Physical Activity Levels, Perceived Exercise Benefits and Barriers of Hemodialysis Patients and Related Factors

Yıl 2022, Cilt: 9 Sayı: 1, 10 - 16, 11.04.2022

Birgül Vural Doğru Kadriye Sayın Kasar

https://doi.org/10.31125/hunhemsire.1101814

Cited By: 1

Öz

Aim: The study aims to determine the physical activity levels,
perceived exercise benefits and barriers, and related factors in
hemodialysis patients.
Material and Methods: The sample of this relational study
consisted of 101 patients who received treatment in dialysis units
of two institutions in Central Anatolia and the Mediterranean
region between October and December 2019.
Results: The mean score of the Exercise Benefits and Barriers scale
was 62.47±10.60. While the most common perceived exercise
benefits were preventing muscle atrophy and improving quality of
life, the most common exercise barrier was exercise may cause
thirst and fatigue. There was a weak positive correlation between
the physical activity levels of the patients and the Exercise Benefits
and Barriers Scale sub-dimensions and the total score (r=0.415,
0.404, 0.487, respectively; p <0.001). There was a weak negative
correlation between the age of the patients and the Perceived
Exercise Benefits sub-dimension (r=-0.368, p<0.001), and a
moderate negative correlation between the Exercise Barriers subdimension and the total scale score (r=0-.529, p<0.001; r=-0.536,
p<0.001). There was a weak negative correlation between body
mass index, Exercise Barriers and Benefits sub-dimension and total
scale score (r=-0.248, p=0.013; r=-0.284, p=0.004; r=-0.301,
p=0.002, respectively).
Conclusion: It has been determined that the physical activity levels
of chronic kidney patients receiving hemodialysis treatment are not
sufficient to maintain health. Patients' perceived exercise benefits
are higher than exercise barriers. Increasing the physical activity
levels according to the patients' tolerance and developing
individual-specific interventions to overcome the obstacles
perceived in exercise are recommended.

Anahtar Kelimeler

Barrier, benefit, hemodialysis, nursing, physical activity level

Hemodiyaliz Hastalarının Fiziksel Aktivite Düzeyleri, Algılanan Egzersiz Yararları, Engelleri ve İlişkili Faktörler

Öz

Amaç: Çalışmanın amacı, hemodiyaliz hastalarının fiziksel aktivite
düzeyleri, algılanan egzersiz yararları ve engelleri ile ilişkili
faktörlerin belirlenmesidir.
Gereç ve Yöntem: İlişkisel tipteki bu çalışmanın örneklemini, EkimAralık 2019 tarihleri arasında İç Anadolu ve Akdeniz bölgesinde
bulunan iki kurumun diyaliz ünitesinde tedavi alan 101 hasta
oluşturmuştur.
Bulgular: Egzersiz Yararları ve Engelleri Ölçeği toplam puan
ortalaması 62.47±10.60’dir. En sık algılanan egzersiz faydaları kas
atrofisini önlemek ve yaşam kalitesini arttırmak iken; en sık görülen
egzersiz engelleri ise egzersiz susatabilir ve yorgunluktur. Hastaların
fiziksel aktivite düzeyleri ile Egzersiz Yararları ve Engelleri Ölçeği alt
boyutları ve toplam puanı arasında pozitif yönde zayıf ilişki
bulunmuştur (sırasıyla r=0.415, 0.404, 0.487; p <0.001). Hastaların
yaşı ile Algılanan Egzersiz Yararları alt boyutu arasında negatif
yönde zayıf (r=-0.368, p<0.001), Egzersiz Engelleri alt boyutu ve
toplam ölçek puanı arasında ise negatif yönde orta düzeyde ilişki
bulunmuştur (r=0-.529, p<0.001; r=-0.536, p<0.001). Beden kitle
indeksi ile Egzersiz Engelleri ve Yararları alt boyutu ve toplam ölçek
puanı arasında negatif yönde zayıf ilişki bulunmuştur (sırasıyla r=-
0.248, p=0.013; r=-0.284, p=0.004; r=-0.301, p=0.002).
Sonuç: Hemodiyaliz tedavisi gören kronik böbrek hastalarının
fiziksel aktivite düzeylerinin sağlığı korumak için yeterli olmadığı
belirlenmiştir. Hastaların algıladıkları egzersiz yararları, egzersiz
engellerinden daha yüksektir. Hastaların bireysel toleransına göre
fiziksel aktivite düzeylerinin arttırılması ve egzersizde algıladığı
engelleri aşmak için bireye özgü müdahalelerin geliştirilmesi
önerilmektedir.

Anahtar Kelimeler

Engel, fiziksel aktivite düzeyi, hemodiyaliz, hemşirelik, yarar

Kaynakça

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