Purpose -The purpose of this paper is to investigate the effects of an exercise education intervention on exercise behavior, depression and fatigue status of chronic kidney disease (CKD) patients. Design/methodology/approach -This was a pilot study using an exercise education program as an intervention for CKD patients. The authors used the transtheoretical model (TTM) to design the exercise education programs. A total of 94 subjects diagnosed with CKD at a medical center in Taiwan participated in this quasi-experimental study. Subjects were randomly divided into the experimental group (n ¼ 45) and the control group (n ¼ 49). The education program included written materials and teaching activities designed to encourage participants to initiate and continue regular exercise. Both groups took the pre-test and post-test containing a depression inventory, a fatigue scale and an exercise behavior inventory. Findings -The findings indicated that changes in the exercise behavior, depression and fatigue status of the experimental group were statistically significant after the exercise education intervention compared with the control group. Originality/value -The paper demonstrates that exercise education intervention can be administered by nursing staff, or a health educator, to encourage patients to exercise in order to enhance their quality of care.
This paper explored the present status of self-efficacy and job involvement of clinical nursing teachers and investigated the predictive power of teachers' personal background variables on such, as well as the relationship between self-efficacy and job involvement. A total of 419 participants in the survey sample were chosen among clinical nursing teachers at 19 public and private institutes of technology and junior colleges in Taiwan in 2004. The self-developed structural questionnaire was categorized into three sections, including personal background data, job self-efficacy related to the clinical teaching inventory and job involvement related to clinical teaching inventory. Of the total 419 questionnaires distributed for this cross-sectional survey, 266 valid copies were registered, at a recovery rate of 63%. Findings indicated that both the job self-efficacy and job involvement of clinical nursing teachers are at a medium to high level and that significant differences exist in job self-efficacy and job involvement based on differences in age, marital status, teaching seniority, teacher qualifications, and job satisfaction. Second, samples have significantly different performance in self-efficacy due to differences in education level attained and the medical institution to which nursing teachers had been assigned. Self-efficacy and job involvement are significantly positively correlated. These results can serve as a reference for the cultivation of nursing teachers and reform of clinical nursing education in the future.
Background: Chronic kidney disease (CKD) patients face a relatively high risk of cardiovascular disease morbidity and mortality. A healthy lifestyle facilitated by participation in a regular exercise regimen may prevent or retard conditions commonly associated with CKD, including hypertension, hyperlipidemia, and diabetes.Purpose: This study examined the effect of a tailored exercise program on blood biochemical values and other exerciserelated variables in CKD patients.Methods: A total of 94 subjects diagnosed with CKD by a nephrology outpatient clinic at a medical center in northern Taiwan participated in this quasi-experimental study. Subjects were randomly divided into an experimental group (n = 45) or a control group (n = 49). Experimental group subjects agreed to join a 3-month exercise program. Individual guidance was given remotely to the experimental group over the telephone during the second and the third months following initiation of the exercise intervention. Both groups completed the pretest and posttest forms of the Stages of Exercise Questionnaire, and blood biochemical data were obtained from patient medical files. Data were analyzed using analysis of covariance.Results: The preexercise cholesterol values (from 198.03 T 43.52 to 160.97 T 37.39 mg/dl) of the experimental group differed significantly from their postexercise values. Also, the number of subjects in the experimental group who reported exercising regularly rose from 57.8% pretest to 75.6% posttest. However, changes in red blood cell count, hemoglobin, hematocrit, and blood sugar were all insignificant in the experimental group. No significant change in any of these items was detected in the control group. The cholesterol value of the experimental group (158.75 mg/dl) was significantly lower than that of the control group (177.29 mg/dl) after applying analysis of covariance, using the pretest results of both groups as the covariate.Conclusions and Implications for Practice: The developed exercise program was found to reduce cholesterol levels in CKD patients effectively, to encourage more patients to do exercise regularly, and to offer clinical nursing staff an approach to encourage and teach CKD patients to exercise.
AB STRACT: The pur pose of this study was to inves ti gate the effects of exer cise inter ven tion on improve ment of per ceived exer cise ben e fit, per ceived exer cise bar rier, and exer cise self-efficacy. A quasiexperimental design was uti lized and pur pos ive sam pling was con ducted at a telecom worksite in south ern Tai wan. One hun dred and ninety-three sub jects were assigned to an exper i men tal and a con trol group. The exper i men tal group, which con sisted of 133 sub jects, par tic i pated in a pro gram of exer cise inter ven tion. The inter ven tion pro gram applied a transtheoretical model to aid sub j ects in devel op ing effec tive approaches within dif fer ent stages of the exer cise change. It included writ ten mate ri als and teach ing activ i ties for the dif fer ent stages of exer cise. The con trol group, which con sisted of 60 sub jects, had no treat ment. All sub jects com pleted a struc tured ques tion naire, includ ing per ceived exer cise ben e fits, per ceived exer cise bar ri ers, exer cise self-efficacy, and stages of exer cise, pre-test and post-test. Sta tis ti cal anal y ses included Chi-square test, paired t-test, anal y sis of covariance, one-way ANOVA, and Scheffe's post hoc com par i son. After the exer cise inter ven tion, the results post-test of the exper i men tal group showed that (1) per ceived exer cise ben e fit, per ceived exer cise bar ri ers, and exer cise self-efficacy improved sig nif i cantly, and (2) per ceived exer cise ben e fit and exer cise self-efficacy were sig nif i cantly higher than those of the con trol group post-test while per ceived exer cise bar ri ers were sig nif i cantly lower than those of the con trol group post-test.Key Words: per ceived ex er cise ben e fit, per ceived ex er cise bar ri ers, ex er cise self-efficacy, stages of ex er cise. Intro duc tionDue to the devel op ment of sci ence and tech nol ogy in recent years, along with the auto ma tion and mech a ni za tion of the work ing and liv ing envi ron ment, many oppor tu ni ties for peo ple to par tic i pate phys i cal activ ity in the work place and at home have been lost. In addi tion, there has been an increase in static lei sure activ i ties and sed en tary work patterns. These will increase the risk of chronic dis eases, such as obe sity, dia be tes, and hyper ten sion, etc. Studies have con cluded that the effect of exer cise pro grams in the workplace not only increases the staff's phys i cal fit ness, but also improves their phys i cal and psy cho log i cal states (Gebhardt & Crump, 1990). Hence exer cise pro grams not only have the effect of inspir ing staff's morale towards work and thus increas ing their pro duc tiv ity, but they can also build up the healthy image of a com pany, thus bring ing max i mum economic ben e fits. How ever, a research sur vey tar get ing employ ees in the work place pointed out that 75.8% of the employ ees at Tai wan Power Com pany lacked ade quate exer cise (Tong, 1991). Only 18.4% of the employ ees at Shihlin Elec tric & Engi neering Cor po...
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.