Perceived barriers and facilitators to exercise in kidney transplant recipients: A qualitative study.
Perceived barriers and facilitators to exercise in kidney transplant recipients: A qualitative study.
复制标题
肾移植受者感知到的运动障碍和促进因素：一项定性研究。
DOI：
10.1111/hex.13423
复制
发表时间：
2022-04
期刊：
影响因子：
--
通讯作者：
Bishop NC
中科院分区：
文献类型：
--
作者：
Billany RE;Smith AC;Stevinson C;Clarke AL;Graham-Brown MPM;Bishop NC
运动有可能降低肾移植受者（KTR）的高心血管发病率和死亡率。尽管如此，难民营的活动水平仍然很低。本研究的目的是探讨在幼儿园的运动的障碍和促进因素。13名幼儿园教师（8名男性;平均值± SD;年龄53 ± 13岁;估计肾小球滤过率53 ± 21 ml/min/1.73 m2），并在莱斯特NHS信托大学医院完成半结构化一对一访谈。所有KTR都有资格，如果他们的肾移植在访谈前>12周完成，并且他们的顾问认为他们没有运动的主要禁忌症。所有访谈都进行了录音，逐字记录，并进行了框架分析，以确定和报告主题。根据社会认知理论，将主题分为个人、行为和环境因素。运动的促进因素主要是内部的：享受，运动的一般健康和健康的移植肾和愿望，以保持正常。社会互动，支持和医疗保健专业人员的指导和目标设定被认为是激励。损害肾脏，缺乏指导，自我激励和可访问性是运动的障碍。这些结果提供了详细的了解，旨在增加身体活动的干预措施的发展KTRs。他们提供了强有力的证据表明，这一人群需要特定的运动指南，医疗保健系统可以在支持KTR变得更加积极的身体活动方面发挥关键作用。干预措施必须是多方面的，以吸引信托机构所希望的不同程度的支持。KTR参与了访谈主题指南的制定，以确保探讨所有相关主题。
Exercise has the potential to attenuate the high levels of cardiovascular morbidity and mortality present in kidney transplant recipients (KTRs). Despite this, activity levels in KTRs remain low. The aim of this qualitative study was to explore the barriers and facilitators of exercise in KTRs. Thirteen KTRs (eight males; mean ± SD; age 53 ± 13 years; estimated glomerular filtration rate 53 ± 21 ml/min/1.73 m2) were recruited and completed semistructured one‐to‐one interviews at University Hospitals of Leicester NHS Trust. All KTRs were eligible if their kidney transplant was completed >12 weeks before interview and their consultant considered them to have no major contraindications to exercise. All interviews were audio recorded, transcribed verbatim and subject to framework analysis to identify and report themes. Themes were organized into personal, behavioural and environmental factors based on social cognitive theory. Facilitators of exercise were largely internal: enjoyment, exercise for general health and health of the transplanted kidney and desire to maintain normality. Social interaction, support and guidance of healthcare professionals and goal setting were perceived as motivational. Harming the kidney, a lack of guidance, self‐motivation and accessibility were barriers to exercise. These results provide detailed insight into the development of interventions designed to increase physical activity in KTRs. They provide strong evidence that specific exercise guidelines are required for this population and that the healthcare system could have a key role in supporting KTRs to become more physically active. Interventions need to be multifaceted to appeal to the differing levels of support desired by KTRs. KTRs were involved in the development of the interview topic guide to ensure all relevant topics were explored.
登录
查看更多内容
DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
影响因子：
1.3
作者：
Gordon EJ;Prohaska TR;Gallant M;Siminoff LA
通讯作者：
Siminoff LA
影响因子：
--
作者：
Bodai, Balazs I;Nakata, Therese E;Campbell, Thomas M
通讯作者：
Campbell, Thomas M
影响因子：
2.7
作者：
Lox, CL;Freehill, AJ
通讯作者：
Freehill, AJ
影响因子：
4
作者：
Gale NK;Heath G;Cameron E;Rashid S;Redwood S
通讯作者：
Redwood S