Effects of a Muscle Strength Reinforcement Exercise Program for Older Adult Patients on Hemodialysis

Abstract

The purpose of this study was to examine effects of a muscle strength reinforcement exercise program (MSREP) for older adult patients with hemodialysis (OAPHD) which was designed to improve health status and quality of life of these older adult patients. Methods: Participants were 40 patients with OAPHD: 20 in the experimental group and 20 in the control group. MSREP was conducted with the experimental group for 12 weeks at H geriatric hospital. An assessment was done to determine effects on physical performance, inflammation index, fatigue, muscle strength and quality of life. Short physical performance battery, C-Reactive Protein (CRP), visual analog scale for fatigue, object lifting' proposed by the Life Options Rehabilitation Advisory Council, sit-to-stand test, and quality of life index were used to gather data. Results: Between the 2 groups there was no significant difference in scores for physical performance, fatigue or quality of life. However, the 2 groups showed significant difference in CRP values and muscle power scores on post-test. Conclusion: Findings provide evidence for the potential utility of education for older adult patients with hemodialysis. Also, this program could allow these patients to increase muscle strength, and contribute to achieving better health conditions in OAPHD care.

Effects of an arteriovenous fistula stenosis prevention program in patients receiving hemodialysis

“…In patients receiving hemodialysis who participated in the AVF stenosis prevention program, upper extremity muscle strength showed a synergistic effect with time, with scores increasing by 3.36 points after 4 weeks and 6.18 points after 8 weeks. These results were higher than the 0.9-point increase in the study by Lee [ 32 ], in which muscle-strengthening exercises were used to increase the patency of blood vessels in the same participants, resulting in a 1.79-point decrease in the control group. Additionally, Heo [ 24 ] reported that, as grip strength improved, the hand, elbow, and shoulder joints also showed higher muscle strength.…”

Exploring Family Caregivers’ Subjective Experience of Positive Aspects in Home-Based Elder Caregiving: From Korean Family Caregivers’ Experience

“…Family caregivers experience considerable physical, psychological, emotional, social, and financial difficulties, which are often collectively referred to as the caregiver burden (Etters, Goodall, & Harrison, 2008;Pinquart & Sörensen, 2007;Schulz et al, 2004). Research studies in Korea also have reported that Korean family caregivers of older adults experienced several similar difficulties; indicating physical problems including headache, chronic fatigue (Lee, Lim, Kim, Cho., & Ko, 2011), psychological problems including depression, anxiety, and strain (Lee, Seo, & Ahn, 2003), relational conflicts among family members (Song & Choe, 2007), and financial difficulties (Song & Choe, 2007). Thus, family caregivers of older adults are exposed to high risk to experience serious health effects of family caregiving throughout the psychological, physical, and social areas of personal lives.…”