The Effect of Intradialytic Range of Motion Exercise on Dialysis Adequacy and Fatigue in Hemodialysis Patients

Malini, Hema; Forwaty, Erni; Cleary, Michelle; Visentin, Denis; Oktarina, Elvi; Lenggogeni, Devia Putri

doi:10.1097/jnr.0000000000000506

Cited by 9 publications

(7 citation statements)

References 25 publications

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“…The results were consistent with former studies. 17 , 57 , 58 Although the anxiety score reduced over time, we found a nonsignificant improvement in patients’ anxiety. The finding was in line with the systematic review of Hargrove, El Tobgy, Zhou, Pinder, Plant, Askin, Bieber, Collister, Whitlock, Tangri, Bohm, 59 which looked at the effectiveness of aerobic exercise on patients’ anxiety and demonstrated inconclusive results.…”

Section: Discussioncontrasting

confidence: 52%

Does Intradialytic Group Exercise Programme Influence Patient-Reported Outcomes, Laboratory Parameters, and Anthropometric Parameters in Maintenance Hemodialysis Patients? A Single-Group Repeated-Measures Trial

Zhou¹,

Shi²,

Zhang³

et al. 2023

PPA

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Background Maintenance hemodialysis(MHD) patients often suffer from fatigue and are recommended to undertake physical activities. The optimal format of exercise rehabilitation for MHD patients remains uncertain despite demonstrated health benefits. This study aimed to evaluate the effectiveness of an intradialytic group exercise programme for MHD patients. Methods This was a single-centre, single-group repeated-measures design study. The 12-week, three times per-week intradialytic group exercise programme was conducted for around 30 min during the first 2 hours of each dialysis session. Patient-reported outcomes including fatigue, anxiety, depression and health-related quality of life, laboratory parameters including haemoglobin, albumin, pre-albumin and hypersensitive C-reactive protein, and anthropometric parameters including triceps skinfold thickness, mid-upper arm circumference, mid-arm muscle circumference and handgrip strength, were measured at baseline, immediately post-intervention and 12-weeks post-intervention. The repeated-measures analysis of variance and Friedman test were used to compare the parametric and non‐parametric data across time points, respectively. Results Ninety patients were enrolled and 75 completed. Participants reported significant improvements across time points in fatigue ( F = 10.19, p < 0.01), depression ( F = 19.20, p < 0.001), health-related quality of life ( F = 5.36, p = 0.006), haemoglobin ( F = 3.43, p = 0.047), albumin ( F = 4.42, p = 0.032), hypersensitive C-reactive protein ( χ 2 = 50.39, p < 0.001), pre-albumin ( χ 2 = 11.85, p = 0.003), triceps skinfold thickness ( F = 25.03, p < 0.001), mid-upper arm circumference ( F = 6.32, p = 0.005), mid-arm muscle circumference ( F = 4.89, p = 0.02), and handgrip strength ( F = 13.59, p < 0.001). Although the mean anxiety score tended to reduce, the difference across time points was nonsignificant ( F = 1.33, p = 0.27). Conclusion The findings suggested that the intradialytic group exercise programme could improve MHD patients’ fatigue, depression, health-related quality of life, nutritional status, and inflammation. Trial Registration Chinese Clinical Trial Registry ChiCTR2000034394 (04/07/2020).

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Section: Discussioncontrasting

confidence: 52%

Does Intradialytic Group Exercise Programme Influence Patient-Reported Outcomes, Laboratory Parameters, and Anthropometric Parameters in Maintenance Hemodialysis Patients? A Single-Group Repeated-Measures Trial

Zhou¹,

Shi²,

Zhang³

et al. 2023

PPA

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“…Pasien penyakit ginjal kronis (PGK) stadium akhir atau end stage renal disesase (ESRD) yang sudah menjalani hemodialisis (HD) rutin sekalipun, masih tetap mengalami masalah, baik fisik maupun psikologis yang dapat mengakibatkan penurunan kualitas hidup (Ganu et al, 2018). Ada berbagai intervensi yang dapat dilakukan untuk meningkatkan kualitas hidup pasien, seperti intervensi intradialytic exercise (Forwaty et al, 2021) yang diketahui dapat meningkatkan edukasi dialisis yang pada akhirnya dapat menurunkan fatique (Malini et al, 2022), serta mengatasi depresi dan insomnia (Forwaty et al, 2019).…”

Section: Pendahuluanunclassified

Application of evidence based practice: Interdialytic weight gain (IDWG) management intervention in hemodialysis patients at Arifin Hospital, Riau

Forwaty

Khusniyati

Usraleli

2022

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The physical problem that is often experienced by hemodialysis (HD) patients and is difficult to overcome is the problem of excess fluid. This can be seen from the patient's weight gain between dialysis times or called interdialytic weight gain (IDWG). A high IDWG is associated with a higher risk of cardiovascular causes of death and increased morbidity. The application of evidence based practice in the form of IDWG management interventions has been proven to be able to overcome excessive weight gain between the two HD or IDWG times. The purpose of this community service is to increase the knowledge and skills of HD patients regarding evidence based practice in the form of IDWG management interventions. The method of implementing community service activities is in the form of training packaged with HD patients on IDWG management with lectures, questions and answers, and demonstrations. The resulting impact is an increase in the knowledge and skills of HD patients regarding IDWG management with a standard percentage of IDWG weight gain of 22% and IDWG weight loss >3.5% of 14% after implementing IDWG management. In addition, the patient has been able to apply techniques to overcome thirst and xerosemia. Nurses and the patient's family must take part in providing support for patient compliance in implementing IDWG management so that patients can avoid complications from excess fluid problems which can ultimately improve the patient's quality of life.

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“…Moreover, their adherence to salt restriction can reduce their TD 39 . Close adherence to pharmacological and non-pharmacological therapies such as nutrition therapy, sleep improvement modalities, stress management, physical exercise, and yoga can reduce fatigue among these patients 40 . Moreover, adherence to treatments for anemia can increase hemoglobin levels and oxygen transport and thereby, reduce fatigue 41 .…”

Section: Introductionmentioning

confidence: 99%

The relationship between fatigue, pruritus, and thirst distress with quality of life among patients receiving hemodialysis: a mediator model to test concept of treatment adherence

Sharif-Nia,

Marôco,

Froelicher

et al. 2024

Sci Rep

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Hemodialysis is a conservative treatment for end-stage renal disease. It has various complications which negatively affect quality of life (QOL). This study aimed to examine the relationship between fatigue, pruritus, and thirst distress (TD) with QOL of patients receiving hemodialysis, while also considering the mediating role of treatment adherence (TA). This cross-sectional study was carried out in 2023 on 411 patients receiving hemodialysis. Participants were consecutively recruited from several dialysis centers in Iran. Data were collected using a demographic information form, the Fatigue Assessment Scale, the Thirst Distress Scale, the Pruritus Severity Scale, the 12-Item Short Form Health Survey, and the modified version of the Greek Simplified Medication Adherence Questionnaire for Hemodialysis Patients. Covariance-based structural equation modeling was used for data analysis. The structural model and hypothesis testing results showed that all hypotheses were supported in this study. QOL had a significant inverse association with fatigue, pruritus, and TD and a significant positive association with TA. TA partially mediated the association of QOL with fatigue, pruritus, and TD, denoting that it helped counteract the negative association of these complications on QOL. This model explained 68.5% of the total variance of QOL. Fatigue, pruritus, and TD have a negative association with QOL among patients receiving hemodialysis, while TA reduces these negative associations. Therefore, TA is greatly important to manage the associations of these complications and improve patient outcomes. Healthcare providers need to assign high priority to TA improvement among these patients to reduce their fatigue, pruritus, and TD and improve their QOL. Further studies are necessary to determine the most effective strategies for improving TA and reducing the burden of complications in this patient population.

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The Effect of Intradialytic Range of Motion Exercise on Dialysis Adequacy and Fatigue in Hemodialysis Patients

Cited by 9 publications

References 25 publications

Does Intradialytic Group Exercise Programme Influence Patient-Reported Outcomes, Laboratory Parameters, and Anthropometric Parameters in Maintenance Hemodialysis Patients? A Single-Group Repeated-Measures Trial

Does Intradialytic Group Exercise Programme Influence Patient-Reported Outcomes, Laboratory Parameters, and Anthropometric Parameters in Maintenance Hemodialysis Patients? A Single-Group Repeated-Measures Trial

Application of evidence based practice: Interdialytic weight gain (IDWG) management intervention in hemodialysis patients at Arifin Hospital, Riau

The relationship between fatigue, pruritus, and thirst distress with quality of life among patients receiving hemodialysis: a mediator model to test concept of treatment adherence

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