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

IF 2.4 3区医学 Q1 NURSING

Journal of Nursing Research Pub Date : 2022-08-01 DOI:10.1097/jnr.0000000000000506

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

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引用次数: 3

Abstract

ABSTRACT Background Many hemodialysis patients experience fatigue as a result of not achieving dialysis adequacy. Purpose This study was designed to determine the effect of intradialytic range-of-motion exercises on dialysis adequacy and fatigue in patients undergoing hemodialysis. Methods In this two-arm experimental study with repeated measures, participants were allocated to treatment (n = 25, 23 completed) and control (n = 25, 24 completed) groups using computerized simple random sampling. Participants in the treatment group performed 30-minute weekly intradialytic exercise sessions in addition to receiving standard care, whereas those in the control group received standard care only. Results Fatigue and dialysis characteristics were reported at baseline, at the midpoint (end of Week 4), and at the end of Week 8. Whereas mean Kt/V (dialysis adequacy) and urea reduction ratio increased and the fatigue level decreased in the treatment group, these variables did not change in the control group. Significant mean differences in Kt/V, urea reduction ratio, and fatigue between the groups were observed at the end of Week 8. Conclusions Intradialytic range-of-motion exercises are recommended for patients undergoing hemodialysis to increase dialysis adequacy and reduce fatigue.

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血液透析患者透析充分性和疲劳的透析内运动范围的影响。

背景:许多血液透析患者由于没有达到充分的透析而感到疲劳。目的:本研究旨在确定透析患者透析充分性和疲劳的分析内活动范围运动的影响。方法:采用计算机简单随机抽样的方法，将受试者分为治疗组(n = 25，已完成23人)和对照组(n = 25，已完成24人)。治疗组的参与者除了接受标准治疗外，每周进行30分钟的透析内运动，而对照组的参与者只接受标准治疗。结果:在基线、中点(第4周结束)和第8周结束时报告了疲劳和透析特征。而治疗组的平均Kt/V(透析充分性)和尿素还原比增加，疲劳水平下降，而对照组这些变量没有变化。在第8周结束时，观察到各组之间Kt/V、尿素还原率和疲劳的平均差异有统计学意义。结论:建议血液透析患者进行分析性活动范围练习，以增加透析充分性并减少疲劳。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nursing Research NURSING-

CiteScore

4.20

自引率

3.70%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Nursing Research (JNR) is comprised of original articles that come from a variety of national and international institutions and reflect trends and issues of contemporary nursing practice in Taiwan. All articles are published in English so that JNR can better serve the whole nursing profession and introduce nursing in Taiwan to people around the world. Topics cover not only the field of nursing but also related fields such as psychology, education, management and statistics.