慢性肾脏病患者居家运动康复促进因素与障碍因素的质性研究

doi:10.3969/j.issn.1006-9771.2025.02.014

Abstract

Abstract:

Objective To investigate the facilitators and barriers of home-based exercise rehabilitation for patients with chronic kidney disease (CKD).

Methods From December, 2023 to March, 2024, 15 CKD patients receiving treatment at the Nephrology Department of Beijing Bo'ai Hospital and undergoing home-based rehabilitation were selected, as well as eight healthcare professionals from the same department. Semi-structured interviews were conducted, and the data were coded and analyzed using Nvivo 12.0.

Results Two main themes were identified. The facilitators included perceived benefits, good health literacy, potential benefits of online media, supervision by healthcare professionals and adequate social support. The barriers included severe negative emotions, adverse effects of complications, insufficient emphasis on exercise rehabilitation, lack of motivation for exercise, constraints related to time and location for exercise, and insufficient rehabilitation support.

Conclusion There are vavious and individual factors influencing home-based exercise rehabilitation for CKD patients, which need an individualized exercise rehabilitation guidance to improve the adherence to self-management.

Key words: chronic kidney disease, exercise rehabilitation, related factors, qualitative analysis

CLC Number:

R692

WANG Weiping, MA Yingchun. Factors affecting home-based exercise rehabilitation for chronic kidney disease patients: a qualitative analysis[J]. Chinese Journal of Rehabilitation Theory and Practice, 2025, 31(2): 235-241.

Figures/Tables 3

Table 1

Table 2

Table 3

References 21

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编号	性别	年龄/岁	文化程度	婚姻状况	工作状态	病程	透析
P1	男	58	初中	离异	在职(脑力)	8年	无
P2	男	59	初中	已婚	退休	6个月	血透
P3	女	52	研究生	已婚	在职(脑力)	10年	腹透
P4	男	62	高中	已婚	退休	6个月	无
P5	女	67	高中	已婚	退休	5年	无
P6	男	55	初中	已婚	在职(脑力)	4年	腹透
P7	男	88	本科	已婚	退休	4年	无
P8	女	62	初中	已婚	退休	12年	无
P9	男	63	小学	离异	退休	8年	血透
P10	女	59	初中	已婚	退休	9年	腹透
P11	女	54	高中	已婚	退休	10年	血透
P12	女	63	高中	已婚	退休	25年	血透
P13	男	60	大专	已婚	在职(体力)	3年	血透
P14	男	60	高中	已婚	退休	4年	血透
P15	女	55	本科	已婚	退休	3年	无

编号	性别	年龄/岁	文化程度	工作时间/年	职称
H1	女	37	本科	15	主管护师
H2	女	33	本科	14	护师
H3	女	28	本科	9	护师
H4	女	39	本科	17	主管护师
H5	女	31	本科	9	护师
H6	女	28	本科	7	主管护师
H7	女	29	研究生	2	住院医师
H8	女	37	研究生	10	主治医师

主题	子主题
促进因素	感知益处
	良好的健康素养
	互联网信息获取渠道
	充足的社会支持
障碍因素	负面情绪导致依从性差
	并发症的负面影响
	疾病认知不足
	运动积极性不高
	运动时间不足
	场地等条件的限制
	运动康复支持不足

Factors affecting home-based exercise rehabilitation for chronic kidney disease patients: a qualitative analysis

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