Evaluation of the Use of Intradialytic Exercise and Cognitive Behavior Therapy for Improving Patients’ Quality of Life Undergoing Hemodialysis: A Systematic Review

Chronic kidney disease not only impacts physical status but also psychological status leading to low quality of life. Patients with chronic kidney disease often receive hemodialysis as replacement therapy for kidney function. Studies preventing the deterioration of quality of life were published in the literature. However, none discusses the combination therapy between intradialytic exercise and cognitive behavior therapy. Therefore, the review aims at evaluating these combination therapies in patients with hemodialysis. The study used a systematic literature review design to identify all articles on intradialytic exercise and cognitive behavior therapy. The results highlighted that there is an improvement in quality of life when implementing combination therapies. Furthermore, it helps to accelerate the medical approach to chronic kidney disease. Further study should focus on the use of therapies among patients with different stages of kidney failure.