Investigation on exercise rehabilitation intention of maintenance hemodialysis patients and analysis of influencing factors_West China Medical Journal

Authors：

GAO Menglin ¹ , WANG Xue ¹ , ZHU Linfang ¹ , ZENG Ying ¹ , YUAN Huaihong ¹ ,  FU Ping ²

1. West China School of Nursing, Sichuan University/Department of Nephrology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Nephrology, West China Hospital, Sichuan University/West China Nephrology Laboratory, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

FU Ping, Email: fupinghx@163.com

Keywords：

Maintenance hemodialysis; Intention to exercise rehabilitation; Six-minute walk test; Influencing factor

DOI：

10.7507/1002-0179.202005185

Video：

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Objective To understand the maintenance hemodialysis (MHD) patients’ intention to exercise rehabilitation and discuss the influencing factors.Methods From January to March 2019, 141 MHD patients’ intention to exercise rehabilitation was investigated by cross-sectional survey, and the influencing factors of MHD patients’ intention to exercise rehabilitation were analyzed by multiple linear stepwise regression.Results A total of 141 questionnaires were issued and 139 valid ones were recovered. The mean score of exercise rehabilitation intention of MHD patients was 39.99±9.29, which was in the middle and high level. Age [unstandardized partial regression coefficient (b)=?5.277, 95% confidence interval (CI) (?8.640, ?1.915), P=0.002], educational level [b=2.412, 95%CI (1.161, 3.663), P<0.001], and 6-minute walking distance [b=3.526, 95%CI (0.032, 7.021), P=0.048] were the influencing factors of exercise rehabilitation intention of MHD patients.Conclusion MHD patients have high intension to exercise rehabilitation, and special attention should be paid to elderly patients and patients with low education level in clinical work to improve their intension to exercise rehabilitation.

Citation： GAO Menglin, WANG Xue, ZHU Linfang, ZENG Ying, YUAN Huaihong, FU Ping. Investigation on exercise rehabilitation intention of maintenance hemodialysis patients and analysis of influencing factors. West China Medical Journal, 2020, 35(7): 794-798. doi: 10.7507/1002-0179.202005185 Copy

1.	Dashtidehkordi A, Shahgholian N, Attari F. “Exercise during hemodialysis and health promoting behaviors: a clinical trial”. BMC Nephrol, 2019, 20(1): 96.
2.	K/DOQI Workgroup. K/DOQI clinical practice guidelines for cardiovascular disease in dialysis patients. Am J Kidney Dis, 2005, 45(4 Suppl 3): S1-S153.
3.	Sheng KX, Ping Z, Chen L, et al. Intradialytic exercise in hemodialysis patients: a systematic review and meta-analysis. Am J Nephrol, 2014, 40(5): 478-490.
4.	Matsuzawa R, Roshanravan B, Shimoda T, et al. Physical activity dose for hemodialysis patients: where to begin? Results from a prospective cohort study. J Ren Nutr, 2018, 28(1): 45-53.
5.	Molfino A, Amabile MI, Ammann T, et al. The metabolite beta-aminoisobutyric acid and physical inactivity among hemodialysis patients. Nutrition, 2017, 34: 101-107.
6.	戴祺潔. 維持性血液透析患者運動康復現狀. 臨床醫學進展, 2020, 10(2): 129-133.
7.	荊志成. 六分鐘步行距離試驗的臨床應用. 中華心血管病雜志, 2006, 34(4): 381-384.
8.	Bulckaen M, Capitanini A, Lange S, et al. Implementation of exercise training programs in a hemodialysis unit: effects on physical performance. J Nephrol, 2011, 24(6): 790-797.
9.	Moorman D, Suri R, Hiremath S, et al. Benefits and barriers to and desired outcomes with exercise in patients with ESKD. Clin J Am Soc Nephrol, 2019, 14(2): 268-276.
10.	王欣欣, 吝澤華, 王穎, 等. 血液透析中心運動康復實施障礙的橫斷面調查. 中國血液凈化, 2019, 18(1): 30-34.
11.	Olvera-Soto MG, Valdez-Ortiz R, López Alvarenga JC, et al. Effect of resistance exercises on the indicators of muscle reserves and handgrip strength in adult patients on hemodialysis. J Ren Nutr, 2016, 26(1): 53-60.
12.	王紹華, 邱模炎, 宋欣蕓, 等. 維持性血液透析患者運動功能的影響因素分析. 中華中醫藥雜志, 2018, 33(11): 5208-5211.
13.	寧云鳳. 血液透析患者自我管理能力調查分析. 解放軍護理雜志, 2011, 28(11): 19-21.
14.	馮妍. 維持性血液透析患者治療依從性影響因素病例對照研究. 現代醫學與健康研究電子雜志, 2017(3): 49, 82.
15.	Cigarroa I, Barriga R, Michéas C, et al. Effects of a resistance training program in patients with chronic kidney disease on hemodialysis. Rev Med Chil, 2016, 144(7): 844-852.
16.	Kono K, Nishida Y, Moriyama Y, et al. Investigation of factors affecting the six-minute walk test results in hemodialysis patients. Ther Apher Dial, 2014, 18(6): 623-627.
17.	Huang M, Lv A, Wang J, et al. Exercise training and outcomes in hemodialysis patients: systematic review and meta-analysis. Am J Nephrol, 2019, 50(4): 240-254.

1. Dashtidehkordi A, Shahgholian N, Attari F. “Exercise during hemodialysis and health promoting behaviors: a clinical trial”. BMC Nephrol, 2019, 20(1): 96.
2. K/DOQI Workgroup. K/DOQI clinical practice guidelines for cardiovascular disease in dialysis patients. Am J Kidney Dis, 2005, 45(4 Suppl 3): S1-S153.
3. Sheng KX, Ping Z, Chen L, et al. Intradialytic exercise in hemodialysis patients: a systematic review and meta-analysis. Am J Nephrol, 2014, 40(5): 478-490.
4. Matsuzawa R, Roshanravan B, Shimoda T, et al. Physical activity dose for hemodialysis patients: where to begin? Results from a prospective cohort study. J Ren Nutr, 2018, 28(1): 45-53.
5. Molfino A, Amabile MI, Ammann T, et al. The metabolite beta-aminoisobutyric acid and physical inactivity among hemodialysis patients. Nutrition, 2017, 34: 101-107.
6. 戴祺潔. 維持性血液透析患者運動康復現狀. 臨床醫學進展, 2020, 10(2): 129-133.
7. 荊志成. 六分鐘步行距離試驗的臨床應用. 中華心血管病雜志, 2006, 34(4): 381-384.
8. Bulckaen M, Capitanini A, Lange S, et al. Implementation of exercise training programs in a hemodialysis unit: effects on physical performance. J Nephrol, 2011, 24(6): 790-797.
9. Moorman D, Suri R, Hiremath S, et al. Benefits and barriers to and desired outcomes with exercise in patients with ESKD. Clin J Am Soc Nephrol, 2019, 14(2): 268-276.
10. 王欣欣, 吝澤華, 王穎, 等. 血液透析中心運動康復實施障礙的橫斷面調查. 中國血液凈化, 2019, 18(1): 30-34.
11. Olvera-Soto MG, Valdez-Ortiz R, López Alvarenga JC, et al. Effect of resistance exercises on the indicators of muscle reserves and handgrip strength in adult patients on hemodialysis. J Ren Nutr, 2016, 26(1): 53-60.
12. 王紹華, 邱模炎, 宋欣蕓, 等. 維持性血液透析患者運動功能的影響因素分析. 中華中醫藥雜志, 2018, 33(11): 5208-5211.
13. 寧云鳳. 血液透析患者自我管理能力調查分析. 解放軍護理雜志, 2011, 28(11): 19-21.
14. 馮妍. 維持性血液透析患者治療依從性影響因素病例對照研究. 現代醫學與健康研究電子雜志, 2017(3): 49, 82.
15. Cigarroa I, Barriga R, Michéas C, et al. Effects of a resistance training program in patients with chronic kidney disease on hemodialysis. Rev Med Chil, 2016, 144(7): 844-852.
16. Kono K, Nishida Y, Moriyama Y, et al. Investigation of factors affecting the six-minute walk test results in hemodialysis patients. Ther Apher Dial, 2014, 18(6): 623-627.
17. Huang M, Lv A, Wang J, et al. Exercise training and outcomes in hemodialysis patients: systematic review and meta-analysis. Am J Nephrol, 2019, 50(4): 240-254.

West China Medical Journal

Investigation on exercise rehabilitation intention of maintenance hemodialysis patients and analysis of influencing factors

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