Intradialysis Exercise in Hemodialysis Patients: A Systematic Review

Abstract

Patients with end-stage kidney disease (ESRD) undergoing hemodialysis (HD) tend to have multiple comorbidities, especially cardiovascular disease, mineral and bone disorders which are important factors and contribute to the morbidity and mortality of HD patients. So it is important to know the types of intra-dialysis physical exercises that are safe and effective for HD patients. The type of research analyzed in this journal writing is a randomized controlled trial (RCT) that focuses on interdialysis physical exercise interventions both at home and HD center. With a literature search using PubMed, ScienceDirect, Willey, Proquest and Google Scholar databases. And those who meet the relevant requirements and reviews are: 8. Based on several reviews of intradialytic exercise studies in HD patients, intra-dialysis low intensity strength training is found safe and effective in adults and older. Research shows that doing 30 minutes of intradialytic exercise per session 3 times a week for at least >= 8 weeks is beneficial for HD patients. Regular exercise should be considered as an important therapeutic modality in the care of patients undergoing HD. Strength training improves physical performance, nutritional status and physical activity. But this study needs further research, so that it can contribute to the provision of evidence-based information in applying safe intradialytic exercises and become part of routine dialysis treatment units. ABSTRAKPasien dengan penyakit ginjal stadium akhir (ESRD) yang menjalani hemodialisis (HD) cenderung memiliki beberapa komorbiditas terutama penyakit kardiovaskular, gangguan mineral dan tulang yang merupakan faktor penting dan berkontibusi terhadap morbiditas dan mortalitas pasien HD. Sehingga penting untuk diketahui jenis latihan fisik intra dialisis yang aman dan efektif bagi pasien HD. Jenis studi yang dianalisis pada penulisan jurnal ini adalah adalah randomized controlled trial (RCT) yang berfokus pada intervensi latihan fisik intra dialisis baik yang dilakukan dirumah maupun di pusat-pusat HD. Dengan pencarian literatur menggunakan data base PubMed, ScienceDirect, Willey, Proquest dan Google Scholar. Dan yang memenuhi syarat dan ulasan yang relevan yaitu 8. Dari beberapa ulasan studi latihan intradialytic pada pasien HD, latihan kekuatan intensitas rendah intra-dialisis aman dan efektif pada orang dewasa dan yang lebih tua. Penelitian menunjukkan bahwa melakukan latihan intradialytic selama 30 menit per sesi 3 kali seminggu selama setidaknya >= 8 minggu bermanfaat bagi pasien HD. Olahraga teratur harus dianggap sebagai modalitas terapi penting dalam perawatan pasien yang menjalani