Effect of intradialytic exercise on fatigue, electrolytes level and blood pressure in hemodialysis patients: A randomized controlled trial

Abstract

Background: Hemodialysis is a physically stressful procedure and most of the patients will have fatigue and thereby an alteration in the electrolytes, hemoglobin level. Physical Exercises provided during Hemodialysis session do not cost patients extra time and will be effective in reducing fatigue level and enhancing potential for performing their activities of daily living & may increase the waste removal. Objective: This study was conducted to determine the impact of an eight-week Intradialytic Range of Motion Exercise program (consisting of 15 minutes low-intensity exercise during the first 2 hours of Hemodialysis) on Fatigue, electrolytes levels, Hemoglobin and Blood pressure. Methods: A randomized controlled pre test post test design was utilized in this study in a hemodialysis unit, a total of 30 hemodialysis patients were enrolled into the study and randomly allocated into two groups. The experimental (The exercise group) (n = 18) and the control group (n = 12). Range of Motion Exercises were done in the experimental group for 15 min/day, three times a week for 2 months. Fatigue was measured via a Iowa Fatigue Scale (IFS) and Physiologic Parameters Form to measure serum electrolyte level, hemoglobin and blood pressure pre and post as well as at the end of each month after the intervention in both groups. Results: After an 8-week of Intradialytic Range of Motion Exercises program, a significant reduction were seen in fatigue level, serum phosphate and potassium, calcium, urea, creatinine and a slight increase in hemoglobin level. Systolic and diastolic blood pressure changed significantly in the exercise group (p < .05). Conclusions: A simplified physical exercise program may be considered as a safe, and effective clinical nursing modality in patients with end-stage renal disease on Hemodialysis.

Effect of Exercise Program on Fatigue and Depression among Geriatric Patients Undergoing Hemodialysis

“…In addition, no significant relation was found between fatigue level and marital status of the hemodialysis geriatric patients in this study. This result supports those of Soliman (2015). Moreover, the present study showed a significant relation between fatigue level and occupation before retirement.…”

“…Using inclusion and exclusion criteria, the eligible participants were 76 geriatric patients. The sample size was calculated using DSS sample calculator using the following parameters: Alpha error = 0.05, Beta error = 0.20, the first proportion 15% and the second proportion 45% (Maniam et al, 2014;Soliman, 2015;Hassanpour & Jalali, 2016). Based on these parameters the required sample size in the proposed study was 56 geriatric patients.…”

“…A study was done by Horrigan et al, (2012) in USA, revealed that, all patients on long term hemodialysis suffer from fatigue. In addition,Soliman (2015) in Egypt mentioned that, 100% of the studied sample experienced fatigue. From these results, it is evident that fatigue is common in geriatric patients undergoing hemodialysis and the emphasis on and attention to this symptom is needed on the part of healthcare providers especially nurses.…”

Hypertension Exercise Videos Reduce Blood Pressure of Hypertension Patients

“…This is also in line with other studies that hypertension exercise can reduce BP in the elderly and hypertension exercise can be used as one of the independent interventions to the lower BP [12], [13]. This research is that supports this research is the other studies The intradialitic exercise can reduce systolic BP with p-value of 0.002 and can reduce diastolic BP in patients undergoing hemodialysis with p-value of 0.014 [15], [16], [17].…”

Can passive pedaling improve sexual function in patients under hemodialysis? A randomized clinical trial

“…Exercise, as a therapeutic tool can potentially be effective in preventing and improving muscle weakness and improving physical function and the health‐related quality of life in patients undergoing HD [14,20]. The results of various studies show that PA improves the complications of dialysis in these patients, including regulation of some laboratory parameters such as potassium, phosphate, calcium, urea and creatinine, hemoglobin, and blood pressure [21,22].…”