Böbrek Nakli Alıcılarında Sosyo-Ekolojik Modele Göre Fiziksel Aktivite Düzeyi ve Etkileyen Faktörler Arasındaki İlişkinin İncelenmesi

Yıl 2024, Cilt: 2 Sayı: 3, 123 - 135, 01.09.2024

Fatma Demir Korkmaz , Yaprak Sarıgöl Ordin , Eda Ayten Kankaya , Tuğçe Yeşilyaprak

https://doi.org/10.61535/bseusbfd.1321952

Öz

Böbrek nakli alıcılarında fiziksel aktivite düzeyi ve etkileyen faktörler arasındaki ilişkinin incelenmesi amaçlandı. Araştırma kesitsel tiptedir. Araştırma örneklemini Haziran 2019-Ekim 2020 yılları arasında iki üniversite hastanesinde böbrek nakli olmuş ve ayaktan takibi yapılan hastalar oluşturdu. Araştırma verilerinin toplanmasında Bilgi Formu, Uluslararası Fizik Aktivite Ölçeği Kısa Formu (UFAA), Yaşam Kalitesi Kısa Form (SF-36), Çok Boyutlu Yorgunluk Envanteri, Algılanan Elde Edilebilir Destek Ölçeği (AED) kullanıldı. Araştırmada değişkenler sosyo-ekolojik modele göre kategorize edildi. Araştırma analizinde tanımlayıcı istatistikler (yüzde ve sayı), pearson korelasyon analizi, bağımsız değişkenlerde t testi ve tek yönlü varyans analizi (One-way ANOVA) kullanıldı. Hastaların %36.5’inin fiziksel aktivite düzeyinin inaktif, %21.2’sini minimal aktif ve %42.3’ünün minimum aktif olduğu belirlendi. Hastaların fiziksel aktivite düzeyini öğrenim durumu, fiziksel aktiviteye engel hastalık varlığı, çalışma durumu, sigara kullanımı, kronik hastalık varlığı etkilemektedir. Etkileyen bu faktörler, sosyo-ekolojik modelin içerisinde yer alan hastayla ilişkili faktörler, mikro ve makro düzeydeki faktörlerdir. Araştırmada değişkenlerin sosyo-ekolojik modele göre açıklanması böbrek nakli alıcılarında fizik aktivite, yorgunluk, sosyal destek ve yaşam kalitesi düzeyini inceleyen çalışmalara yeni bakış açısı sağlamaktadır.

Anahtar Kelimeler

Böbrek nakli, fizksel aktivite, yaşam kalitesi, yorgunluk, sosyal destek

Investigation of the Relationship between Physical Activity Level and Affecting Factors According to Socioecological Model in Kidney Transplant Recipients

Öz

It was aimed to examine the relationship between physical activity level and affecting factors in kidney transplant recipients. The research is of cross-sectional type. The research sample consisted of patients who had kidney transplants and were followed up at two university hospitals between June 2019 and October 2020. Information Form, International Physical Activity Scale Short Form (UFAA), Quality of Life Short Form (SF-36), Multidimensional Fatigue Inventory, Perceived Obtainable Support Scale (AED) were used to collect research data. In the study, the variables were categorized according to the socio-ecological model. Descriptive statistics (percentage and number), Pearson correlation analysis, independent variables t test and ANOVA were used in the research analysis. It was determined that the physical activity level of 36.5% of the patients was inactive, 21.2% minimally active and 42.3% minimally active. The physical activity level of the patients was related to the patient-related factors, micro-levels and macro-level factors included in the socio-ecological model. The explanation of the variables in the study according to the socio-ecological model provides a new perspective to the studies examining the level of physical activity, fatigue, social support and quality of life in kidney transplant recipients.

Anahtar Kelimeler

Renal transplantation, physical activity, life qualşty, tiredness, social support

Kaynakça

• Berben, L., Dobbels, F., Engberg, S., Hill, M. N., & de Geest, S. (2012). An ecological perspective on medication adherence. Western Journal of Nursing Research, 34(5), 635-653. https://doi.org/10.1177/0193945911434518
• Berben, L., Engberg, S. J., Rossmeissl, A., Gordon, E. J., Kugler, C., Schmidt-Trucksäss, A., Klem, M. Lou, Sereika, S. M., De Simone, P., Dobbels, F., & De Geest, S. M. (2019). Correlates and Outcomes of Low Physical Activity Posttransplant: A Systematic Review and Meta-Analysis. Transplantation, 103(4), 679-688. https://doi.org/10.1097/TP.0000000000002543
• Booth, M. (2000). Assessment of physical activity: An international perspective. Research Quarterly for Exercise and Sport, 71, 114-120. https://doi.org/10.1080/02701367.2000.11082794
• Bossola, M., Pepe, G., & Vulpio, C. (2016). Fatigue in kidney transplant recipients. Clinical Transplantation, 30(11), 1387-1393. https://doi.org/10.1111/CTR.12846
• Boulton, E. R., Horne, M., & Todd, C. (2018). Multiple influences on participating in physical activity in older age: Developing a social ecological approach. Health Expectations : An International Journal of Public Participation in Health Care and Health Policy, 21(1), 239-248. https://doi.org/10.1111/HEX.12608
• Bronfenbrenner, U. (1977). Toward an experimental ecology of human development. American psychologist, 32 (7), 513. https://psycnet.apa.org/doi/10.1037/0003-066X.32.7.513
• Burke, S., Utley, A., Belchamber, C., & McDowall, L. (2020). Physical Activity in Hospice Care: A Social Ecological Perspective to Inform Policy and Practice. Research Quarterly for Exercise and Sport, 91(3), 500-513. https://doi.org/10.1080/02701367.2019.1687808
• Dontje, M. L., de Greef, M. H. G., Krijnen, W. P., Corpeleijn, E., Kok, T., Bakker, S. J. L., Stolk, R. P., & van der Schans, C. P. (2014). Longitudinal measurement of physical activity following kidney transplantation. Clinical Transplantation, 28(4), 394-402. https://doi.org/10.1111/CTR.12325
• Egerton, T., Chastin, S. F. M., Stensvold, D., & Helbostad, J. L. (2016). Fatigue May Contribute to Reduced Physical Activity Among Older People: An Observational Study. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 71(5), 670-676. https://doi.org/10.1093/GERONA/GLV150
• Essiet, I. A., Baharom, A., Shahar, H. K., & Uzochukwu, B. (2017). Application of the Socio-Ecological Model to predict physical activity behaviour among Nigerian University students. The Pan African Medical Journal, 26. https://doi.org/10.11604/PAMJ.2017.26.110.10409
• Giles-Corti, B., & Donovan, R. J. (2002). The relative influence of individual, social and physical environment determinants of physical activity. Social Science & Medicine (1982), 54(12), 1793-1812. https://doi.org/10.1016/S0277-9536(01)00150-2
• Goedendorp, M. M., Hoitsma, A. J., Bloot, L., Bleijenberg, G., & Knoop, H. (2013). Severe fatigue after kidney transplantation: a highly prevalent, disabling and multifactorial symptom. Transplant International : Official Journal of the European Society for Organ Transplantation, 26(10), 1007-1015. https://doi.org/10.1111/TRI.12166
• Gordon, E. J., Prohaska, T. R., Gallant, M. P., Sehgal, A. R., Strogatz, D., Yucel, R., Conti, D., & Siminoff, L. A. (2009). Longitudinal analysis of physical activity, fluid intake, and graft function among kidney transplant recipients. Transplant International : Official Journal of the European Society for Organ Transplantation, 22(10), 990. https://doi.org/10.1111/J.1432-2277.2009.00917.X
• Gustaw, T., Schoo, E., Barbalinardo, C., Rodrigues, N., Zameni, Y., Motta, V. N., Mathur, S., & Janaudis-Ferreira, T. (2017). Physical activity in solid organ transplant recipients: Participation, predictors, barriers, and facilitators. Clinical Transplantation, 31(4). https://doi.org/10.1111/CTR.12929
• Hawkins, M. S., Sevick, M. A., Richardson, C. R., Fried, L. F., Arena, V. C., & Kriska, A. M. (2011). Association between physical activity and kidney function: National Health and Nutrition Examination Survey. Medicine and Science in Sports and Exercise, 43(8), 1457-1464. https://doi.org/10.1249/MSS.0B013E31820C0130
• Jordakieva, G., Grabovac, I., Steiner, M., Winnicki, W., Zitta, S., Stefanac, S., Brooks, M., Sunder-Plaßmann, G., Rosenkranz, A. R., & Godnic-Cvar, J. (2020). Employment Status and Associations with Workability, Quality of Life and Mental Health after Kidney Transplantation in Austria. International Journal of Environmental Research and Public Health, 17(4), 1254. https://doi.org/10.3390/IJERPH17041254
• Kapikiran, Ş., & Acun-Kapikiran, N. (n.d.). The Validity and Reliability of the Perceived Available Support Scale. Journal of Faculty of Educational Sciences, 43(2), 51-73.
• Kasiske, B. L., Zeier, M. G., Chapman, J. R., Craig, J. C., Ekberg, H., Garvey, C. A., Green, M. D., Jha, V., Josephson, M. A., Kiberd, B. A., Kreis, H. A., McDonald, R. A., Newmann, J. M., Obrador, G. T., Vincenti, F. G., Cheung, M., Earley, A., Raman, G., Abariga, S., … Balk, E. M. (2010). KDIGO clinical practice guideline for the care of kidney transplant recipients: a summary. Kidney International, 77(4), 299-311. https://doi.org/10.1038/KI.2009.377
• Kastelz, A., Fernhall, B., Wang, E., Tzvetanov, I., Spaggiari, M., Shetty, A., Gallon, L., Hachaj, G., Kaplan, B., & Benedetti, E. (2021). Personalized physical rehabilitation program and employment in kidney transplant recipients: a randomized trial. Transplant International : Official Journal of the European Society for Organ Transplantation, 34(6), 1083-1092. https://doi.org/10.1111/TRI.13868
• Kilanowski, J. F. (2017). Breadth of the Socio-Ecological Model. Journal of Agromedicine, 22(4), 295-297. https://doi.org/10.1080/1059924X.2017.1358971
• King, A. C., Stokols, D., Talen, E., Brassington, G. S., & Killingsworth, R. (2002). Theoretical approaches to the promotion of physical activity: Forging a transdisciplinary paradigm. American Journal of Preventive Medicine, 23(2 SUPPL. 1), 15-25. https://doi.org/10.1016/S0749-3797(02)00470-1
• Kocyigit, G., Aydemir, O., Fisek, G., & Memis, A. (1999). Kısa Form - 36’nın kısa formunun güvenirlik ve geçerliliği. İlaç ve Tedavi Dergisi, 12(2), 101-106.
• Lin, X., Shang, Y., Teng, S., Liu, H., & Han, L. (2015). Relationship between Perceived Social Support and Quality of Life among Kidney Transplant Recipients. https://doi.org/10.5176/2345-718X_3.1.97
• Liu, M., Sun, Q., Cui, L., Liu, J., Liu, L., Wu, X., Wang, Z., Zhou, X., Xie, J., & Cheng, A. S. K. (2021). Fear of Movement and Physical Self-Efficacy Partially Mediate the Association Between Fatigue and Physical Activity Among Kidney Transplant Recipients. Clinical Nursing Research, 30(7), 950-959. https://doi.org/10.1177/1054773821990263
• Lorenz, E. C., Amer, H., Dean, P. G., Stegall, M. D., Cosio, F. G., & Cheville, A. L. (2015). Adherence to a pedometer-based physical activity intervention following kidney transplant and impact on metabolic parameters. Clinical Transplantation, 29(6), 560-568. https://doi.org/10.1111/CTR.12553
• Mazzoni, D., Cicognani, E., Mosconi, G., Totti, V., Roi, G. S., Trerotola, M., & Nanni Costa, A. (2014). Sport activity and health-related quality of life after kidney transplantation. Transplantation Proceedings, 46(7), 2231-2234. https://doi.org/10.1016/J.TRANSPROCEED.2014.07.049
• Ogutmen, B., Yildirim, A., Sever, M. S., Bozfakioglu, S., Ataman, R., Erek, E., Cetin, O., & Emel, A. (2006). Health-related quality of life after kidney transplantation in comparison intermittent hemodialysis, peritoneal dialysis, and normal controls. Transplantation Proceedings, 38(2), 419-421. https://doi.org/10.1016/J.TRANSPROCEED.2006.01.016
• Öztürk, M. (2005). Üniversitede eğitim-öğretim gören öğrencilerde uluslararası fiziksel aktivite anketinin geçerliliği ve güvenirliği ve fiziksel aktivite düzeylerinin belirlenmesi [Yüksek Lisans Tezi]. Sağlık Bilimleri Enstitüsü.
• Rodrigue, J. R., Mandelbrot, D. A., Hanto, D. W., Johnson, S. R., Karp, S. J., & Pavlakis, M. (2011). A cross-sectional study of fatigue and sleep quality before and after kidney transplantation. Clinical Transplantation, 25(1). https://doi.org/10.1111/J.1399-0012.2010.01326.X
• Roi, G. S., Mosconi, G., Totti, V., Angelini, M. L., Brugin, E., Sarto, P., Merlo, L., Sgarzi, S., Stancari, M., Todeschini, P., Manna, G. La, Ermolao, A., Tripi, F., Andreoli, L., Sella, G., Anedda, A., Stefani, L., Galanti, G., Michele, R. Di, … Costa, A. N. (2018). Renal function and physical fitness after 12-mo supervised training in kidney transplant recipients. World Journal of Transplantation, 8(1), 13. https://doi.org/10.5500/WJT.V8.I1.13
• Romano, G., Lorenzon, E., & Montanaro, D. (2012). Effects of exercise in renal transplant recipients. World Journal of Transplantation, 2(4), 46. https://doi.org/10.5500/WJT.V2.I4.46
• Svensson, M., Jardine, A., Fellström, B., & Holdaas, H. (2012). Prevention of cardiovascular disease after renal transplantation. Current Opinion in Organ Transplantation, 17(4), 393-400. https://doi.org/10.1097/MOT.0B013E3283560A3B
• Takahashi, A., Hu, S. L., & Bostom, A. (2018). Physical Activity in Kidney Transplant Recipients: A Review. American Journal of Kidney Diseases : The Official Journal of the National Kidney Foundation, 72(3), 433-443. https://doi.org/10.1053/J.AJKD.2017.12.005
• Van Adrichem, E. J., De Zande, S. C. V., Dekker, R., Verschuuren, E. A. M., Dijkstra, P. U., & Van Schan, C. P. D. (2016). Perceived Barriers to and Facilitators of Physical Activity in Recipients of Solid Organ Transplantation, a Qualitative Study. PLOS ONE, 11(9), e0162725. https://doi.org/10.1371/JOURNAL.PONE.0162725
• van Sandwijk, M. S., Arashi, D. Al, van de Hare, F. M., Rolien van der Torren, J. M., Kersten, M. J., Bijlsma, J. A., ten Berge, I. J. M., & Bemelman, F. J. (2019). Fatigue, anxiety, depression and quality of life in kidney transplant recipients, haemodialysis patients, patients with a haematological malignancy and healthy controls. Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association, 34(5), 833-838. https://doi.org/10.1093/NDT/GFY103
• WHO guidelines on physical activity and sedentary behaviour. (n.d.). Retrieved June 25, 2023, from https://www.who.int/publications/i/item/9789240015128
• Yıldırım, Y., & Ergin, G. (2013). A validity and reliability study of the Turkish Multidimensional Assessment of Fatigue (MAF) scale in chronic musculoskeletal physical therapy patients. Journal of Back and Musculoskeletal Rehabilitation, 26(6), 307-316. https://doi.org/10.3233/bmr-130385
• Zelle, D. M., Corpeleijn, E., Klaassen, G., Schutte, E., Navis, G., & Bakker, S. J. L. (2016). Fear of Movement and Low Self-Efficacy Are Important Barriers in Physical Activity after Renal Transplantation. PloS One, 11(2). https://doi.org/10.1371/JOURNAL.PONE.0147609
• Zelle, D. M., Kok, T., Dontje, M. L., Danchell, E. I., Navis, G., Van Son, W. J., Bakker, S. J. L., & Corpeleijn, E. (2013). The role of diet and physical activity in post-transplant weight gain after renal transplantation. Clinical Transplantation, 27(4). https://doi.org/10.1111/CTR.12149
• Zhao, S. M., Dong, F. F., Qiu, H. Z., & Li, D. (2018). Quality of Life, Adherence Behavior, and Social Support Among Renal Transplant Recipients in China: A Descriptive Correlational Study. Transplantation Proceedings, 50(10), 3329-3337. https://doi.org/10.1016/J.TRANSPROCEED.2018.05.02