PDF(Pubmed)
Abstract：
OBJECTIVE: For older adults, maintaining mobility is a major priority, especially for those with advanced chronic diseases like kidney failure. However, our understanding of the factors affecting mobility in older adults receiving maintenance hemodialysis is limited.
METHODS: Descriptive qualitative study.
METHODS: Using purposive sampling, we recruited (1) persons aged≥60 years receiving maintenance hemodialysis; and (2) care partners (≥18 years) providing regular support to an older adult receiving hemodialysis. During a single in-person home visit, we assessed mobility using the Short Physical Performance Battery (SPPB) and conducted individual one-on-one interviews regarding important personal factors related to mobility.
METHODS: Descriptive statistics were used for demographic and SPPB data. Transcripts underwent thematic coding, informed by the International Classification of Function framework of mobility. We used conceptual content analysis to inductively extract themes and subthemes.
RESULTS: We enrolled 31 older adults receiving hemodialysis (42% female, 68% Black) with a mean age of 73±8 years and mean dialysis vintage of 4.6±3.5 years; their mean SPPB score was 3.6±2.8 points. Among 12 care partners (75% female, 33% Black), the mean age was 54±16 years and mean SPPB score was 10.1±2.4 points. Major themes extracted were (1) mobility represents independence; (2) mobility is precarious; (3) limitations in mobility cause distress; (4) sources of encouragement and motivation are critical; and (5) adaptability is key.
CONCLUSIONS: Modest sample from single geographic area.
CONCLUSIONS: For older adults receiving hemodialysis, mobility is severely limited and is often precarious in nature, causing distress. Older adults receiving hemodialysis and their care partners have identified sources of encouragement and motivation for mobility, and cite an adaptable mindset as important. Future studies should conceptualize mobility as a variable condition and build on this outlook of adaptability in the development of interventions.
METHODS: Descriptive qualitative study.
METHODS: Using purposive sampling, we recruited (1) persons aged≥60 years receiving maintenance hemodialysis; and (2) care partners (≥18 years) providing regular support to an older adult receiving hemodialysis. During a single in-person home visit, we assessed mobility using the Short Physical Performance Battery (SPPB) and conducted individual one-on-one interviews regarding important personal factors related to mobility.
METHODS: Descriptive statistics were used for demographic and SPPB data. Transcripts underwent thematic coding, informed by the International Classification of Function framework of mobility. We used conceptual content analysis to inductively extract themes and subthemes.
RESULTS: We enrolled 31 older adults receiving hemodialysis (42% female, 68% Black) with a mean age of 73±8 years and mean dialysis vintage of 4.6±3.5 years; their mean SPPB score was 3.6±2.8 points. Among 12 care partners (75% female, 33% Black), the mean age was 54±16 years and mean SPPB score was 10.1±2.4 points. Major themes extracted were (1) mobility represents independence; (2) mobility is precarious; (3) limitations in mobility cause distress; (4) sources of encouragement and motivation are critical; and (5) adaptability is key.
CONCLUSIONS: Modest sample from single geographic area.
CONCLUSIONS: For older adults receiving hemodialysis, mobility is severely limited and is often precarious in nature, causing distress. Older adults receiving hemodialysis and their care partners have identified sources of encouragement and motivation for mobility, and cite an adaptable mindset as important. Future studies should conceptualize mobility as a variable condition and build on this outlook of adaptability in the development of interventions.
摘要：
目标：对于老年人，保持流动性是一个主要优先事项，尤其是那些患有肾功能衰竭等慢性疾病的人。然而,我们对影响接受维持性血液透析的老年人活动能力的因素了解有限.
方法：描述性定性研究。
方法：使用目的抽样，我们招募了(1)接受维持性血液透析的年龄≥60岁的患者;(2)为接受血液透析的老年患者提供定期支持的护理伙伴(≥18岁).在一次单独的家庭访问中，我们使用短体能电池(SPPB)评估了行动能力,并就与行动能力相关的重要个人因素进行了单独的一对一访谈.
方法：人口统计学和SPPB数据采用描述性统计。成绩单经过主题编码，由国际流动功能分类框架提供信息。我们使用概念内容分析来归纳提取主题和次主题。
结果：我们招募了31名接受血液透析的老年人（42%为女性，68％的黑人），平均年龄为73±8岁，平均透析年份为4.6±3.5岁；他们的平均SPPB评分为3.6±2.8分。在12名护理伙伴中(75%为女性，33%黑色)，平均年龄为54±16岁,SPPB平均评分为10.1±2.4分.提取的主要主题是（1）流动性代表独立性；（2）流动性不稳定；（3）流动性的限制会导致困扰；（4）鼓励和动机的来源至关重要；（5）适应性是关键。
结论：来自单个地理区域的适度样本。
结论：对于接受血液透析的老年人，流动性受到严重限制，性质上往往岌岌可危，造成痛苦。接受血液透析的老年人和他们的护理伙伴已经确定了鼓励和动力的来源，引用适应性思维很重要。未来的研究应将流动性概念化为可变条件，并在干预措施发展中建立这种适应性观点。
方法：描述性定性研究。
方法：使用目的抽样，我们招募了(1)接受维持性血液透析的年龄≥60岁的患者;(2)为接受血液透析的老年患者提供定期支持的护理伙伴(≥18岁).在一次单独的家庭访问中，我们使用短体能电池(SPPB)评估了行动能力,并就与行动能力相关的重要个人因素进行了单独的一对一访谈.
方法：人口统计学和SPPB数据采用描述性统计。成绩单经过主题编码，由国际流动功能分类框架提供信息。我们使用概念内容分析来归纳提取主题和次主题。
结果：我们招募了31名接受血液透析的老年人（42%为女性，68％的黑人），平均年龄为73±8岁，平均透析年份为4.6±3.5岁；他们的平均SPPB评分为3.6±2.8分。在12名护理伙伴中(75%为女性，33%黑色)，平均年龄为54±16岁,SPPB平均评分为10.1±2.4分.提取的主要主题是（1）流动性代表独立性；（2）流动性不稳定；（3）流动性的限制会导致困扰；（4）鼓励和动机的来源至关重要；（5）适应性是关键。
结论：来自单个地理区域的适度样本。
结论：对于接受血液透析的老年人，流动性受到严重限制，性质上往往岌岌可危，造成痛苦。接受血液透析的老年人和他们的护理伙伴已经确定了鼓励和动力的来源，引用适应性思维很重要。未来的研究应将流动性概念化为可变条件，并在干预措施发展中建立这种适应性观点。
