Perceived Exercise Benefits and Barriers in Hemodialysis Patients

Purpose: Exercise participation in hemodialysis centers remains low despite the opportunity, equipment, and proven benefits. The purpose of this study was to measure the perceived benefits and perceived barriers to exercise participation. Methods: A questionnaire using the Exercise Benefits/Barriers...

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Bibliographic Details
Published in:Hemodialysis international Vol. 7; no. 1; pp. 73 - 104
Main Authors: Fondahn, E., Hahn, H., Schnitzler, M.A., Miller, B.W.
Format: Journal Article
Language:English
Published: Oxford, UK Blackwell Science Ltd 01-02-2003
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Summary:Purpose: Exercise participation in hemodialysis centers remains low despite the opportunity, equipment, and proven benefits. The purpose of this study was to measure the perceived benefits and perceived barriers to exercise participation. Methods: A questionnaire using the Exercise Benefits/Barriers Scale was administered to 150 in‐center, chronic hemodialysis patients at a free standing dialysis center with an ongoing exercise program for three years. This survey was adapted to show the patients’ perceived benefits and barriers of exercise in the dialysis unit. Results: The overall score of the unit (n = 150) was 92.0 ± 12.2 with a possible range from 31 to 124. Exercisers (n = 32) had a mean of 98.1 ± 12.3 on the scale; non‐exercisers (n = 118) had a mean on 90.4 ± 11.7 (p < .05). Answers to 12 of the 31 questions were significant (p < .05). Seven questions were perceived benefits; five questions were perceived barriers. All (n = 150) Non Exercisers (n = 118) Exercisers (n = 32) Mean Mean Mean Exercise Benefits/Barriers Scale 92 ± 12.2 90.4 ± 11.7 98.1 ± 12.3 Benefits 62.1 ± 10.2 61.2 ± 9.8 65.3 ± 11.0 Barriers 29.6 ± 4.6 28.8 ± 4.6 32.9 ± 3.2 Questions with p < .05 Enjoy exercise 3.0 ± 0.7 2.7 ± 0.9 3.4 ± 0.6 Prevent heart attacks 3.3 ± 0.6 2.9 ± 0.8 3.4 ± 0.6 Improve cardiovascular system 3.1 ± 0.7 3.1 ± 0.7 3.4 ± 0.6 Difficult due to vision 3.3 ± 0.8 3.3 ± 0.8 3.7 ± 0.5 Difficult due to arthritis 2.9 ± 1.0 2.8 ± 1.0 3.6 ± 0.6 Takes too much time 3.0 ± 0.7 2.9 ± 0.7 3.3 ± 0.6 Boring 3.3 ± 0.6 3.0 ± 0.8 3.3 ± 0.7 Increase physical fitness 3.2 ± 0.6 3.0 ± 0.6 3.3 ± 0.6 Increase stamina 3.2 ± 0.6 3.1 ± 0.5 3.4 ± 0.7 Family does not encourage 2.7 ± 0.9 2.7 ± 0.9 3.1 ± 0.8 Carry out activities without tiring 3.0 ± 0.7 2.9 ± 0.7 3.2 ± 0.7 Improve body function 2.9 ± 0.7 2.8 ± 0.7 3.1 ± 0.7 Conclusion: Physical improvement was the main reason to exercise. Lack of desire and health problems were the chief reasons named for not exercising. Addressing the benefits and barriers may improve exercise participation among chronic hemodialysis patients.
Bibliography:istex:98607CCBC22B8449B09CD60158679E7C0D0AE420
ark:/67375/WNG-87M0Q66S-C
ArticleID:HDI012_75
ISSN:1492-7535
1542-4758
DOI:10.1046/j.1492-7535.2003.01275.x