Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
권호 표지
DOI QR코드

DOI QR Code

Effect of a Complex Leg Exercise Program for Hemodialysis Patients with Restless Legs Syndrome

하지불안증후군을 경험하는 혈액투석 환자를 위한 하지복합운동 프로그램 적용 효과

  • Ko, Seon Il (Department of Nursing, Hankook General Hospital) ;
  • Kang, Kyung Ja (College of Nursing.Institute of Health and Nursing, Jeju National University)
  • 고선일 (한국병원) ;
  • 강경자 (제주대학교 간호대학.건강과간호연구소)
  • Received : 2020.09.23
  • Accepted : 2020.10.23
  • Published : 2020.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This experimental study with nonequivalent control group and pre/post-tests aims to investigate the effects of a complex leg exercise program on severity of restless legs syndrome, sleep quality, depression, and physical performance in patients with maintenance hemodialysis. Methods: Patients in the experimental group were provided with the leg exercise program three times a week for eight weeks, a total of 24times, through watching videos during hemodialysis from August 1, 2017 to October 25. The experimental group and control group consisted of 22 people each. Data were analyzed using descriptive statistics, χ2 test, Fisher's exact test, and independent t-test utilizing SPSS/WIN 22.0. Results: After providing with the leg exercise program, these were level of restless legs syndrome and depression were significantly decreased in the experimental group (t=2.79, p=.032; t=0.53, p=.036, respectively). However, sleep quality and physical performance did not have significant difference between the two groups (t=0.02, p=.947; t=1.74, p=.957, respectively). Conclusion: A complex leg exercise program appears to be beneficial in improving restless legs syndrome and depression in maintenance hemodialysis patients with restless legs syndrome.

Keywords

References

  1. Korean Society of Nephrology. Current renal replacement therapy in Korea ESRD registry committee 2016 [Internet]. Seoul: Korean Society of Nephrology; 2016 [cited 2018 Apr 1]. Available from: http://www.ksn.or.kr/rang_board/list.html?code=sinchart.
  2. Kim SY, Kim JD, Park AK, Koo JS. The effect of a video dietary instruction program for hemodialysis patients. Journal of Korean Clinical Nursing Research. 2014;20(1):134-145. https://doi.org/10.22650/JKCNR.2014.20.1.134
  3. Sohn HS, Lee MJ, Kang SM, Han YO, Moon KH, Kim DI, et al. The attitude on exercise, physical activity and quality of life in hemodialysis patients. Journal of Korean Biological Nursing Science. 2013;15(1):15-23. https://doi.org/10.7586/jkbns.2013.15.1.15
  4. Shahgholian N, Jazi SK, Karimian J, Valiani M. The effects of two methods of reflexology and stretching exercises on the severity of restless leg syndrome among hemodialysis patients. Iranian Journal of Nursing Midwifery Research. 2016;21(3):219-224. https://doi.org/10.4103/1735-9066.180381
  5. Min YS. Diagnosis and treatment of restless legs syndrome. Brain & Neuro rehabilitation. 2016;9(1):25-30. http://.doi.org/10.12786/bn.2016.9.1.25
  6. Choi HS, Kang SG, Boo CS, Lee HJ, Cho WY, Kim HK, et al. Restless legs syndrome and quality of life in hemodialysis patients. Sleep Medicine and Psychophysiology. 2007;14(2):99-106.
  7. Giannaki CD, Hadjigeorgiou GM, Karatzaferi C, Maridaki MD, Koutedakis Y, Founta P, et al. A single-blind randomized controlled trial to evaluate the effect of 6 months of progressive aerobic exercise training in patients with uraemic restless legs syndrome. Nephrology Dialysis Transplantation. 2013;28(11):2834-2840. https://doi.org/10.1093/ndt/gft288
  8. Beladi-Mousavi SS, Jafarizade M, Shayanpour S, Bahadoram M, Moosavian SM, Houshmand G. Restless legs syndrome: Associated risk factors in hemodialysis patients. Nephro-Urology Monthly. 2015;7(6):e31967. https://doi.org/10.5812/numonthly.31967
  9. Samavat S, Fatemizadeh S, Fasihi H, Farrokhy M. Restless leg syndrome, insomnia, and depression in hemodialysis patients: Three sides of a triangle?. Nephro-Urology Monthly. 2017;9(3):e45076. https://doi.org/10.5812/numonthly.45076
  10. Yeh P, Walters AS, Tsuang JW. Restless legs syndrome: A comprehensive overview on its epidemiology, risk factors, and treatment. Sleep and Breathing. 2012;16(4):987-1007. https://doi.org/10.1007/s11325-011-0606-x
  11. Giannaki CD, Sakkas GK, Karatzaferi C, Hadjigeorgiou GM, Lavdas E, Liakopoulos V, et al. Evidence of increased muscle atrophy and impaired quality of life parameters in patients with uremic restless legs syndrome. PLoS One. 2011;6(10):e25180. https://doi.org/10.1371/journal.pone.0025180
  12. 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
  13. Kaur J, Venkateasan M, Kaur H, Rawat PS, Massey H. Effectiveness of muscle stretching exercise on restless leg syndrome among patients undergoing haemodialysis. International Journal of Research in Medical Sciences. 2016;4(6):2164-2169. https://doi.org/10.18203/2320-6012.ijrms20161779
  14. Parsons TL, Toffelmire EB, King-VanVlack CE. Exercise training during hemodialysis improves dialysis efficacy and physical performance. Archives of Physical Medicine and Rehabilitation. 2006;87(5):680-687. https://doi.org/10.1016/j.apmr.2005.12.044
  15. Aliasgharpour M, Abbasi Z, Pedram Razi S, Kazemnezhad A. The effect of stretching exercises on severity of restless legs syndrome in patients on hemodialysis. Asian Journal of Sports Medicine. 2016;7(2):e31001. https://doi.org/10.5812/asjsm.31001
  16. Kim MW. Effects of strength exercise during hemodialysis on fall related factors, depression scale and dialysis adequacy. [master's thesis]. Seoul: Seoul National University, 2016. p. 1-91.
  17. Ahn KS, Hong YS, Cho YJ, Son MH, Shin YH. Effects of intradialytic exercise on psychological well-being, depression and blood chemicals in hemodialysis patients. Keimyung Journal of Nursing Science. 2015;19(1):11-18.
  18. Ki EJ, So HS. Development and effects of smartphone appbased exercise program for hemodialysis patients. Journal of Korean Academy of Nursing. 2020;50(1):52-65. https://doi.org/10.4040/jkan.2020.50.1.52
  19. Lee JN. Effects of a muscle strength reinforcement exercise program for older adult patients on hemodialysis. Journal of Korean Gerontological Nursing. 2018;20(3):204-216. https://doi.org/10.17079/jkgn.2018.20.3.204
  20. You HS, Choi SW. Effect of exercise program on hemodialysis patients in Korea: Meta-analysis. Korean Journal of Sports Science. 2018;27(5):1297-1310. https://doi.org/10.35159/kjss.2018.10.27.5.1297
  21. Choi EA. The effect of a combined aerobic and resistance exercise program during hemodialysis on dialysis efficacy [master's thesis]. Ulsan: Ulsan University; 2014. p. 1-69.
  22. Park JE, Han HS, Lee KH. Effects of the lower limb muscle strength exercise program during hemodialysis on the leg strength and falls efficacy of hemodialysis patients. Journal of Korean Clinical Nursing Research. 2017;23(3):388-397. https://doi.org/10.22650/JKCNR.2017.23.3.388
  23. International Restless Legs Syndrome Study Group. Validation of the International Restless Legs Syndrome Study Group rating scale for restless legs syndrome. Sleep medicine. 2003;4(2):121-132. https://doi.org/10.1016/S1389-9457(02)00258-7
  24. Yang JG, Kim DH, Lee JH, Park KH, Jung KY, Shin WC, et al. The reliability and validity of the Korean versions of the international restless legs scale and the restless legs syndrome quality of life questionnaire. Journal of the Korean Neurological Association. 2010;28(4):263-269.
  25. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index:A new instrument for psychiatric practice and research. Psychiatry Research. 1989;28(2):193-213. https://doi.org/10.1016/0165-1781(89)90047-4
  26. Youn JH. A study on IBS and stress perceived by college women and their dietary habit and sleeping quality. [master's thesis]. Seoul: Ewha Womans University; 2004. p. 1-84.
  27. Zung WW. Factors influencing the self-rating depression scale. Archives of General Psychiatry. 1967;16(5):543-547. https://doi.org/10.1001/archpsyc.1967.01730230027003
  28. Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, et al. 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):M85-M94. https://doi.org/10.1093/geronj/49.2.m85
  29. Cho BL. The elderly physical function evaluation. Journal of the Korean Academy of Family Medicine. 2005;26(4, Suppl):378-382.
  30. Han SS, Her JJ, Kim YJ. Effects of muscle strengthening exercises using a Thera Band on lower limb function of hemiplegic stroke patients. Journal of Korean Academy of Nursing. 2007;37(6):844-854. https://doi.org/10.4040/jkan.2007.37.6.844