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Patient and Caregiver Attitudes and Practices of Exercise in Candidates Listed for Liver Transplantation.
Digestive Diseases and Sciences ( IF 3.1 ) Pub Date : 2018-09-05 , DOI: 10.1007/s10620-018-5271-5
David M Chascsa 1 , Jennifer C Lai 2 , Michael A Dunn 3 , Aldo J Montano-Loza 4 , Matthew R Kappus 5 , Srinivasan Dasarathy 6 , Elizabeth J Carey 1
Affiliation  

BACKGROUND Impaired physical capacity increases peri-liver transplant complications. Patient perceptions regarding exercise prior to transplantation are not known. AIMS This study aimed to assess patient and caregiver activity levels, perceptions of willingness to exercise, and of provider advice. METHODS Consecutive patients listed for liver transplant and caregivers presenting for routine outpatient visits were evaluated over a 3-month interval. Anonymous surveys adapted to patients and caregivers addressed the importance and safety of exercise, type and duration of exercise performed, barriers, willingness to wear a monitoring device, and perceived provider recommendations. Responses were logged on a Likert scale from 1 to 5. RESULTS Three hundred and sixty-eight responses were received. Most participants perceived exercise as important. Patients exercised three times per week for 30 min. Eighty percent endorsed walking (median response: 2-agree; IQR 1-2). Most did not jog, swim, cycle, or strength train. Fatigue, reported by 70%, was the major barrier (2, IQR 1-3). Over 90% of caregivers endorsed exercise as important (1-strongly agree, IQR 1-2) and encouraged exercise (median response 2, IQR 1-2). Over 60% of patients (median response 2, IQR 1-3) and caregivers (median response 2, IQR 2-3) felt providers encouraged exercise. CONCLUSIONS Patients and caregivers are willing to exercise to optimize physical fitness prior to liver transplantation.

中文翻译:

列出肝移植候选者的患者和护理者的运动态度和习惯。

背景技术身体能力受损会增加肝周移植并发症。病人对移植前运动的看法尚不清楚。目的本研究旨在评估患者和护理人员的活动水平,对运动意愿的理解以及提供者的建议。方法连续3个月对列为肝移植的连续患者和需要常规门诊就诊的护理人员进行评估。适合患者和护理人员的匿名调查涉及运动的重要性和安全性,运动的类型和持续时间,障碍,佩戴监测设备的意愿以及提供者的建议。应答记录在李克特量表中,从1到5。结果收到368个应答。大多数参与者认为运动很重要。患者每周锻炼3次,持续30分钟。80%的人赞成步行(中位数回答:2-同意; IQR 1-2)。大多数人没有慢跑,游泳,骑自行车或力量训练。据报告,疲劳是主要障碍(2,IQR 1-3)。超过90%的护理人员认为锻炼很重要(1-完全同意,IQR 1-2),并鼓励锻炼(中位数反应2,IQR 1-2)。超过60%的患者(中位反应2,IQR 1-3)和护理人员(中位反应2,IQR 2-3)感到提供者鼓励锻炼。结论患者和护理人员愿意在肝移植之前进行锻炼以优化体质。超过90%的护理人员认为锻炼很重要(1-完全同意,IQR 1-2),并鼓励锻炼(中位数反应2,IQR 1-2)。超过60%的患者(中位反应2,IQR 1-3)和护理人员(中位反应2,IQR 2-3)感到提供者鼓励锻炼。结论患者和护理人员愿意在肝移植之前进行锻炼以优化体质。超过90%的护理人员认为锻炼很重要(1-完全同意,IQR 1-2),并鼓励锻炼(中位数反应2,IQR 1-2)。超过60%的患者(中位反应2,IQR 1-3)和护理人员(中位反应2,IQR 2-3)感到提供者鼓励锻炼。结论患者和护理人员愿意在肝移植之前进行锻炼以优化体质。
更新日期:2018-09-03
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