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IRCT2013061112509N2 IRCT 2013-09-10 Nephrology and Urology Research Center The effect of physical and mental exercises during dialysis on adequacy of dialysis and fatigue in dialysis patients The effect of planned physical and mental exercises during hemodialysis on adequacy of dialysis and fatigue in hemodialysis patients 2012-12-21 anticipated 75 Complete https://irct.ir/trial/12582 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention. N/A CKD(ESRD). Intervention 1: The amount of urea and the weight were measured prior to hemodialysis through arteriovenous sampling. At the end of hemodialysis and before disconnecting the patient from the machine, an arterial blood sample was once more prepared from the dialyzer. In the end, patients' weight was monitored again and samples were transferred to the Laboratory. The dialysis adequacy for both groups was measured before, 1 month after, and 2 months after the intervention and then compared, also fatigue in patients was measured via a fatigue severity scale questionnaire before, one month after, and two months after intervention and then compared. Each patient was initially questioned about their kinetic limitations and comorbid diseases so as to propose an exercise program corresponding to their individual capabilities. The exercises were given by a senior expert in physical education during the dialysis half an hour after the patients were connected to the machine. At the beginning of each session, the trainer began taking about the system of the universe, the infinite power of God Almighty and positive thinking about the self. Then, the patients were encouraged to do stretching and flexibility movements. For the limb inflicted with fistula, the patient was told to close their eyes and imagine moving it. During the exercise intervals the patients were required to take a deep breath or do diaphragm breathing with inhalation and exhalation. Ultimately, they were taught to do relaxation exercises under the trainer’s guidance, while a soft music without lyrics was being played. In the next sessions the exercises were extended with respect to the subjects’ capabilities in terms of severity and repetition. They were continued twice a week for almost two months with a maximum time of 20 minutes. Intervention 2: The control group did not receive any intervention. The amount of urea and the weight were measured prior to hemodialysis through arteriovenous sampling. At the end of hemodialysis and before disconnecting the patient from the machine, an arterial blood sample was once more prepared from the dialyzer. In the end, patients' weight was monitored again and samples were transferred to the Laboratory. The dialysis adequacy for both groups was measured before, 1 month after, and 2 months after the study and then compared, also fatigue in patients was measured via a fatigue severity scale questionnaire before, one month after, and two months after study and then compared.
public Batool Nehrir
Faculty of Nursing, Building of Velayat, Street of bedside to the Artesh Square, The Northern End of the Emam Ali Highway, Tehran.
Tehran Iran (Islamic Republic of) 1956837172 +98 21 2612 7237 rnehrir1739@yahoo.com School of Nursing, Baghiyatallah University of Medical Sciences scientific Ali Tayebi
Faculty of Nursing, Building of Velayat, Street of bedside to the Artesh Square, The Northern End of the Emam Ali Highway, Tehran.
Tehran Iran (Islamic Republic of) 1956837172 +98 21 2228 9941 tayybi.ali@gmail.com School of Nursing, Baghiyatallah University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) inclusion criteria:Patients’ undergoing hemodialysis 3 times a week who at least three months had passed since the start of hemodialysis; Not participating in the regular exercise program in the past 6 months; Being capable of learning during the exercises; Having no medical prohibition for the exercise; Having no record of ischemic heart disease according to the case history; Having no record of 3rd degree congestive heart failure; No record of unstable angina. exclusion criteria: High blood pressure over 180.110 mmHg, low blood pressure equal to 90 mmHg; Reluctance to continue participating in the exercises; Kidney transplant; Death 30 years 75 years Both N18.5 Chronic kidney disease, stage 5 Prevention N/A The amount of urea and the weight were measured prior to hemodialysis through arteriovenous sampling. At the end of hemodialysis and before disconnecting the patient from the machine, an arterial blood sample was once more prepared from the dialyzer. In the end, patients' weight was monitored again and samples were transferred to the Laboratory. The dialysis adequacy for both groups was measured before, 1 month after, and 2 months after the intervention and then compared, also fatigue in patients was measured via a fatigue severity scale questionnaire before, one month after, and two months after intervention and then compared. Each patient was initially questioned about their kinetic limitations and comorbid diseases so as to propose an exercise program corresponding to their individual capabilities. The exercises were given by a senior expert in physical education during the dialysis half an hour after the patients were connected to the machine. At the beginning of each session, the trainer began taking about the system of the universe, the infinite power of God Almighty and positive thinking about the self. Then, the patients were encouraged to do stretching and flexibility movements. For the limb inflicted with fistula, the patient was told to close their eyes and imagine moving it. During the exercise intervals the patients were required to take a deep breath or do diaphragm breathing with inhalation and exhalation. Ultimately, they were taught to do relaxation exercises under the trainer’s guidance, while a soft music without lyrics was being played. In the next sessions the exercises were extended with respect to the subjects’ capabilities in terms of severity and repetition. They were continued twice a week for almost two months with a maximum time of 20 minutes. The control group did not receive any intervention. The amount of urea and the weight were measured prior to hemodialysis through arteriovenous sampling. At the end of hemodialysis and before disconnecting the patient from the machine, an arterial blood sample was once more prepared from the dialyzer. In the end, patients' weight was monitored again and samples were transferred to the Laboratory. The dialysis adequacy for both groups was measured before, 1 month after, and 2 months after the study and then compared, also fatigue in patients was measured via a fatigue severity scale questionnaire before, one month after, and two months after study and then compared. Fatigue. Timepoint: before, one month after intervention, two months after intervention. Method of measurement: Fatigue Severity Scale. Adequacy of dialysis. Timepoint: before, one month after intervention, two months after intervention. Method of measurement: Kt/v formula. Sleep. Timepoint: before, one month after intervention, two months after intervention. Method of measurement: Pittsburgh questionnaire. Stress. Timepoint: before, one month after intervention , two months after intervention. Method of measurement: DASS questionnaire. Anxiety. Timepoint: before, one month after intervention , two months after intervention. Method of measurement: DASS questionnaire. Depression. Timepoint: before, one month after intervention , two months after intervention. Method of measurement: DASS questionnaire. Nephrology and Urology Research Center Approved 2012-12-26 Faculty of Nursing Faculty of Nursing, Building of Velayat, Street of bedside to the Artesh Square, The Northern End of the Emam Ali Highway, Tehran, Iran. Tehran Iran (Islamic Republic of)