Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Shariati-jonubi St., Tabriz, 4515789589, Iran.
Community-Oriented Nursing Midwifery Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.
BMC Nephrol. 2021 Mar 16;22(1):94. doi: 10.1186/s12882-021-02292-3.
Patients on hemodialysis have less exercise capacity and lower health-related quality of life than healthy individuals without chronic kidney disease (CKD). One of the factors that may influence exercise behavior among these patients is their perception of exercise benefits and barriers. The present study aimed to assess the perception of hemodialysis patients about exercise benefits and barriers and its association with patients' health-related quality of life.
In this cross-sectional study, 227 patients undergoing hemodialysis were randomly selected from two dialysis centers. Data collection was carried out using dialysis patient-perceived exercise benefits and barriers scale (DPEBBS) and kidney disease quality of life short form (KDQOL-SF). Data were analyzed using SPSS software ver. 21.
The mean score of DPEBBS was 68.2 ± 7.4 (range: 24 to 96) and the mean KDQOL score was 48.9 ± 23.3 (range: 0 to 100). Data analysis by Pearson correlation coefficient showed a positive and significant relationship between the mean scores of DPEBBS and the total score of KDQOL (r = 0.55, p < 0.001). Moreover, there was a positive relationship between the mean scores of DPEBBS and the mean score of all domains of KDQOL.
Although most of the patients undergoing hemodialysis had a positive perception of the exercise, the majority of them do not engage in exercise; it could be contributed to the barriers of exercise such as tiredness, muscle fatigue, and fear of arteriovenous fistula injury. Providing exercise facilities, encouraging the patients by the health care provider to engage in exercise programs, and incorporation of exercise professionals into hemodialysis centers could help the patients to engage in regular exercise.
与没有慢性肾脏病（CKD）的健康个体相比，血液透析患者的运动能力和健康相关生活质量较低。可能影响这些患者运动行为的因素之一是他们对运动益处和障碍的感知。本研究旨在评估血液透析患者对运动益处和障碍的感知及其与患者健康相关生活质量的关系。
在这项横断面研究中，从两个透析中心随机选择了 227 名接受血液透析的患者。使用透析患者感知运动益处和障碍量表（DPEBBS）和肾脏病生活质量简表（KDQOL-SF）收集数据。使用 SPSS 软件 ver. 21 分析数据。
DPEBBS 的平均得分为 68.2±7.4（范围：24 至 96），KDQOL 的平均得分为 48.9±23.3（范围：0 至 100）。Pearson 相关系数分析显示，DPEBBS 的平均得分与 KDQOL 的总分呈正相关且具有统计学意义（r=0.55，p<0.001）。此外，DPEBBS 的平均得分与 KDQOL 的所有领域的平均得分之间均呈正相关。
尽管大多数接受血液透析的患者对运动有积极的认识，但他们中的大多数人并不进行运动；这可能归因于运动的障碍，如疲劳、肌肉疲劳和担心动静脉瘘损伤。提供运动设施、鼓励医疗保健提供者鼓励患者参加运动计划，并将运动专业人员纳入血液透析中心，可能有助于患者进行定期运动。
