Journal of Korean Gerontological Nursing (노인간호학회지)

Korean Gerontological Nursing (한국노인간호학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of a Muscle Strength Reinforcement Exercise Program for Older Adult Patients on Hemodialysis

노인 혈액투석 환자를 위한 근력강화 운동 프로그램의 효과

  • Lee, Jena (College of Nursing, Korea University)
  • Received : 2018.09.27
  • Accepted : 2018.12.09
  • Published : 2018.12.31
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to examine effects of a muscle strength reinforcement exercise program (MSREP) for older adult patients with hemodialysis (OAPHD) which was designed to improve health status and quality of life of these older adult patients. Methods: Participants were 40 patients with OAPHD: 20 in the experimental group and 20 in the control group. MSREP was conducted with the experimental group for 12 weeks at H geriatric hospital. An assessment was done to determine effects on physical performance, inflammation index, fatigue, muscle strength and quality of life. Short physical performance battery, C-Reactive Protein (CRP), visual analog scale for fatigue, object lifting' proposed by the Life Options Rehabilitation Advisory Council, sit-to-stand test, and quality of life index were used to gather data. Results: Between the 2 groups there was no significant difference in scores for physical performance, fatigue or quality of life. However, the 2 groups showed significant difference in CRP values and muscle power scores on post-test. Conclusion: Findings provide evidence for the potential utility of education for older adult patients with hemodialysis. Also, this program could allow these patients to increase muscle strength, and contribute to achieving better health conditions in OAPHD care.

Keywords

References

  1. Kim YS. Medication adherence and related factors in elderly hemodialysis patients. Health & Nursing. 2018;30(1):29-42. https://doi.org/10.29402/HN30.1.3
  2. Farragher J, Jassal SV. Rehabilitation of the geriatric dialysis patient. Seminars in Dialysis. 2012;25(6):649-56. https://doi.org/10.1111/sdi.12014
  3. Song KA, Song WJ. The effect of progressive resistance training on body composition, physical fitness and quality of life in hemodialysis patients. Journal of Korean Academy of Nursing. 2012;10(1):30-7.
  4. Malavade T, Sokwala A, Jassal SV. Dialysis therapies in older patients with end-stage renal disease. Clinics in Geriatric Medicine. 2013;29(3):625-40. https://doi.org/10.1016/j.cger.2013.05.005
  5. Mafra D, Deleaval P, Teta D, Cleaud C, Arkouche W, Jolivot A, et al. Influence of inflammation on total energy expenditure in hemodialysis patients. Journal of Renal Nutrition. 2011;21(5):387-93. https://doi.org/10.1053/j.jrn.2010.09.006
  6. Park KS, Choi SH, Park MJ. Comparison of muscle strength and gait ability between hemodialysis patients and healthy adults. Journal of Korean Public Health Nursing. 2012;26(1):82-90. https://doi.org/10.5932/JKPHN.2012.26.1.082
  7. Dungey M, Hull KL, Smith AC, Burton JO, Bishop NC. Inflammatory factors and exercise in chronic kidney disease. International Journal of Endocrinology. 2013:1-12. https://doi.org/10.1155/2013/569831
  8. Moinuddin I, Leehey DJ. A comparison of aerobic exercise and resistance training in patients with and without chronic kidney disease. Advances in Chronic Kidney Disease. 2008;15:83-96. https://doi.org/10.1053/j.ackd.2007.10.004
  9. Kim HW. Fatigue and fatigue-regulation behavior in hemodialysis patients. The Society of Digital Policy & Management. 2012;10(5):301-5.
  10. Bullani R, El-Housseini Y, Giordano F, Larcinese A, Ciutto L, Bertrand PC, et al. Effect of intradialytic resistance band exercise on physical function in patients on maintenance hemodialysis: a pilot study. Journal of Renal Nutrition. 2011;21(1): 61-5. https://doi.org/10.1053/j.jrn.2010.10.011
  11. Johansen KL. Exercise in the end-stage renal disease population. Journal of the American Society of Nephrology. 2007;18(6):1845-54. https://doi.org/10.1681/ASN.2007010009
  12. Kim JS. The effects of exercise program on depression and anxiety for hemodialysis patients [master's thesis]. [Seoul]: Korea University; 1997. 53 p.
  13. Lee YK, Kim C, Pyo JH, Kim CH, Ji JW. Endurance exercise training before hemodialysis: an effective therapeutic modality for end stage renal disease patients. Kidney Research and Clinical Practice. 2001;20(2):290-7.
  14. Suh MR, Jung HH, Kim SB, Park JS, Yang WS. Effects of regular exercise on anxiety, depression, and quality of life in maintenance hemodialysis patients. Renal Failure. 2002;24(3):337-46. https://doi.org/10.1081/JDI-120005367
  15. Jang EJ, Kim HS. The effect of stretching, muscle strengthening, and walking exercise on physical fitness and quality of life in hemodialysis patients. Journal of Korean Academy of Nursing. 2009;39 (4):584-593. https://doi.org/10.4040/jkan.2009.39.4.584
  16. Cheema BS, O'Sullivan AJ, Chan M, Patwardhan A, Kelly J, Gillin A, et al. Progressive resistance training during hemodialysis: rationale and method of a randomized-controlled trial. Hemodialysis International. 2006;10(3):303-10. https://doi.org:10.1111/j.1542-4758.2006.00112.x
  17. Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. Journal of Gerontology. 1994;49(2):85. https://doi.org/10.1093/geronj/49.2.M85
  18. Lee KA, Hicks G, Nino-Murcia G. Validity and reliability of a scale to assess fatigue. Psychiatry Research. 1991;36(3):291-8. https://doi.org/10.1016/0165-1781(91)90027-M
  19. Patricia P. A guide for the people on dialysis [Internet]. Madison (WI): Medical Education Institute; 2000 Feb 01[updated 2012 Aug 01; cited 2015 Jan 15]. Available from: https://lifeoptions.org/assets/pdfs/exercise.pdf
  20. Ferrans CE, Powers MJ. Quality of life index: development and psychometric properties. Advances in Nursing Science. 1985;8(1):15-24. https://doi.org/10.1097/00012272-198510000-00005
  21. Kim JH. An effect of guided imagery applied to hemodialysis patients [dissertation]. [Seoul]: Seoul National University; 1995. 143 p.
  22. Kim DK, Park WH. Relationship of c-reactive protein to muscle strength in elderly men: a cross-sectional study in Korea. The Korean Journal of Sports Medicine. 2010;28(1):44-9.
  23. Rhi SY, Chung JS. The effect of 24 weeks combined training on muscle strength, energy substrates and inflammatory factors in the elderly. The Korean Journal of Growth and Development. 2013;21(3):237-42.
  24. Shin WT, Lee JW. The effect of exercise type on blood vessel inflammatory markers in elderly women patients with diabetes mellitus. The Journal of Korea Society for Wellness. 2012;7(1):201-11.
  25. Stringuetta-Belik F, Shiraishi FG, Oliveira e Silva VR, Barretti P, Caramori JC, Boas PJ, et al. Greater level of physical activity associated with better cognitive function in hemodialysis in end stage renal disease. Brazilian Journal of Nephrology. 2012;34(4):378-86. https://doi.org/10.5935/0101-2800.20120028
  26. Nonoyama ML, Brooks D, Ponikvar A, Jassal SV, Kontos P, Devins GM, et al. Exercise program to enhance physical performance and quality of life of older hemodialysis patients: a feasibility study. International Urology and Nephrology. 2010;42(4):1125-30. https://doi.org/10.5935/0101-2800.20120028
  27. Moraes C, Marinho SM, da Nobrega AC, de Oliveira Bessa B, Jacobson LV, Stockler-Pinto MB, et al. Resistance exercise: a strategy to attenuate inflammation and protein-energy wasting in hemodialysis patients. International Urology and Nephrology. 2014;46(8):1655-62. https://doi.org/10.1007/s11255-014-0712-3

Cited by

  1. 하지불안증후군을 경험하는 혈액투석 환자를 위한 하지복합운동 프로그램 적용 효과 vol.26, pp.3, 2018, https://doi.org/10.22650/jkcnr.2020.26.3.385