The Effect of the Physical and Mental Exercises During Hemodialysis on Fatigue: a Controlled Clinical Trial

Motedayen, Zeynab; Nehrir, Batool; Tayebi, Ali; Ebadi, Abbas; Einollahi, Behzad

doi:10.5812/numonthly.14686

Cited by 18 publications

(18 citation statements)

References 23 publications

(39 reference statements)

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“…These results are in accordance with the common observation that fatigue in chronic hemodialysis patients is associated with less physical activity . While it is possible that patients with PDF/longer recovery time might be less inclined to be active , the suggestion countered by the observation that PDF is significantly improved by physical exercise .…”

Section: Pathogenesissupporting

confidence: 89%

Postdialysis Fatigue: A Frequent and Debilitating Symptom

Bossola¹,

Tazza²

2016

Seminars in Dialysis

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Postdialysis fatigue (PDF) is a frequent and debilitating symptom of patients on chronic hemodialysis that affects their daily living and quality of life. Little is known about the mechanisms underlying this symptom and its severity. Only a few studies have investigated therapeutic interventions and with conflicting results. Given the major impact of PDF on the quality of life of hemodialysis patients, a larger effort is warranted to better understand, prevent, and treat PDF.

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Section: Pathogenesissupporting

confidence: 89%

Postdialysis Fatigue: A Frequent and Debilitating Symptom

Bossola¹,

Tazza²

2016

Seminars in Dialysis

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“…However, only a few studies have been specifically designed and conducted to evaluate treatments for PDF. Proposed treatment methods include managing the sodium concentration [15], delivering low-temperature dialysate [25], and encouraging walking [26] and exercise [27,28]. These small studies were not prospective, randomized, or controlled.…”

Section: Factors Related To the Pdf Scalementioning

confidence: 99%

A new assessment scale for post-dialysis fatigue in hemodialysis patients

Kodama¹,

Togari

Konno³

et al. 2020

Ren Replace Ther

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Development of the PDF scale Create item pool To create items for the PDF scale, a post-dialysis interview was conducted in five maintenance hemodialysis patients with different severities. The item pool was collected using three anonymous questions. The first asked, "Are there any symptoms that develop after dialysis and then recover?" The second asked, "What exactly is that symptom?" The third question, which was asked while showing the patient a health card (basic life study, symptom list), was, "Are there any other applicable items?" Fourteen items were extracted by the interviews according to the advice of dialysis specialist groups in order to ensure the content validity. Based on the opinion of the specialist group (dialysis specialist, kidney physician, dialysis room nurse, clinical engineering technician) and with reference to previous studies, PDF was defined as "a subjective fatigue syndrome that specifically occurs for about half a day immediately after undergoing hemodialysis therapy." Construction of a new PDF scale We asked the patients about symptoms that they notice from the end of dialysis treatment until bedtime, as follows: (1) fatigue, (2) general malaise, (3) feeling exhausted and weak, (4) Lightheadedness, (5) needing to lie down and take a nap or rest, (6) difficulty moving without taking

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“…Hemodialysis is the most common treatment for chronic renal failure (1,2). However, alongside with positive outcomes, it can cause different problems and complications (3,4).…”

Section: Introductionmentioning

confidence: 99%

The Effects of Comfort-Based Interventions (Back Massage and Patient and Family Education) on the Level of Comfort Among Hemodialysis Patients

2017

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Background: Providing patients with comfort is the basis of nursing care and a favorable outcome of nursing care measures. Comfort is of special importance to hemodialysis patients because they spend a large part of their lives in hemodialysis units and are constantly dealing with different physical and mental health problems. This study aimed to evaluate the effects of comfort-based interventions (back massage along with patient and family education) on the level of comfort among hemodialysis patients. Methods: As a randomized controlled trial, this study was undertaken in 2016 in the hemodialysis unit of Shahid Chamran hospital, Ferdows, Iran. A convenience sample of forty hemodialysis patients was recruited. Patients were alternately allocated to control or intervention groups based on their hemodialysis days. The hospice comfort questionnaire was completed for all participants at the beginning and at the end of the study. This questionnaire showed that the comfort needs of patients were related to muscle cramps, headache, back pain, nausea, lack of knowledge about arteriovenous fistula care, dietary and treatment regimens, itching, rest and sleep disorders, and impaired comfort. Patients in the intervention group received massage as well as patient and family education in six consecutive hemodialysis sessions, while their counterparts in the control group solely received the routine care services of the study setting. The SPSS software (v. 18.0) was used for data analysis through running the paired-and the independent-sample t tests. The significance level was set at less than 0.05. Results: The mean scores of comfort and its environmental and psychospiritual dimensions significantly increased in the intervention group (P < 0.001). Significant increases were also observed in the mean scores of comfort and its psychospiritual dimension in the control group (P < 0.05). Before the intervention, there were no significant differences between the groups respecting the mean values of comfort and its dimensions (P > 0.05). However, after the intervention, there were significant between-group differences in the mean scores of comfort and its environmental dimension as well as in the pretest-posttest mean difference for the environmental dimension of comfort.

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The Effect of the Physical and Mental Exercises During Hemodialysis on Fatigue: a Controlled Clinical Trial

Cited by 18 publications

References 23 publications

Postdialysis Fatigue: A Frequent and Debilitating Symptom

Postdialysis Fatigue: A Frequent and Debilitating Symptom

A new assessment scale for post-dialysis fatigue in hemodialysis patients

The Effects of Comfort-Based Interventions (Back Massage and Patient and Family Education) on the Level of Comfort Among Hemodialysis Patients

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