Perceptions of healthcare providers on benefits, risks and barriers regarding intradialytic exercise among haemodialysis patients

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61989592%3A15260%2F24%3A73622253" target="_blank" >RIV/61989592:15260/24:73622253 - isvavai.cz</a>

Výsledek na webu

<a href="https://www.tandfonline.com/doi/full/10.1080/17482631.2023.2287597" target="_blank" >https://www.tandfonline.com/doi/full/10.1080/17482631.2023.2287597</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1080/17482631.2023.2287597" target="_blank" >10.1080/17482631.2023.2287597</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Perceptions of healthcare providers on benefits, risks and barriers regarding intradialytic exercise among haemodialysis patients

Popis výsledku v původním jazyce

PurposeClinical guidelines call for the inclusion of exercise interventions in every patient&apos;s dialysis session, but these recommendations are rarely adopted. Healthcare providers play a key role in this. Therefore, the aim of this study was to explore how healthcare providers perceive the benefits, risks and barriers of intradialytic exercise (IDE).MethodsWe conducted 21 individual, semi-structured interviews with 11 nurses, 5 nephrologists, 3 training assistants and 2 managers from two dialysis centres in Slovakia. Verbatim transcripts of digitally recorded interviews were thematically analysed using MAXQDA (R).ResultsParticipants reported the benefits of IDE as improvements in patients&apos; physical and psychosocial functioning, independence and self-efficacy, clinical profile and quality of therapy. As risks of IDE, they most frequently reported exercise-related damage to vascular access, insufficient individualization of training and musculoskeletal injuries. The presence of psychological problems among patients was reported as a major barrier for initiating and maintaining patients&apos; exercise. Other reported barriers included limitations in financial and personnel resources of haemodialysis care.ConclusionsSafe and sustainable implementation of IDE, which might improve a patient&apos;s well-being, need to be prescribed in alignment with the patient&apos;s clinical profile, be delivered individually according to the patient&apos;s characteristics and requires adjustments in the available resources.

Název v anglickém jazyce

Perceptions of healthcare providers on benefits, risks and barriers regarding intradialytic exercise among haemodialysis patients

Popis výsledku anglicky

PurposeClinical guidelines call for the inclusion of exercise interventions in every patient&apos;s dialysis session, but these recommendations are rarely adopted. Healthcare providers play a key role in this. Therefore, the aim of this study was to explore how healthcare providers perceive the benefits, risks and barriers of intradialytic exercise (IDE).MethodsWe conducted 21 individual, semi-structured interviews with 11 nurses, 5 nephrologists, 3 training assistants and 2 managers from two dialysis centres in Slovakia. Verbatim transcripts of digitally recorded interviews were thematically analysed using MAXQDA (R).ResultsParticipants reported the benefits of IDE as improvements in patients&apos; physical and psychosocial functioning, independence and self-efficacy, clinical profile and quality of therapy. As risks of IDE, they most frequently reported exercise-related damage to vascular access, insufficient individualization of training and musculoskeletal injuries. The presence of psychological problems among patients was reported as a major barrier for initiating and maintaining patients&apos; exercise. Other reported barriers included limitations in financial and personnel resources of haemodialysis care.ConclusionsSafe and sustainable implementation of IDE, which might improve a patient&apos;s well-being, need to be prescribed in alignment with the patient&apos;s clinical profile, be delivered individually according to the patient&apos;s characteristics and requires adjustments in the available resources.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30304 - Public and environmental health

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2024

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

International Journal of Qualitative Studies on Health and Well-being

ISSN

1748-2623

e-ISSN

1748-2631

Svazek periodika

19

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

13

Strana od-do

—

Kód UT WoS článku

001114752100001

EID výsledku v databázi Scopus

2-s2.0-85179020018