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.	戴祺洁. 维持性血液透析患者运动康复现状. 临床医学进展, 2020, 10(2): 129-133.
7.	荆志成. 六分钟步行距离试验的临床应用. 中华心血管病杂志, 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, 吝泽华, 王颖, 等. 血液透析中心运动康复实施障碍的横断面调查. 中国血液净化, 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.	王绍华, 邱模炎, 宋欣芸, 等. 维持性血液透析患者运动功能的影响因素分析. 中华中医药杂志, 2018, 33(11): 5208-5211.
13.	宁云凤. 血液透析患者自我管理能力调查分析. 解放军护理杂志, 2011, 28(11): 19-21.
14.	冯妍. 维持性血液透析患者治疗依从性影响因素病例对照研究. 现代医学与健康研究电子杂志, 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. 戴祺洁. 维持性血液透析患者运动康复现状. 临床医学进展, 2020, 10(2): 129-133.
7. 荆志成. 六分钟步行距离试验的临床应用. 中华心血管病杂志, 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, 吝泽华, 王颖, 等. 血液透析中心运动康复实施障碍的横断面调查. 中国血液净化, 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. 王绍华, 邱模炎, 宋欣芸, 等. 维持性血液透析患者运动功能的影响因素分析. 中华中医药杂志, 2018, 33(11): 5208-5211.
13. 宁云凤. 血液透析患者自我管理能力调查分析. 解放军护理杂志, 2011, 28(11): 19-21.
14. 冯妍. 维持性血液透析患者治疗依从性影响因素病例对照研究. 现代医学与健康研究电子杂志, 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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