Perceived Barriers and Facilitators to Physical Activity in Kidney Transplant Recipients

Abstract

Motivational interventions should focus on diminishing perceived barriers in the less physically active transplant recipients and enhancing perception of health-related facilitators. Nurses should be innovative in customizing interventions, recommending structured physical activity programs, and encouraging less structured, enjoyable ways to increase activities that expend energy. Interventions with achievable outcomes and realistic expectations are more acceptable to patients.

Comparison of the ICF core set for cardiopulmonary conditions in the acute hospital setting among different types of transplant patients

“…From our study we identified exercise as a part of the early rehabilitation program and this component is also supported by cardiovascular, biochemical, and muscle strength benefits shown by other studies (Juskowa et al, 2006;Korabiewska et al, 2007). In addition, understanding barriers and facilitators to exercise would be of benefit (Sanchez et al, 2007).…”

“…Gordon et al (2005), however, argue that too much effort has been directed toward reactive, clinical efforts by transplant professionals to prevent graft rejection rather than proactive measures taken by recipients to promote kidney function. Moreover, the authors of several studies have remarked that rehabilitation should start postoperatively within a few days and that its success or lack thereof can have a marked effect on outcomes (Juskowa et al, 2006;Templin and Janek, 2006;Korabiewska et al, 2007;Sanchez et al, 2007). Randolph and Scholz (1999) also comment that to reduce costs, patients are often discharged so quickly that there is little time for education or institution of self-care or rehabilitation.…”

“…For example, social participation is often assessed by various surveys on employment ( Van der Mei et al, 2006), quality of life by instruments such as the SF-36 and others (Goetzmann et al, 2006;Gentile et al, 2008), and understanding the barriers to re-engaging in physical activity by purpose-designed surveys (Sanchez et al, 2007). For the majority of transplant recipients this means full employment, social adjustment, and becoming physically fit again after a protracted period of debilitating illness.…”

Shedding light on an unknown reality in solid organ transplant patients’ self‐management: A contextual inquiry study

“…[5][6][7][8][9][10] Furthermore, existing studies mostly used quantitative designs, presenting patients with questionnaires consisting of a predetermined list of possible nonadherence reasons or lifestyle problems. 5,6,[11][12][13] This approach rarely allows participants to add other difficulties they experience nor share strategies they might use to manage these risk factors. Qualitative studies using focus groups or semistructured interviews can provide a more in-depth understanding of difficulties experienced.…”

Characterizing Dietary Intake and Physical Activity Affecting Weight Gain in Kidney Transplant Recipients

“…Poor motivation for physical activity many also be a barrier. 96,97 Following kidney transplantation, cardiac output may be reduced due to a number of reasons such as cardiomyopathies, which could limit some types of activities such as aerobic exercise. 96 Blood pressure is also affected in kidney transplant recipients due to denervation of the transplanted kidney, so blood pressure could be higher in these individuals following exercise.…”