-598. doi: 10.1177/1357633X19900459. Epub 2020 Jan 27.
Dietary modification and exercise are encouraged to address cardiometabolic risk factors after solid organ transplantation. However, the lived experience of attempting positive lifestyle changes for liver transplant recipients is not known. The aim of this study was to explore the experiences of liver transplant recipients and their perspectives of a 12-week telehealth lifestyle programme and assess the feasibility of this innovative health service.
Focus groups and one-on-one interviews were conducted with participants who had completed a 12-week, group-based, telehealth-delivered diet and exercise programme and thematic qualitative analysis was used to code and theme the data.
In total, 19 liver transplant recipients participated in the study (25-68 years, median time since transplant 4.4 years, 63% male). Overarching themes included: (a) 'broad telehealth advantages' which highlighted that telehealth reduced the perceived burdens of face-to-face care; (b) 'impact of employment' which identified employment as a competing priority and appeared to effect involvement with the programme; (c) 'adapting Mediterranean eating pattern to meet individual needs' which identified the adaptability of the Mediterranean diet supported by sessions with the dietitian; (d) 'increasing exercise confidence' which recognised that a tailored approach facilitated confidence and acceptability of the exercise component of the programme.
A telehealth lifestyle programme delivered by dietitians and exercise physiologists is an acceptable alternative to face-to-face care that can meet the needs of liver transplant recipients. There is a need to further innovate and broaden the scope of routine service delivery beyond face-to-face consultations.
在进行实体器官移植后，鼓励通过饮食调整和运动来改善心血管代谢风险因素。然而，尚不清楚肝移植受者尝试积极改变生活方式的实际体验。本研究旨在探讨肝移植受者的经历及其对为期 12 周的远程健康生活方式计划的看法，并评估这种创新的医疗服务的可行性。
对完成为期 12 周的团体式远程饮食和运动计划的参与者进行焦点小组和一对一访谈，并使用主题式定性分析对数据进行编码和主题分析。
共有 19 名肝移植受者参与了这项研究（年龄 25-68 岁，中位移植时间为 4.4 年，63%为男性）。总体主题包括：（a）“广泛的远程健康优势”，突出了远程健康减少了面对面护理的感知负担；（b）“就业的影响”，确定了就业是一个竞争优先事项，并似乎影响了他们参与该计划；（c）“调整地中海饮食模式以满足个人需求”，确定了营养师提供的课程支持下地中海饮食的适应性；（d）“增强运动信心”，认识到量身定制的方法促进了对计划中运动部分的信心和接受度。
由营养师和运动生理学家提供的远程健康生活方式计划是一种替代面对面护理的可接受方法，可以满足肝移植受者的需求。需要进一步创新和拓宽常规服务提供的范围，超越面对面咨询。
