| Summary: | 碩士 === 國立陽明大學 === 臨床暨社區護理研究所 === 102 === Chronic kidney disease (CKD) patients always have many comorbid condition that conbuited to low quality of life, hight health-care expenditures, and main cause of death. Several of the known benefits of exercise or regular physical activity in the patients with CKD, such as reduced risk for mortality, improved functional ability
and quality of life. However, most of the CKD patients do not have appropriate and regular physical activity for various reasons.
The objectives of this study were to describe the physical activity of CKD patients and investigate predictors of physical activity .This cross-sectional study was performed from Dec, 2013 to Mar, 2014 with 207 patients of CKD at the nephrology clinical in a medical center in Taipei city. The sreuctured questionnaire was used as data collection instruments. The questionnaire of depend variables which was developed according to the Pender's Health Promotion Model by primary researcher has good reliability and validity. The independent variable (physical activity, PA) was measuremented by the International Physical Activity Questionnaire Taiwan Version Self-Administrated Short Format. Data collection was performed by face-to-face interviews.
This study shown half of the patients (51.7%) were not achieving recommended PA levels. Many patients practiced walking as the main type of physical activity. Those with an appropriate level of physical activity had higher rates for patients with work. The levels of physical activity among 69.7% of patients with ≧ 3 co-morbidities were insufficient. For those with stage IIIb and IV patients, there were 55.0% and 55.6% patients did not get the recommended level of physical activity, respectively. Regression analysis has shown that the predictability of “Perceived Barriers” (OR＝0.61, 95% CI, 0.48-0.79) and “Perceived Self-Efficacy” (OR＝1.076, 95% CI, 1.02-1.13) were significant.
CKD patients nearly have less physically active and also tend to exercise at lower intensity. Walking was their primary PA type in dailylife. Compared with vigorous-intensity aerobic exercise, walking is more feasible and easy integration into life activities, which can help patients establish a healthy lifestyle. Therefore, it should consider the individual and person-center to establish the programs The activities and strategies of program which integrate into CKD patients’ daily life easliy can promote their PA ststus to reach the appropriate level. In addition, “Perceived Self-Efficacy” and “Perceived Barriers” were the main predictors of commitment to a plan of action for physical activity in CKD patients. Inorder to increase PA leve, a theory-based and problem-solving skill training intervention is necessary. That can enhance self-efficacy and strengthen patients’ ability to overcome barriers of action PA.
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