Motivation, Barriers, and Suggestions for Intradialytic Exercise—A Qualitative Study among Patients and Nurses
| Autor: | Stig Molsted, Marie Borring Andersen, Pernille Maria Wodskou, Lone Schou, Sasha Maria Reinhardt |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Musculoskeletal pain
medicine.medical_specialty nurses’ perspective Health Toxicology and Mutagenesis medicine.medical_treatment barriers qualitative study Nurses Article Patient perspective Patient safety Quality of life (healthcare) motivation Renal Dialysis Intervention (counseling) Chronic kidney disease Medicine Humans intradialytic exercise Patient involvement Exercise Dialysis patient involvement Motivation hemodialysis Exercise intervention business.industry Public Health Environmental and Occupational Health patient perspective Focus group Intradialytic exercise Hemodialysis Physical therapy Quality of Life Qualitative study business Barriers chronic kidney disease Qualitative research Nurses’ perspective |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 18 Issue 19 Wodskou, P M, Reinhardt, S M, Andersen, M B, Molsted, S & Schou, L H 2021, ' Motivation, barriers, and suggestions for intradialytic exercise : A qualitative study among patients and nurses ', International Journal of Environmental Research and Public Health, vol. 18, no. 19, 10494 . https://doi.org/10.3390/ijerph181910494 Wodskou, P M, Reinhardt, S M, Andersen, M B, Molsted, S & Schou, L H 2021, ' Motivation, barriers, and suggestions for intradialytic exercise—A qualitative study among patients and nurses ', International Journal of Environmental Research and Public Health, vol. 18, no. 19, 10494 . https://doi.org/10.3390/ijerph181910494 International Journal of Environmental Research and Public Health, Vol 18, Iss 10494, p 10494 (2021) |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph181910494 |
| Popis: | Background: Intradialytic exercise is an effective intervention to reduce morbidity and mortality and increase quality of life among patients with chronic kidney disease undergoing dialysis. However, implementing and sustaining it in clinical practice has proved challenging. To identify how to best design an effective and sustainable intervention in clinical practice, we aimed to explore hemodialysis patients’ and nurses’ attitudes towards intradialytic exercise, including their motivation, anticipated barriers, and suggestions for the design of a proposed exercise program. Methods: Data were collected through qualitative semistructured interviews with patients and focus group interviews with nurses and analyzed inductively with content analysis. Results: Overall, patients’ and nurses’ attitudes towards intradialytic exercise were positive. Patients were motivated by their expectations about perceived benefits, such as improved quality of life and reduced musculoskeletal pain. Their main concern was triggering dialysis machine alarms and disturbing nurses. Nurses were more skeptical of intradialytic exercise and concerned about patient safety. Patients and nurses had several ideas on how to design a safe and motivating intradialytic exercise intervention. Conclusion: The analysis of patients’ and nurses’ experiences and attitudes generated recommendations for an intradialytic exercise program. Recommendations include individually tailored programs that are safe and that patients can do independently, continuous collaboration between patients, nurses, physicians, and physiotherapists, and educating nurses about the benefits and safety of intradialytic exercise. |
| Databáze: | OpenAIRE |
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