Perceptions of healthcare providers on benefits, risks and barriers regarding intradialytic exercise among haemodialysis patients.
Int J Qual Stud Health Well-being
; 19(1): 2287597, 2024 Dec.
Article
de En
| MEDLINE
| ID: mdl-38055756
ABSTRACT
PURPOSE:
Clinical guidelines call for the inclusion of exercise interventions in every patient'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).METHODS:
We 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®.RESULTS:
Participants reported the benefits of IDE as improvements in patients' 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' exercise. Other reported barriers included limitations in financial and personnel resources of haemodialysis care.CONCLUSIONS:
Safe and sustainable implementation of IDE, which might improve a patient's well-being, need to be prescribed in alignment with the patient's clinical profile, be delivered individually according to the patient's characteristics and requires adjustments in the available resources.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Exercice physique
/
Dialyse rénale
Limites:
Humans
Langue:
En
Journal:
Int J Qual Stud Health Well-being
Année:
2024
Type de document:
Article
Pays d'affiliation:
Slovaquie
Pays de publication:
États-Unis d'Amérique