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

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

《The Journal of Nursing Research》 30卷4期 (2022/08) Pp. 1-8

https://doi.org/10.1097/jnr.0000000000000506

摘要

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.

關鍵字

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

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