Impact of Intradialytic Rehabilitation Program on General Health of Chronic Kidney Disease Patients

Marwa Mohammad Abd Elbaky¹, Safaa Mohammed Zaki², Naglaa Mohammed Amin³ and Rasha Mohammed Nagib Ali^4,

¹Lecturer of Critical Care Nursing, Faculty of Nursing, Minia University, Egypt

²DLecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing, Minia University, Egypt

³Lecturer of Community Health Nursing, Faculty of Nursing, Minia University, Egypt

⁴Lecturer of Nursing Administration, Faculty of Nursing, Minia University

Cite this paper:
Marwa Mohammad Abd Elbaky, Safaa Mohammed Zaki, Naglaa Mohammed Amin and Rasha Mohammed Nagib Ali. Impact of Intradialytic Rehabilitation Program on General Health of Chronic Kidney Disease Patients. American Journal of Nursing Research. 2018; 6(5):263-272. doi: 10.12691/ajnr-6-5-7

Abstract

Background: CKD patients received intradialytic rehabilitation program developed improvement in their general health. Exercise also improve solute removal which increase the HD efficiency. Aim: to evaluate the impact of intradialytic rehabilitation program on general health of CKD patients. Design: Quasi experimental. Setting: The study conducted at hemodialysis unit of Minia urology hospital. Sampling: 60 patients divided in two groups 30 for each. Results: more than half of both groups were female. More than half of both group were diabetic and hypertensive. Mean age of both groups were (39.73 ± 8.17) & (40.00 ± 8.27). The 6 MWT was lower in the control group (325.3 ±24.1, 310.6 ±18.3 & 308 ±17.8) at the three observations than the study (352.3 ±46.8, 393.8 ±78.4 & 448 ±26.9). Small percentage of the rehabilitation group experienced dyspnea (16.6 % and 26 %). The study group showed improvement in mean serum creatinine (4.85± 0.54 & 4.58±0.54) than the control group (5.58± 0.68 & 5.58± 0.68). After rehabilitation program half of the study had low depression and only (13.3%) of them had high depression level. Conclusion: Intradialytic rehabilitation program for CKD patients enhance their activities of daily living abilities which improves their psychological health status.

Keywords:
intradialytic rehabilitation program general health and chronic kidney disease

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]	Smart N, Steele M. (2011). Exercise training in haemodialysis patients: A systematic review and meta-analysis [Internet]. Vol. 16, Nephrology. p. 626-32.
[2]	Unal KS, Balci Akpinar R (2016). The effect of foot reflexology and back massage on hemodialysis patients’ fatigue and sleep quality. Complement Ther Clin Pract [Internet].; 24: 139-44.
[3]	Marchesan M, Krug R de R, Silva JRL da C e, Barbosa AR, Rombaldi AJ. (2016). Physical exercise modifies the functional capacity of elderly patients on hemodialysis. Fisioter em Mov [Internet]; 29(2): 351-9.
[4]	K. A, T. B, J. T-H, S. K, R. K, J.M. R. (2015). A structured exercise programme during haemodialysis for patients with chronic kidney disease: Clinical benefit and long-term adherence [Internet]. Vol. 5, BMJ Open. p. no pagination.
[5]	Barcellos FC, Santos IS, Umpierre D, Bohlke M, Hallal PC.(2015) Effects of exercise in the whole spectrum of chronic kidney disease: A systematic review. Clin Kidney J.; 8(6): 753-65.
[6]	Dziubek W, N KB, Rogowski A, Go T, Kusztal M, Grochola M, et al. (2015). The Effects of Aquatic Exercises on Physical Fitness and Muscle Function in...: EBSCOhost.
[7]	Esgalhado M, Stockler-Pinto MB, De França Cardozo LFM, Costa C, Barboza JE, Mafra D.(2015). Effect of acute intradialytic strength physical exercise on oxidative stress and inflammatory responses in hemodialysis patients. Kidney Res Clin Pract [Internet]; 34(1): 35-40.
[8]	Tao X, Chow SKY, Wong FKY.(2015). A nurse-led case management program on home exercise training for hemodialysis patients: A randomized controlled trial. Int J Nurs Stud [Internet]. ; 52(6): 1029-41.
[9]	Girija K, Radha R.(2013) Beneficial Effect of Physical Activity in Hemodialysis Patients. Univers J Eng Sci [Internet]. ; 1(2): 404.
[10]	Chang J-H, Koo M, Wu S-W, Chen C-Y. (2017). Effects of a 12-week program of Tai Chi exercise on the kidney disease quality of life and physical functioning of patients with end-stage renal disease on hemodialysis. Complement Ther Med [Internet]; 30: 79-83.
[11]	Ghonemy TA, Farag SE, Soliman SA, El-okely A, El-hendy Y. (2016). Epidemiology and risk factors of chronic kidney disease in the El-Sharkia Governorate, Egypt. Saudi J Kidney Dis Transpl.
[12]	Dziubek W, Bulińska K, Rogowski Ł, Gołębiowski T, Kusztal M, Grochola M, et al(2015). The Effects of Aquatic Exercises on Physical Fitness and Muscle Function in Dialysis Patients. Biomed Res Int.
[13]	Ribeiro R, Coutinho GL, Iuras A, Barbosa AM, Souza JAC de, Diniz DP, et al (2013). Effect of resistance exercise intradialytic in renal patients chronic in hemodialysis. J Bras Nefrol [Internet].; 35(1): 13-9.
[14]	Matsuzawa R, Hoshi K, Yoneki K, Harada M, Watanabe T, Shimoda T, et al(2017). Effectiveness of Exercise Training on Exercise Tolerance, Physical Function, and Quality of Life in Elderly People Undergoing Hemodialysis: a Systematic Review and Meta-analysis. Kidney Int Reports [Internet].
[15]	Mohseni R, Emami Zeydi A, Ilali E, Adib-Hajbaghery M, Makhlough A,(2013) Student G. The Effect of Intradialytic Aerobic Exercise on Dialysis Efficacy in Hemodialysis Patients: A Randomized Controlled Trial Ehteramosadat Ilali Mohsen Adib-Hajbaghery. Oman Med Spec Board Oman Med J; 28(5): 345-9.
[16]	Effectiveness of Exercise Training on Exercise Tolerance, Physical Function, and.pdf.
[17]	Toulabi T, Mohammadi S, Ghasemi F, Anbari K (2016. Science Direct The impact of multidisciplinary rehabilitation on the quality of life of hemodialysis patients in Iran. J Formos Med Assoc [Internet]; 115(7): 553-9.
[18]	Qiu Z, Zheng K, Zhang H, Feng J, Wang L, Zhou H {2017). Physical Exercise and Patients with Chronic Renal Failure : A Meta-Analysis: 14-6.
[19]	Song Y, Hu R, Diao Y, Chen L(2018). Effects of Exercise Training on Restless Legs Syndrome, Depression, Sleep Quality, and Fatigue Among Hemodialysis Patients : A Systematic Review and Meta-analysis. J Pain Symptom Manage [Internet].; 55(4): 1184-95.
[20]	Greenwood, BSc, Pelagia Koufaki, PhD, Thomas H. Mercer, MSc, PhD, Helen L. MacLaughlin, PhD, Robert Rush, MSc, brolin Lindup, GNVQ, (2014). Original Investigation Effect of Exercise Training on Estimated GFR, Vascular Health,and Cardiorespiratory Fitness in Patients With CKD: A Pilot, Randomized Controlled Trial.
[21]	DeMarco, Jonathan Konel, Fatima Warsame, Hao Ying, Marlís González Fernández, (2018). Intradialytic Cognitive and Exercise TrainingMay Preserve Cognitive Function.
[22]	Camposa, Débora Fortes Marizeiroa, Ana Carolina Lins Florêncioa, Ítalo Caldas Silvaa, Gdayllon Cavalcante Menesesb, Gabriela Freire Bezerrab, Alice Maria Costa Martinsb, Alexandre Braga Libórioa, (2018). Effects of respiratory muscle training on endothelium and oxidative stress biomarkers in hemodialysis patients: A randomized clinical trial.
[23]	Qing Tang RN BN Postgraduate Student| Bin Yang MD PhD Departmental Director Honorary Reader| Fengyan Fan RN BN Head Nurse| Ping Li BN Postgraduate Student1 |Lei Yang BN Postgraduate Student | Yujie Guo RN PhD Associate Professor1. (2016). Effects of individualized exercise program on physical function, psychological dimensions, and healt-related quality of life in patients with chronic kidney disease: A randomized controlled trial in China.
[24]	Anding, Thomas Bär, Joanna Trojniak-Hennig, Simone Kuchinke, Rolfdieter Krause, Jan M Rost, Martin Halle (2015). A structured exercise programme during haemodialysis for patients with chronic kidney disease: clinical benefit and long-term adherence.
[25]	Lais A Sarmento1, Juliana SST Pinto1, Ana PP da Silva1, Cristina MN Cabral1 and Luciana D Chiavegato. (2016). Effect of conventional physical therapy and Pilates in functionality, respiratory muscle strength and ability to exercise in hospitalized chronic renal patients: a randomized controlled trial.
[26]	Kaixiang Sheng a Ping Zhang a Lili Chen b Jun Cheng a Congcong Wu a Jianghua Chen. (2014). Intradialytic Exercise in HemodialysisPatients: A Systematic Review andMeta-Analysis.
[27]	Masami Hamada,Yoshinari Yasuda, Sawako Kato, Hiroki Arafuka, Motomitsu Goto, Mutsuharu Hayashi, Etsuko Kajita1Shoichi Maruyama. (2016). The effectiveness and safety of modest exercise in Japanese patients with chronic kidney disease: a single-armed interventional study.
[28]	Krista Dawn Stewart (2017). Effect of an Exercise Rehabilitation Program on Physical Function in Incident Hemodialysis Patients: A Randomized Pilot Study.
[29]	Letchmi, S., Das, S., Halim, H., Zakariah, F.A., Hassan, H., Mat, S., et al. (2011). Fatigueexperienced by patients receiving maintenance dialysis in hemodialysis units. NursHealth Sci, 13, 60-64.
[30]	Bossola, M., Ciciarelli, C., Di Stasio, E., Panocchia, N., Conte, G.L., Rosa, F., et al. (2011). Relationship between Appetite and Symptoms of Depression and Anxiety in Patients on Chronic Hemodialysis. J Ren Nutr (In press).
[31]	Abbas Tavallaii, S., Ebrahimnia, M., Shamspour, N. & Assari, S. (2009). Effect of depression on health care utilization in patients with end-stage renal disease treated with hemodialysis. Eur J Intern Med, 20, 411-414.
[32]	Jung TD, Park SH (2011);Intradialytic exercise programs for hemodialysis patients. Chonnam Med J 47: 61-65.