肾移植受者锻炼的障碍和促进因素:定性研究的系统回顾。

IF 1.5 4区 医学 Q3 NURSING
Alexander Bates B Med, Meg E. Letton MSc, Ria Arnold PhD, Kelly Lambert PhD
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引用次数: 0

摘要

背景:运动有可能降低肾移植受者对合并症和心血管疾病的易感性。然而,与普通人群相比,肾移植受者的运动水平较低,这促使我们对这一移植人群的运动障碍和促进因素进行调查:本系统综述旨在探索和绘制肾移植受者锻炼的障碍和促进因素:方法:系统检索了七个电子数据库。结果:11 项研究被纳入综述:结果:11 项研究被纳入综述。常见的运动障碍包括缺乏运动指导(9 项研究)、身体限制(5 项研究)和害怕伤害肾脏(7 项研究)。促进因素包括:希望恢复正常生活(5 项研究)、身心受益(3 项研究)、设定目标和跟踪改善情况(3 项研究)。在地方层面,肾移植受者发现的障碍包括缺乏知识、担心肾脏受伤、天气恶劣和身体限制。他们认为的有利因素包括:已经在过积极的生活方式、精神上的益处、运动偏好和社会支持:这项研究的主要发现是,肾移植受者在移植后对有关运动类型和强度的具体/明确运动信息以及个性化指导和支持的需求有所增加。这些研究结果可用于为肾移植受者及其医护人员在当地社区和更大范围内开发运动资源和干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Barriers and enablers to exercise in kidney transplant recipients: Systematic review of qualitative studies

Barriers and enablers to exercise in kidney transplant recipients: Systematic review of qualitative studies

Background

Exercise has the potential to reduce the susceptibility to comorbidity and cardiovascular disease in kidney transplant recipients. However, kidney transplant recipients report lower levels of exercise compared to the general population, prompting an investigation into the barriers and enablers to exercise in this transplant cohort.

Objectives

This systematic review aimed to explore and map the barriers and enablers to exercise in kidney transplant recipients.

Methods

Seven electronic databases were systematically searched. Themes were synthesised and then deductively categorised using the Theoretical Domains Framework.

Results

Eleven studies were included in the review. Commonly reported barriers to exercise were lack of exercise guidance (n = 9 studies), physical limitations (n = 5 studies) and a fear of harming the kidney (n = 7 studies). Enablers were a desire to return to normality (n = 5 studies), physical and mental benefits (n = 3 studies), goal setting and tracking improvements (n = 3 studies). At the local level, barriers identified by kidney transplant recipients were a lack of knowledge, fear of injuring the kidney, bad weather and physical limitations. Perceived enablers were already living an active lifestyle, mental benefits, exercise preferences and social support.

Conclusion

Key findings of this research were an increased demand for specific/explicit exercise information regarding type and intensity, and personalised guidance and support for kidney transplant recipients after transplantation. These findings can be used to inform the development of exercise resources and interventions for kidney transplant recipients and their health care professionals within the local community and at a greater level.

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来源期刊
Journal of renal care
Journal of renal care Nursing-Advanced and Specialized Nursing
CiteScore
3.50
自引率
5.30%
发文量
36
期刊介绍: The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.
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