Effects of exercise programs on physical function and activity levels in patients undergoing hemodialysis: a randomized controlled trial

Pérez‐Domínguez, Borja; Casaña-Granell, José; García-Maset, Rafael; García-Testal, Alicia; Meléndez‐Oliva, Erika; Segura‐Ortí, Eva

doi:10.23736/s1973-9087.21.06694-6

Cited by 20 publications

(13 citation statements)

References 26 publications

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“…This study showed that exercise and social support are significant factors that reduce depressive symptoms and should be considered in the care of patients undergoing HD. Regular exercise or habitual physical activity is a fundamental part of living [34][35][36][37]. HCPs, particularly team members of rehabilitation, should help patients discover a suitable mode of exercise and provide guidance for home exercise.…”

Section: Limitations and Future Directionmentioning

confidence: 99%

Hierarchical multiple regression investigating factors associated with depressive symptoms in the middle-aged and elderly undergoing haemodialysis

Chang

Bai²,

Lai³

et al. 2023

BMC Public Health

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Background Depressive moods are commonly seen in patients who receive haemodialysis. This can cause a lack of compliance in their treatment procedures and increase the rate of hospitalization. This study aimed to investigate the relationship between social support and degree of depression in middle-aged and elderly patients undergoing haemodialysis and the predictors of depressive symptoms. Methods A cross-sectional correlational study was designed with a structured questionnaire survey. Patients over 40 years of age were included from five haemodialysis centres. Measures embraced a demographic and clinical characteristics questionnaire, the Centre for Epidemiologic Studies Depression Scale, and the Personal Resource Questionnaire 2000. Statistical analysis was performed using hierarchical multiple regression analysis. Results A total of 179 patients over 40 years of age were included from five haemodialysis centres in the analysis. The mean CES-D score was 19.0(12.3); the majority of participants (60.3%) had a CES-D score ≥ 15, indicating likely depressive status. The mean PRQ2000 score was 75.7(15.9). The proportional mean of the PRQ2000 was 72.11%, indicating moderate social support for participants in this study. Data disclosed that marital status, number of comorbidities, exercise behaviour, and social support could significantly predict depressive symptoms; total explanatory variance was 31.3%. Conclusion Health care professionals should identify those at high risk of depressive symptoms when they provide care to the middle-aged and elderly patients undergoing haemodialysis. These findings may lead to greater insights into the nursing and rehabilitative care of patients treated by chronic maintenance haemodialysis.

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Section: Limitations and Future Directionmentioning

confidence: 99%

Hierarchical multiple regression investigating factors associated with depressive symptoms in the middle-aged and elderly undergoing haemodialysis

Chang

Bai²,

Lai³

et al. 2023

BMC Public Health

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“…An increasing body of research has repeatedly indicated that physical activity interventions led by nurses may be effective for increasing physical activity in primary care settings (Olsen et al, 2018; Richards & Cai, 2016). Similarly, nurses have been shown to be valuable in hospital-based physical activity interventions and rehabilitation, including in patients undergoing hemodialysis (Perez-Dominguez et al, 2021) and those admitted to a stroke unit (Brouwer-Goossensen et al, 2021). More specifically, one of the most important roles that nurses can offer is physical activity counselling, specifically by providing support and motivation to clients (Richards & Cai, 2016).…”

Section: Background and Purposementioning

confidence: 99%

The Effectiveness of an Online Learning Strategy on Changing Physical Activity Counseling Practice in Nurses

Karvinen

Reed

2022

Can J Nurs Res

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Background Nurses may be well poised for providing physical activity guidance and support to patients. Purpose The purposes of this study were to examine the effectiveness of a concise, evidence based online learning modules strategy (OLMS) for improving nurses’ physical activity counselling. Methods 68 nurses were randomly assigned to either an OLMS group or control group. The OLMS group completed a series of six online learning modules aimed at improving physical activity counselling practice. Results The OLMS group, compared to the control group, showed a trend for improvement in Physical Activity Counselling Practice ( p = .063) after controlling for baseline values, and significant improvement in (a) Self-efficacy for Physical Activity Counselling ( p = .001), (b) Knowledge of Physical Activity Guidelines, ( p = .031), and (c) Perceived Benefits of Physical Activity Counselling ( p = .014) over the course of the intervention. No significant change was found for Barriers for Providing Physical Activity Counselling ( p > .05). Conclusions The OLMS tested may be an effective means for improving self-efficacy, knowledge, and perceived benefits of physical activity counselling, suggesting the utility of online learning strategies for improving nurses’ physical activity counselling practice. Given barriers to providing physical activity counselling were not affected by the intervention, future interventions and policy change could target these barriers specifically in order to give nurses more tools and time for reaching patients and addressing physical activity counselling in practice.

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“…Nineteen studies compared the effects of AT and the control group ( Painter et al, 2002 ; Tsuyuki et al, 2003 ; Sakkas et al, 2008 ; Toussaint et al, 2008 ; Koh et al, 2010 ; Reboredo Mde et al, 2010 ; Wilund et al, 2010 ; Giannaki et al, 2013 ; Mohseni et al, 2013 ; Wu et al, 2014 ; Groussard et al, 2015 ; Liao et al, 2016 ; Pomidori et al, 2016 ; Cooke et al, 2018 ; Fernandes et al, 2019 ; Lin et al, 2021 ; Perez-Dominguez et al, 2021 ; Kim et al, 2022 ; Vogiatzaki et al, 2022 ). Nine studies evaluated RT and the control group.…”

Section: Resultsmentioning

confidence: 99%

The optimal exercise modality and intensity for hemodialysis patients incorporating Bayesian network meta-analysis and systematic review

et al. 2022

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Background: Physical inactivity is highly prevalent in patients with hemodialysis, and a large body of evidence reported the positive effect of different exercise modalities on their health outcomes. However, the effective dosage of exercise for hemodialysis patients still requires verification.Objective: We aimed to determine the most effective exercise intensity and modality for improvements in physical function, blood pressure control, dialysis adequacy, and health-related quality of life for hemodialysis patients.Design: Systematic review with network meta-analysis of randomized trials.Data sources: Five electronic databases (PubMed, EMBASE, Web of Science, Cochrane CENTRAL, and Scopus) were searched for randomized controlled trials. Data extraction and quality appraisal were conducted by two authors independently. Data were analyzed by the R (version.3.6.2) and the Stata (version.15.0).Result: We included 1893 patients involving four exercise modalities and six exercise intensities. Combined training (aerobic exercise plus resistance exercise) has been the top-ranking exercise modality for improving the 6-min walk test (6MWT) (surface under the cumulative ranking curve analysis (SUCRA) score, 90.63), systolic blood pressure control (SUCRA score, 77.35), and diastolic pressure control (SUCRA score, 90.56). Moreover, the top-ranking exercise intensity was moderate–vigorous for 6MWT (SUCRA score, 82.36), systolic blood pressure (SUCRA score, 77.43), and diastolic blood pressure (SUCRA score, 83.75). Regarding dialysis adequacy and health-related quality of life, we found no exercise modality or intensity superior to the placebo.Conclusion: This network meta-analysis indicated that combined training and moderate–vigorous intensity might be the most effective interventions to improve 6MWT and blood pressure control. This finding helps further guide clinical exercise prescriptions for hemodialysis patients.Systematic Review Registration: [https://www.crd.york.ac.uk/PROSPERO/], identifier [CRD42021268535].

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Effects of exercise programs on physical function and activity levels in patients undergoing hemodialysis: a randomized controlled trial

Cited by 20 publications

References 26 publications

Hierarchical multiple regression investigating factors associated with depressive symptoms in the middle-aged and elderly undergoing haemodialysis

Hierarchical multiple regression investigating factors associated with depressive symptoms in the middle-aged and elderly undergoing haemodialysis

The Effectiveness of an Online Learning Strategy on Changing Physical Activity Counseling Practice in Nurses

The optimal exercise modality and intensity for hemodialysis patients incorporating Bayesian network meta-analysis and systematic review

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