A nurse-led case management program on home exercise training for hemodialysis patients: A randomized controlled trial

Tao, Xingjuan; Chow, Susan Ka Yee; Wong, Frances Kam Yuet

doi:10.1016/j.ijnurstu.2015.03.013

Cited by 49 publications

(68 citation statements)

References 65 publications

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“…Third, the frequent communication between researcher and participants may also have exerted a psychologically positive impact, further contributing to improvement in the participants' perceived well‐being. (Tao, Chow, & Wong, ) Finally, this group of patients is not necessarily representative of all early‐stage CKD patients in China; thus, the results should be generalized with caution.…”

Section: Discussionmentioning

confidence: 99%

Effects of individualized exercise program on physical function, psychological dimensions, and health‐related quality of life in patients with chronic kidney disease: A randomized controlled trial in China

Tang

Yang

Fan

et al. 2017

Int J of Nursing Practice

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The aim of this study was to examine the effects of a 12-week home-based exercise program on physical function, psychological dimensions, and health-related quality of life for patients with chronic kidney disease. Ninety eligible patients were enrolled and randomly separated into the exercise group and the control group from November 2015 to May 2016. The exercise group received an individualized exercise program while the control group received only usual care and continued primary lifestyle. Physical function was measured using 6-minute walk test and 10 repetitions of the sit-to-stand test while psychological dimensions were assessed by the Hospital Anxiety and Depression scale and the Self-Efficacy for Exercise scale. Quality of life was evaluated by a disease-specific instrument, the Kidney Disease Quality of Life scale. The differences between the exercise group and the control group were statistically significant for 6-minute walk distance, the time to complete 10 repetitions of the sit-to-stand test, self-efficacy for exercise, anxiety and depression, and all domains of health-related quality of life after a 12-week exercise. This study suggests that home-based individualized exercise program is an effective and feasible way of improving physical function, psychological stress, and health-related quality of life for early stage of chronic kidney disease patients.

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Section: Discussionmentioning

confidence: 99%

Effects of individualized exercise program on physical function, psychological dimensions, and health‐related quality of life in patients with chronic kidney disease: A randomized controlled trial in China

Tang

Yang

Fan

et al. 2017

Int J of Nursing Practice

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show abstract

“…The most frequent exercise type was aerobic exercise. Combined [35,37,[39][40][41][42][43][44][45][46] and resistance exercise [33,34,36,38,47,48] were the next most common. Three times per week was the most popular exercise frequency, followed by two times per week [37] and four [44] times per week.…”

Section: Study Characteristicsmentioning

confidence: 99%

Exercise-Based Interventions in Hemodialysis Patients: A Systematic Review with a Meta-Analysis of Randomized Controlled Trials

Bogataj

Pajek

et al. 2019

JCM

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There is a lack of agreement on the efficacy of different exercise interventions in hemodialysis patients. We analyzed which exercise type is the most beneficial in terms of functional fitness and inflammation. A literature search of seven databases yielded 33 studies that met the inclusion criteria. Compared with an inactive control, the intervention group showed moderate effects (ES = 0.74; 95% CI 0.35 to 1.14; p < 0.001; and ES = 0.70; 95% CI 0.39 to 1.01; p < 0.001; respectively) on functional capacity (six-minute walk test) and oxygen consumption. Small nonsignificant effects were observed for aerobic (ES = −0.36; 95% CI −0.85 to 0.13; p = 0.154) and resistance (ES = −0.44; 95% CI −1.07 to 0.19; p = 0.169) training types, whereas moderate effects were found for combined (ES = −0.69; 95% CI −1.47 to 0.10; p = 0.088) training type based on a 10-repetition sit-to-stand test. Further, large and small effects were observed for aerobic (ES = −1.21; 95% CI −1.94 to −0.49; p = 0.001) and resistance training (ES = −0.54; 95% CI −0.90 to −0.17; p = 0.004) types on C-reactive protein. Overall, the results showed the numerically largest effect sizes for combined types compared to solely aerobic or resistance training types, with the differences between training types not reaching statistical significance. There was a significant modifying impact of age, training frequency, and session duration on performance and inflammatory outcomes.

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“…Self‐management is an important aspect of effective care in chronic kidney disease patients (Lin, Liu, Hsu, & Tsai, ). As reported, the self‐management of haemodialysis patients is poor worldwide, especially in low‐ and middle‐income countries, including China (Dou, ; Sutton, Ovington, & Engel, ; Tao, Chow, & Wong, ). In China, due to personnel shortages, patients often received limited knowledge or training in self‐management.…”

Section: Introductionmentioning

confidence: 99%

Effects of a transtheoretical model‐based WeChat health education programme on self‐management among haemodialysis patients: A longitudinal experimental intervention study

Ren

Lian

Liu

et al. 2019

Journal of Advanced Nursing

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Aim To examine the effects of a transtheoretical model‐based WeChat health education programme on self‐management in haemodialysis patients in China. Design A longitudinal experimental intervention study. Methods Patients (N = 120) who underwent haemodialysis from December 2015–November 2017 were recruited and randomly allocated to either group 1 (who received a 3‐month WeChat health education immediately after randomization) or group 2 (who was combined with group 1 and received the same intervention at the 5th month after enrolment in the study). Self‐management, knowledge and self‐efficacy were assessed at baseline (T0), 3 months after enrolment in the study (T1), 21 months after enrolment in the study (T2). Results There were significant group effects on self‐efficacy; time effects on partnership, self‐care, emotion management with total self‐management; interaction effects on problem‐solving and emotion management within total self‐management according to the two‐way repeated measures ANCOVA. Further between‐group comparisons indicated that patients in group 1 had better self‐management than those in group 2 at T1. Within‐group comparisons demonstrated that, compared with the baseline values, group 1 had significantly improved self‐management at T1; however, group 2 had improved self‐management at T2. Conclusion The transtheoretical model‐based WeChat health education programme had a potentially positive effect on improving the self‐management of haemodialysis patients. Impact Self‐management is often difficult yet crucial for haemodialysis patients. This study indicated that the transtheoretical model‐based WeChat health education resulted in improved self‐management in haemodialysis patients and can be implemented in continuing care during the interdialysis period to improve self‐management in patients. Trial registration: ChiCTR1800018172.

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A nurse-led case management program on home exercise training for hemodialysis patients: A randomized controlled trial

Cited by 49 publications

References 65 publications

Effects of individualized exercise program on physical function, psychological dimensions, and health‐related quality of life in patients with chronic kidney disease: A randomized controlled trial in China

Effects of individualized exercise program on physical function, psychological dimensions, and health‐related quality of life in patients with chronic kidney disease: A randomized controlled trial in China

Exercise-Based Interventions in Hemodialysis Patients: A Systematic Review with a Meta-Analysis of Randomized Controlled Trials

Effects of a transtheoretical model‐based WeChat health education programme on self‐management among haemodialysis patients: A longitudinal experimental intervention study

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