Chinese Journal of Blood Purification ›› 2019, Vol. 18 ›› Issue (01): 30-34.doi: 10.3969/j.issn.1671-4091.2019.01.007

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Barriers to exercise rehabilitation in hemodialysis centers: a cross-sectional survey

  

  • Received:2018-09-11 Revised:2018-10-28 Online:2019-01-12 Published:2018-12-25

Abstract: 【Abstract】Objectives To explore the motivators and barriers to exercise rehabilitation in maintenance hemodialysis (MHD) patients. Methods We recruited patients treated with hemodialysis for more than 3months from 5 dialysis centers in Beijing, and explored the perceived motivators and barriers to exercise rehabilitation by questionnaire in these patients as well as in medical workers for MHD patients. Results A total of 471 MHD patients (277 males and 194 females, 61.3±13.5 years of age) were recruited, and 63.3% of the patients were willing to participate in exercise rehabilitation. The perceived motivators included to improve the quality of life (98.0%), to become healthier (98.0%), and to improve physical functions (95.3%). The perceived barriers included not feeling so well (59.0%), worrying about safety (36.7%), and no interest to join in (27.0%). Ninety medical workers participated in the survey, and the most common barriers were lack of rehabilitation therapists to provide professional guidance and advice (93.1%), insufficient knowledge about exercise rehabilitation (86.2%), and no suitable exercise equipments (P<0.01). Conclusion There were obstacles from patients and medical workers to implement exercise rehabilitation to help MHD patients in dialysis centers. Barriers from MHD patients mainly included not feeling well, safety consideration and lack of interest; barriers from staff included lack of knowledge about rehabilitation, rehabilitation equipment and professional guidance and advice from rehabilitation therapists. Therefore, staff in dialysis center should focus on the rehabilitation status of MHD patients, actively encourage MHD patients to participate in renal rehabilitation, and create a better environment to counter barriers, and promote more patients to participate in rehabilitation to improve
the quality of life of MHD patients.

Key words: exercises rehabilitation, maintenance hemodialysis, barriers, motivator