Processos afetivo-reflexivos na tomada de decisão para o comportamento de exercício em pessoas com doença renal crônica: uma análise qualitativa

Abstract

Abstract This study aimed to explore the affective-reflective factors that tend to influence the participation of patients with chronic kidney disease (CKD) in physical exercise programs. A 16 qualitative study was conducted with adults and elderly individuals with CKD, using interviews that explored their experiences with exercise, perceptions of benefits, risks, barriers, and facilitators, and the emotional and reflective factors that influence adherence to the practice. The results indicated that participants' choices regarding a physically active lifestyle depend not only on "knowing that it is good for you," but also on how they feel about the activity (pleasant, tiring, painful). These automatic affective responses sometimes inhibit action, even in the face of rational beliefs. The accounts demonstrated that exercise practice is shaped by a combination of affective experiences, reflective beliefs, social support, physical barriers, and the quality of information received. We conclude that the decision-making process for exercise in people with CKD results from the interaction between past experiences, automatic affects, and reflective processes. The study reinforces the importance of active listening, adequate support, and clear guidance to foster positive emotional associations and strengthen deliberative processes that support active behaviors.