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

10.1097/jnr.0000000000000506

Hema MALINI；Erni FORWATY；Michelle CLEARY；Denis VISENTIN；Elvi OKTARINA；Devia Putri LENGGOGENI

intradialytic exercise ； dialysis adequacy ； fatigue ； active movement ； hemodialysis

The Journal of Nursing Research

30卷4期（2022 / 08 / 01）

1 - 8

英文

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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