Pérez-Domínguez B, Casaña-Granell J

Language: Spanish
References: 12
Page: 166-172
PDF size: 132.32 Kb.

ABSTRACT

Introduction: There are still several barriers against establishing exercise routines in regular dialysis treatments despite their well-known benefits. Developing cost-effective strategies is necessary to overcome these barriers and include exercise as a complement to dialysis treatment. Nurses play a central role in these units; therefore, examining adherence may be interesting to make exercise implementation easier. Methods: 71 subjects were randomized either into an intradialytic or a home exercise program. They did exercise for 16 weeks. Nurses ran the intradialytic exercise program and the home exercise program was autonomous. The total number of sessions carried out was recorded in order to obtain the levels of adherence to the exercise. Results: In the intradialytic exercise group, 25% of participants showed low adherence; 50% had medium adherence, and 25%, high adherence. In the home group, 49% showed low adherence; 9% exhibited medium adherence, and 42%, high adherence. Conclusions: There are higher levels of adherence in the intradialytic group when compared to the home group, but the levels of high adherence were more significant in the home group, showing a greater impact in those with low adherence

REFERENCES

1. Gorostidi M, Sánchez-Martínez M, Ruilope LM,Graciani A, de la Cruz JJ, Santamaría R, et al.Chronic kidney disease in Spain: Prevalence andimpact of accumulation of cardiovascular risk factors.Nefrología (Madr.) 2018;38(6):606-15. doi: 10.1016/j.nefro.2018.04.004.

2. Carney EF. The impact of chronic kidney disease onglobal health. Nat Rev Nephrol. 2020;16(5):251. doi:10.1038/s41581-020-0268-7.

3. Cheema BS, Singh MA. Exercise training in patientsreceiving maintenance hemodialysis: a systematicreview of clinical trials. Am J Nephrol. 2005;25(4):352-64. doi: 10.1159/000087184.

4. Segura-Ortí E. Ejercicio en pacientes en hemodiálisis:revisión sistemática de la literatura. Nefrología(Madr.) 2010;30(2):236-46. doi: 10.3265/Nefrologia.pre2010.Jan.10229.

5. Ouzouni S, Kouidi E, Sioulis A, Grekas D,Deligiannis A. Effects of intradialytic exercisetraining on health-related quality of life indices inhaemodialysis patients. Clin Rehabil. 2009;23(1):53-63. doi: 10.1177/0269215508096760.

6. Welch G, Garb J, Zagarins S, Lendel I, Gabbay RA.Nurse diabetes case management interventions andblood glucose control: results of a meta-analysis.Diabetes Res Clin Pract. 2010;88(1):1-6. doi: 10.1016/j.diabres.2009.12.026.

7. Beswick AD, Rees K, Dieppe P, Ayis S, Gooberman-Hill R, Horwood J, et al. Complex interventions toimprove physical function and maintain independentliving in elderly people: a systematic review andmeta-analysis. Lancet. 2008;371(9614):725-35. doi:10.1016/S0140-6736(08)60342-6.

8. Malagoni AM, Catizone L, Mandini S, Soffritti S,Manfredini R, Boari B, et al. Acute and long-termeffects of an exercise program for dialysis patientsprescribed in hospital and performed at home. JNephrol. 2008;21(6):871-8.

9. Delgado C, Johansen KL. Barriers to exerciseparticipation among dialysis patients. Nephrol DialTransplant. 2012;27(3):1152-7. doi: 10.1093/ndt/gfr404.

10. Tao X, Chow SK, Wong FK. A nurse-led case managementprogram on home exercise training for hemodialysispatients: A randomized controlled trial.Int J Nurs Stud. 2015;52(6):1029-41. doi: 10.1016/j.ijnurstu.2015.03.013.

11. Painter P, Carlson L, Carey S, Paul SM, Myll J.Physical functioning and health-related quality-oflifechanges with exercise training in hemodialysispatients. Am J Kidney Dis. 2000;35(3):482-92. doi:10.1016/s0272-6386(00)70202-2.

12. Storer TW, Casaburi R, Sawelson S, Kopple JD.Endurance exercise training during haemodialysisimproves strength, power, fatigability and physicalperformance in maintenance haemodialysis patients.Nephrol Dial Transplant. 2005;20(7):1429-37. doi:10.1093/ndt/gfh784.