改良瑜伽计划对接受血液透析的慢性肾病（CKD）患者：一项随机对照试验的研究方案

IF 1.7 Q2 Medicine

Advances in integrative medicine Pub Date : 2024-12-01 DOI:10.1016/j.aimed.2024.08.013

V. Raghunandan, Apar Avinash Saoji

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引用次数: 0

摘要

背景与目的血液透析是挽救终末期肾脏疾病（ESRD）生命的一种治疗方法。透析患者有各种生理和心理上的副作用，显著降低了他们的生活质量。瑜伽被证明能显著改善慢性肾脏疾病（CKD）患者的生理和心理症状。目前的研究评估了瑜伽对血液透析依赖的CKD患者的肾脏、心脏和心理健康的影响。方法和分析80例接受透析治疗的ESRD合并CKD 5期患者将被纳入研究。每组40人将被随机分配到瑜伽组和等候组。除了标准治疗（药物和血液透析）外，瑜伽组还将接受一项修改后的60分钟瑜伽课程。等候名单对照组的标准治疗将继续进行。数据将在基线、第一个月末、第三个月末和第六个月收集。估计肾小球滤过率（eGFR）是主要变量。次要变量包括肾功能检查、血红蛋白、c反应蛋白，以及通过问卷调查获得的主观变量（疼痛、抑郁、焦虑、疲劳、症状评分、睡眠质量和生活质量）。经正态性检查后，对数据进行相应的统计检验。目前的研究结果可以强调医院护理需要以病人为中心，考虑到个人健康方面的整体方法。伦理与传播本研究已被视为大学的S-VYASA机构伦理委员会批准。在纳入参与者之前，将获得自愿参与和书面同意。这项研究的结果将通过研究文章和会议加以传播。印度临床试验注册中心的试验注册号为ctri /2021/11/038244。

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Modified yoga program for Chronic Kidney Disease (CKD) patients undergoing hemodialysis: Study protocol for a randomized controlled trial

Background and objectives

Hemodialysis is a life-saving treatment for end-stage renal disease (ESRD). Dialysis patients have a variety of physical and psychological side effects that significantly lower their quality of life. Yoga demonstrated to significantly improve Chronic Kidney Disease (CKD) patients' physical and psychological symptoms. The current study evaluates the impact of Yoga on the renal, cardiac, and psychological health of hemodialysis-dependent individuals with CKD.

Methods and analysis

Eighty ESRD patients with CKD stage-5 undergoing dialysis will be recruited for the study. 40 people in each group will be randomly assigned to the yoga and wait-list control groups. A modified sixty-minute yoga program will be given to the yoga group as an intervention in addition to the standard treatments (medication and hemodialysis). The wait-list control group's standard treatments will continue. Data will be collected at baseline, the end of the first month, the third month, and six months. The estimated Glomerular Filtration Rate (eGFR) is the primary variable. Secondary variables include renal function tests, hemoglobin, C-reactive protein, and subjective variables obtained through questionnaires (pain, depression, anxiety, fatigue, symptom score, sleep quality, and Quality of Life). Data will be analyzed with appropriate statistical tests after normality checks. The current study results could underscore the need for a patient-centered, holistic approach in hospital care that takes into account individual health dimensions.

Ethics and dissemination

The study is approved by the Institutional Ethics Committee of S-VYASA Deemed to be University. Voluntary participation and a written consent form will be obtained prior to the inclusion of participants. The findings of the study will be disseminated through research articles and conferences.

Trial registration number

CTRI/2021/11/038244 at Clinical Trial Registry of India.

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来源期刊

Advances in integrative medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

3.20

自引率

11.80%

发文量

审稿时长

15 weeks

期刊介绍： Advances in Integrative Medicine (AIMED) is an international peer-reviewed, evidence-based research and review journal that is multi-disciplinary within the fields of Integrative and Complementary Medicine. The journal focuses on rigorous quantitative and qualitative research including systematic reviews, clinical trials and surveys, whilst also welcoming medical hypotheses and clinically-relevant articles and case studies disclosing practical learning tools for the consulting practitioner. By promoting research and practice excellence in the field, and cross collaboration between relevant practitioner groups and associations, the journal aims to advance the practice of IM, identify areas for future research, and improve patient health outcomes. International networking is encouraged through clinical innovation, the establishment of best practice and by providing opportunities for cooperation between organisations and communities.