Effectiveness of Intradialytic Stretching Exercise on Pain due to Muscle Cramps among Patients Undergoing Haemodialysis at a Selected Tertiary Care Hospital Bhubaneswar, Odisha
Abstract:Among the patients undergoing haemodialysis, complication of muscle cramps, commonly occurs in calf muscles, feet, toes and thigh. Stretching exercises are the best measure to reduce or prevent cramps from occurring during haemodialysis among chronic renal failure patients. In this study to evaluate the effectiveness of intra dialytic stretching exercise on pain due to muscle cramps among haemodialysis patient, randomised controlled clinical trial design was adopted; 162 patients, undergoing dialysis at Pradyu… Show more
“…(Takahashi, 2021). The triggers of this cramping including hypotension, electrolyte depletion, carnitine depletion, changes in plasma osmolality hyponatremia, hypomagnesaemia, and tissue hypoxia (Bagchi, 2020;Anbu & Rathiga, 2021). Muscle cramps may be extremely severe that cause the patients to discontinue their HD sessions earlier (Dhudum & Bhore, 2020).…”
Background: Muscle cramps occur frequently among elderly hemodialysis patients, which can be avoided by the application of intradialytic stretching exercises. Purpose: Determine the effect of intradialytic stretching exercises on muscle cramps among elderly patients undergoing hemodialysis. Setting: The study was conducted at hemodialysis unit in Meet Khaqan Health Center affiliated to Shebin El-Koum Fever Hospital. Sample: The study subjects comprised of a convenience sample of 50 elderly patients who were registered in dialysis unit's files. Instruments: First, Structured interviewing questionnaire. Second, cramp questionnaire chart and visual analogue scale. Results: There was a highly statistically significant difference in the level of muscle cramps pre and post implementation of intradialytic stretching exercises (p < 0.001**).
Conclusion:There was a significant reduction in the muscle cramps level after application of the intradialytic stretching exercises. Thus, these exercises are an effective and simple measure to prevent or reduce severity of muscle cramps among elderly hemodialysis patients. Recommendations: Intradialytic stretching exercises should be combined with routine nursing care for hemodialysis patients.
“…(Takahashi, 2021). The triggers of this cramping including hypotension, electrolyte depletion, carnitine depletion, changes in plasma osmolality hyponatremia, hypomagnesaemia, and tissue hypoxia (Bagchi, 2020;Anbu & Rathiga, 2021). Muscle cramps may be extremely severe that cause the patients to discontinue their HD sessions earlier (Dhudum & Bhore, 2020).…”
Background: Muscle cramps occur frequently among elderly hemodialysis patients, which can be avoided by the application of intradialytic stretching exercises. Purpose: Determine the effect of intradialytic stretching exercises on muscle cramps among elderly patients undergoing hemodialysis. Setting: The study was conducted at hemodialysis unit in Meet Khaqan Health Center affiliated to Shebin El-Koum Fever Hospital. Sample: The study subjects comprised of a convenience sample of 50 elderly patients who were registered in dialysis unit's files. Instruments: First, Structured interviewing questionnaire. Second, cramp questionnaire chart and visual analogue scale. Results: There was a highly statistically significant difference in the level of muscle cramps pre and post implementation of intradialytic stretching exercises (p < 0.001**).
Conclusion:There was a significant reduction in the muscle cramps level after application of the intradialytic stretching exercises. Thus, these exercises are an effective and simple measure to prevent or reduce severity of muscle cramps among elderly hemodialysis patients. Recommendations: Intradialytic stretching exercises should be combined with routine nursing care for hemodialysis patients.
“…It happens when renal function is lost completely or partially. (1) The most severe type of chronic kidney disease is end-stage renal disease. It is a disorder that necessitates continuous hemodialysis as part of chronic kidney replacement therapy and is characterized by a very low glomerular filtration rate along with uremic symptoms or over hydration.…”
Background: Muscle cramps and impaired peripheral perfusion are the most common complications experienced by children undergoing hemodialysis. Intradialytic exercises are the best measures to reduce muscle cramps which occurring during hemodialysis to increase the cardiac output, enhancing perfusion and facilitating oxygen demand of the skeletal muscles. Aim of the study was to evaluate the effect of intradialytic exercises program for nurses on peripheral muscle cramps and peripheral perfusion among children undergoing hemodialysis. Setting: The study was conducted at Children Renal Dialysis Unit at Benha University Hospital. Design: A quasi-experimental design was used to conduct the study. Subjects: Sample (I) A convenient sample of (30) nurses was selected from the previously mentioned setting, Sample ( 2) A purposive sample of 36 children undergoing hemodialysis. Tools of data collection: Five tools were used; Tool I: Nurses characteristics and children bio-sociodemographic data included three parts: (1) The studied nurses' characteristics, (2) Studied children characteristics (3) Clinical data of children undergoing hemodialysis, Tool II: Knowledge assessment questionnaire, Tool III: Intradialytic exercises checklist, Tool IV: Muscle cramp questionnaire chart Tool V: Assessment checklist for clinical features of impaired peripheral perfusion. Results: There is a highly statistical significant difference between frequency and duration of muscle cramps, level of pain, leg temperature and discomfort pre and post-intradialytic exercises program implementation. There was high statistical significant difference between clinical features of impaired peripheral perfusion pre and post-intradialytic exercises program. Conclusion: The majority of the studied nurses had good level of knowledge and satisfactory level of practices post-intradialytic exercises program implementation compared to pre-intradialytic exercises program implementation Recommendations: Organizing continuous training programs for nurses to reinforce intradialytic exercises for hemodialysis children. Structured training program can be provided to children undergoing hemodialysis on active intradialytic exercises.
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