Perceptions of healthcare providers on benefits, risks and barriers regarding intradialytic exercise among haemodialysis patients

Aurel Zelko*, Ivana Skoumalova, Denisa Kravcova, Zuzana Dankulincova Veselska, Jaroslav Rosenberger, Andrea Madarasova Geckova, Jitse P van Dijk, Sijmen A Reijneveld

*Bijbehorende auteur voor dit werk

OnderzoeksoutputAcademicpeer review

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PURPOSE: Clinical guidelines call for the inclusion of exercise interventions in every patient's dialysis session, but these recommendations are rarely adopted. Healthcare providers play a key role in this. Therefore, the aim of this study was to explore how healthcare providers perceive the benefits, risks and barriers of intradialytic exercise (IDE).

METHODS: We conducted 21 individual, semi-structured interviews with 11 nurses, 5 nephrologists, 3 training assistants and 2 managers from two dialysis centres in Slovakia. Verbatim transcripts of digitally recorded interviews were thematically analysed using MAXQDA®.

RESULTS: Participants reported the benefits of IDE as improvements in patients' physical and psychosocial functioning, independence and self-efficacy, clinical profile and quality of therapy. As risks of IDE, they most frequently reported exercise-related damage to vascular access, insufficient individualization of training and musculoskeletal injuries. The presence of psychological problems among patients was reported as a major barrier for initiating and maintaining patients' exercise. Other reported barriers included limitations in financial and personnel resources of haemodialysis care.

CONCLUSIONS: Safe and sustainable implementation of IDE, which might improve a patient's well-being, need to be prescribed in alignment with the patient's clinical profile, be delivered individually according to the patient's characteristics and requires adjustments in the available resources.

Originele taal-2English
Aantal pagina's13
TijdschriftInternational journal of qualitative studies on health and well-Being
Nummer van het tijdschrift1
Vroegere onlinedatum6-dec.-2023
StatusPublished - 2024

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