Perceptions of Healthcare Providers on Benefits, Risks and Barriers Regarding Intradialytic Exercise Among Haemodialysis Patients

Overview

Journal Int J Qual Stud Health Well-being

Specialties Health Services
Public Health

Date 2023 Dec 6

PMID 38055756

Authors

Aurel Zelko

Ivana Skoumalova

Denisa Kravcova

Zuzana Dankulincova Veselska

Jaroslav Rosenberger

Andrea Madarasova Geckova

Jitse P van Dijk

Sijmen A Reijneveld

Affiliations

Soon will be listed here.

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.

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