{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T12:27:41Z","timestamp":1793968061211,"version":"4.8.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T00:00:00Z","timestamp":1783036800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Artif Organs"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To examine foot care behaviors, perceived benefits and barriers to exercise, and the relationships between these factors among diabetic patients undergoing hemodialysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Major findings:<\/jats:title>\n                    <jats:p>\n                      This study included 151 adults with type 2 diabetes receiving hemodialysis in Istanbul. Data were collected using the Foot Care Behavior Scale, the Diabetic Foot Care Self-Efficacy Scale, and the Exercise Benefits\/Barriers Scale for Dialysis Patients. Descriptive statistics,\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -tests, ANOVA, correlation analyses, and linear regression were conducted. Higher education and health literacy were associated with improved foot care behaviors and greater perceived benefits of exercise. Fatigue, comorbidities, and lack of knowledge were identified as major barriers to exercise. Regression analysis showed that gender, age, albumin level, and exercise status significantly influenced perceived benefits and barriers.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Nursing interventions should focus on patient education, strengthening self-efficacy, and providing individualized exercise guidance to improve outcomes among diabetic hemodialysis patients. These findings highlight the critical role of nurses in promoting self-care behaviors and physical activity among diabetic hemodialysis patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03913988261455770","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T09:40:40Z","timestamp":1783071640000},"page":"689-696","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Foot care behaviors and perceived exercise benefits and barriers in diabetic hemodialysis patients"],"prefix":"10.1177","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2424-8708","authenticated-orcid":false,"given":"Medine","family":"Yucesoy Isler","sequence":"first","affiliation":[{"name":"Department of Nursing, Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8920-1041","authenticated-orcid":false,"given":"Elif","family":"Bulbul","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Nursing, Hamidiye Faculty of Nursing, University of Health Sciences, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,3]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"IDF diabetes atlas","author":"International Diabetes Federation","year":"2025","unstructured":"International Diabetes Federation. IDF diabetes atlas. 11th ed. Brussels: International Diabetes Federation, 2025.","edition":"11"},{"key":"e_1_3_3_3_2","volume-title":"Diabetes and kidney disease","author":"International Diabetes Federation","year":"2023","unstructured":"International Diabetes Federation. Diabetes and kidney disease. IDF Atlas Reports, 2023."},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10071368"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/dme.12831"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfaa107"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40620-025-02245-1"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-023-03158-6"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0193945907303104"},{"key":"e_1_3_3_10_2","unstructured":"K\u0131r Bi\u00e7er E En\u00e7 N. Ayak Bak\u0131m Davran\u0131\u015f\u0131 \u00d6l\u00e7e\u011fi T\u00fcrk\u00e7e Formu ge\u00e7erlik ve g\u00fcvenirli\u011fi. Diyab Obez Hipertans Hems Forumu (DOHH) 2014; 6(2): 35\u201339."},{"key":"e_1_3_3_11_2","unstructured":"K\u0131r Bi\u00e7er E En\u00e7 N. Diyabetik Ayak Bak\u0131m\u0131 \u00d6zetkililik \u00d6l\u00e7e\u011finin ge\u00e7erlik ve g\u00fcvenirlik \u00e7al\u0131\u015fmas\u0131. Diyab Obez Hipertans Hems Forumu (DOHH) 2014; 6(2): 40\u201345."},{"key":"e_1_3_3_12_2","unstructured":"Quarles BE. Educational methods to increase self-efficacy for managing foot care in adults with diabetes and the implementation of foot care behaviors. Doctoral dissertation College of Education University of Kentucky USA 2005."},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2009.05.023"},{"issue":"1","key":"e_1_3_3_14_2","first-page":"17","article-title":"Diyaliz Hastalar\u0131nda Egzersiz Yararlar\u0131\/Engelleri \u00d6l\u00e7e\u011fi\u201d nin T\u00fcrk\u00e7eye Uyarlanmas\u0131: Ge\u00e7erlik ve G\u00fcvenirlik \u00c7al\u0131\u015fmas\u0131","volume":"14","author":"Ta\u015f D","year":"2019","unstructured":"Ta\u015f D, Akyol A. Diyaliz Hastalar\u0131nda Egzersiz Yararlar\u0131\/Engelleri \u00d6l\u00e7e\u011fi\u201d nin T\u00fcrk\u00e7eye Uyarlanmas\u0131: Ge\u00e7erlik ve G\u00fcvenirlik \u00c7al\u0131\u015fmas\u0131. Nefroloji Hem\u015fireli\u011fi Dergisi 2019; 14(1): 17\u201325.","journal-title":"Nefroloji Hem\u015fireli\u011fi Dergisi"},{"key":"e_1_3_3_15_2","volume-title":"Using multivariate statistics","author":"Tabachnick BG","year":"2013","unstructured":"Tabachnick BG, Fidell LS, Ullman JB. Using multivariate statistics. 6th ed. 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