了解移植患者在家康复的可行性:一种混合方法的解释
Roseanne E Billany1,2,3, Hannah M L Young2,4,5, Courtney J Lightfoot1,2,3
1Division of Cardiovascular Sciences, University of Leicester, Leicester, United Kingdom.
PloS one
|December 19, 2025
概括
对于脏移植接受者 (KTRs) 来说,在家进行炼计划是可行的. 关键的促进者包括医疗保健专业人员的接触,感知到的健康益处,例行,灵活性和支持,尽管激励挑战在计划后仍然存在.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 移植 移植 移植 移植
- 运动科学 运动科学
背景情况:
- 埃克塞特试验证明了对移植接受者 (KTRs) 的家庭炼计划的可行性.
- 本研究提供了对ECSERT试验及其炼计划的定性评估.
- 通过混合方法方法整合和解释研究结果.
研究的目的:
- 为接受脏移植的接受者进行结构化的家庭运动计划的可行性和有效性进行定性评估.
- 识别促进者和障碍者参与和坚持在KTRs.的家庭练习干预.
- 为未来的研究和临床实践提供有关KTRs运动干预措施的信息.
主要方法:
- 50名稳定的KTR (>移植后1年) 被随机分配到一个为期12周的家庭炼计划或常规护理.
- 与干预参与者 (n=12) 进行了半结构化采访,即时和计划后3个月.
- 融合混合方法分析结合了定量可行性数据 (招聘,坚持,退缩) 和定性访谈数据.
主要成果:
- 混合方法分析解释了成功的可行性,可靠的医疗保健专业人员的初始联系对招聘至关重要.
- 运动完成的促进因素包括感知到的健康益处,常规,灵活性,多样性,进展,监测和支持.
- 虽然许多参与者在3个月内保持了一些体育活动,但报告说,他们遇到了动机,时间和疾病方面的挑战.
结论:
- 确定了ECSERT试验设计,程序和练习计划的关键要素,这些要素有助于可行性.
- 这些发现将指导研究人员和从业人员优化未来的KTR家庭运动试验和计划.
- 了解促进者和障碍物对于最大限度地提高运动干预措施在这个人群中的有效性至关重要.
相关概念视频
01:28Kidney Transplant I: Introduction
307
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
307
01:16Kidney Transplant III: Nursing Management
289
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
289
01:26Kidney Transplant II: Surgical Procedure
279
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
279
01:28Chronic Kidney Disease III: Interprofessional Care
320
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
320
01:19Restorative Care
2.3K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.3K
01:29Acute Kidney Injury III: Clinical Manifestations
769
Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
769