Abstract:
:Purpose: To describe physical activity (PA) levels and motivators and barriers to PA amongst haemodialysis (HD) patients and to identify an appropriate approach to increasing their PA. Methods: A cross-sectional mixed methods study conducted in a tertiary and satellite HD unit. One hundred and one participants aged 18 years and over, receiving regular HD for at least four months, were recruited. Patients with recent hospital admission or acute cardiac event were excluded. Participants completed health status (EQ-5D-3L™) and activity (Human Activity Profile (HAP)) questionnaires. A subgroup was invited to wear accelerometers and wearable cameras to measure PA levels and capture PA episodes, to inform subsequent semi-structured interviews on motivators and barriers. Semi-structured interviews were analysed using the framework method informed by constructs of the Health Belief Model. Results: 98/101 completed the study (66 males, 32 females). For 68/98 participants, adjusted activity scores from the HAP indicated "impaired" levels of PA; for 67/98 participants, the EQ-5D-3L indicated problems with mobility. Semi-structured interviews identified general (fear of falls, pain) and disease specific barriers (fatigue) to PA. Motivators included tailored exercise programmes and educational support from health care professionals. Conclusions: Participants indicated a need for co-development with healthcare professionals of differentiated, targeted exercise interventions. Implications for rehabilitation Healthcare professionals should encourage and motivate haemodialysis patients to participate in physical activity (PA). As part of this approach, there is a need to increase patient knowledge of safe beneficial exercise activities and help individuals identify and overcome barriers. To allow for individualised approaches, clinical interventions should focus on other community activities that patients can do outside the dialysis clinic setting and utilise existing networks such as the British Renal Society Rehabilitation Network. The dialysis clinic provides professionals the opportunity to monitor and motivate patients. Relevant education is needed for staff about the benefits of PA and how to engage patients and their carers in safe and effective approaches.
journal_name
Disabil Rehabiljournal_title
Disability and rehabilitationauthors
Sutherland S,Penfold R,Doherty A,Milne Z,Dawes H,Pugh C,Boulton M,Newton JLdoi
10.1080/09638288.2019.1672214subject
Has Abstractpub_date
2019-10-24 00:00:00pages
1-7eissn
0963-8288issn
1464-5165pub_type
杂志文章abstract::Aims: The purpose of this research was to examine the lived experiences of adults with upper limb absence, specifically the interplay of device use, ability, and quality of life through semi-structured interviews. We sought to draw insight from these experiences to improve the practice and perceptions of adults with u...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2019.1592243
更新日期:2020-11-01 00:00:00
abstract:PURPOSE:Intestinal stoma formation profoundly changes the relationship between a person and their social world. The aim of this study was to understand the experience of living with a new stoma; this paper explores the theme "disrupted social world," highlighting how stoma-forming surgery impacts on individuals' abilit...
journal_title:Disability and rehabilitation
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abstract:PURPOSE:The Motor Assessment Scale (MAS) has shown to be a reliable and valid instrument for measuring motor functioning for stroke patients. The purpose of this paper was to study dimensionality and scalability of the instrument. METHOD:A total number of 137 patients were evaluated at admission and on discharge. To s...
journal_title:Disability and rehabilitation
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doi:10.1080/09638280500476188
更新日期:2006-08-30 00:00:00
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journal_title:Disability and rehabilitation
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doi:10.1080/09638288.2019.1671505
更新日期:2019-10-07 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.3109/09638288.2014.955132
更新日期:2015-01-01 00:00:00
abstract:PURPOSE:To measure and compare physical activity profiles and sedentary time between community dwelling stroke survivors and healthy volunteers. METHODS:Twenty-two stroke survivors (10 men, age 55.3 ± 9.9 years; 4.2 ± 4.0 years since their stroke) were recruited from local stroke support groups, and 22 controls were m...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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更新日期:2014-01-01 00:00:00
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journal_title:Disability and rehabilitation
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abstract::Surface electromyography (EMG) and torque were measured from knee flexors and extensors in 12 control subjects (CS) aged 25-59 years (10 female) and bilaterally in 12 stroke subjects (SS) aged 27-75 years (four female) with hemiparesis and mild clinical spasticity. They performed isometric and isokinetic maximal volun...
journal_title:Disability and rehabilitation
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doi:10.3109/09638289609166022
更新日期:1996-02-01 00:00:00
abstract:PURPOSE:To investigate the responsiveness and cross-sectional and longitudinal validity of the Motor Activity Log (MAL) in the subacute phase after stroke. METHOD:Data were collected pre-intervention, post-intervention, and at 3-month follow-up evaluations from 30 patients with stroke participating in a randomized tri...
journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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更新日期:2018-07-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280600638182
更新日期:2006-12-30 00:00:00
abstract::Background: "Ehlers-Danlos syndrome" (EDS) is a heritable connective disorder influencing multiple aspects of daily life. Most studies have focused on describing the physical symptoms and level of disability, but little knowledge exists about the psychosocial effects of the pathology. Participation in employment is an...
journal_title:Disability and rehabilitation
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doi:10.1080/09638288.2019.1636316
更新日期:2019-07-09 00:00:00
abstract::Minor head injury accounts for 95% of all head injury. In this study 62 patients, hospitalized after minor head injury, were assessed within 48 h, and invited to attend for review and retesting 3 months later. Thirty-five patients were followed up in this way and 11 more were interviewed over the telephone. There was ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638289609166306
更新日期:1996-05-01 00:00:00
abstract::Purpose: This study aimed to evaluate the implementation of a physical activity counseling program in rehabilitation and to study heterogeneity in received counseling and investigate its association with changes in patients' physical activity outcomes. Methods: This prospective cohort study was conducted in 18 rehabil...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2019.1675188
更新日期:2019-10-17 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280210124347
更新日期:2002-09-20 00:00:00
abstract:AIM:The aim of this study was to describe experiences of pain and its relationship to daily activities in people with rheumatoid arthritis (RA). METHOD:Seven semi-structured focus group discussions were conducted with 33 men and women of different ages with RA. Data were analysed with content analysis. RESULTS:Pain a...
journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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更新日期:2013-08-01 00:00:00
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journal_title:Disability and rehabilitation
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更新日期:2000-11-20 00:00:00
abstract:INTRODUCTION:Stroke is the main cause of complex disability in the UK. Many stroke survivors feel abandoned when rehabilitation ends and more than half are left with long-term unmet needs. There is now emerging interest in whether group self-management programs (SMP) specifically for stroke survivors could help. Howeve...
journal_title:Disability and rehabilitation
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更新日期:2018-03-01 00:00:00
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journal_title:Disability and rehabilitation
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更新日期:2014-01-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280701616574
更新日期:2008-01-01 00:00:00
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journal_title:Disability and rehabilitation
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更新日期:2010-01-01 00:00:00
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journal_title:Disability and rehabilitation
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更新日期:2014-01-01 00:00:00
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journal_title:Disability and rehabilitation
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