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The Effects of a Physical Activity Reinforcement Program on Exercise Compliance, Depression, and Anxiety in Continuous Ambulatory Peritoneal Dialysis Patients  

이숙정 (연세대학교 BK 의과학 사업단)
유지수 (연세대학교 간호대학 간호학과)
Publication Information
Journal of Korean Academy of Nursing / v.34, no.3, 2004 , pp. 440-448 More about this Journal
Abstract
Purpose: This study was to evaluate the effects of a physical activity reinforcement program on exercise compliance, depression, and anxiety in continuous ambulatory peritoneal dialysis(CAPD) patients. Method: A nonequivalent control group with a pre-post test was designed. Data collection was done from December, 2002 to June, 2003 at a hoapital. The degree of depression and anxiety of the patients was assessed by the score of SCL-90-R, and exercise compliance was measured by exercise period, frequency, time and intensity. The experimental group was composed of 19 participants who were educated based on an exercise education protocol and carried out walking exercises two to four times a week after hearing verbal persuasion biweekly through the telephone or a face-to-face interview for 12 weeks, while 17 participants in control group received no intervention. Result: 1. The experimental group showed significant improvement in self-efficacy of exercise compliance (U=79.00, p=.01), exercise period ($x^2$=20.84, p=.00), exercise frequency ($x^2$=9.03, p=.0l), exercise time ($x^2$=9.03, p=.0l) and exercise intensity ($x^2$=11.09, p=.00) compared to those of the control group. 2. The experimental group showed a lower depression score (U=84.50, p=.01) than the results of the control group. 3. However, there were no changes in anxiety level compared to the control group. Conclusion: The physical activity reinforcement program was found to have an effect on exercise compliance and the depression score of CAPD patients. The results provided evidence for the importance of physical activity and verbal persuasion in CAPD patients.
Keywords
Physical activity; CAPD; Compliance; Depression; Anxiety;
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1 Devins, G. M., Blink, Y. M., Gorman, P., Dattel, M., McCloskey, B., Oscar, G., Briggs, J. (1982). Perceived self-efficacy, outcome expectancies, and negative mood states in end-stage renal disease. J Abnorm Psychol. Aug, 91(4), 241-4
2 Goldberg, A. P., Geltman, E. M., Hagberg, J. M., Gavin, J. R., Delmez, J. A., Carney, R. M. (1983). Therapeutic benefits of exercise training for hemodialysis patients. Kidney lnt, 24, Suppl 16, S303-309
3 Han, S. H. (2000). The effects of exercise with strategies promoting self-efficacy on health status and exercise capacity in patients after the stem cell transplantation. Unpublished doctoral dissertation, Yonsei University of Korea, in Seoul
4 Kim, C. J. (1995). The effects of exercise therapy applied in an efficacy expectation promotion on self efficacy and metabolism.. unpublished master thesis, Yonsei University of Korea, in Seoul
5 Koufaki, P., Mercer, T. H., Naish, P. F. (2002). Effects of exercise training on aerobic and functional capacity of end stage renal disease patients. Clin Physiol Funct Imaging, Mar, 22(2), 115-24
6 Kutner, N. G., Zhang, R., McClellan, W. M. (2000). Patients reported quality of life early in dialysis treatment: effects associated with usual exercise activity. Nephrol Nurs J , Aug, 27(4), 357-67
7 Lee, Y. W. (1994). A Study of the Effect of an Efficacy Expectation Promoting Program on Self-Efficacy and Self-Care(Essential hypertension Patients). Yonsei University of Korea, in Seoul
8 Shalom, R., Blumenthal, J. A., Williams, R. S., McMurray, R. G., Dennis, V. W. (1984). Feasibility and benefits of exercise training in patients on maintenance dialysis. Kidney Int, Jun, 25(6), 958-63
9 Tawney, K., Tawney, P., Hladic, G., Hogan, S., Falk, R., Weaver, C., Moore, D., Lee, M. (2000). The life readness program-Physical readness program for patients on hemodialysis patients. Am J Kidney Disease, 36(3), 581-591
10 Williams, A., Stephens, R., McKnight, T., Dodd, S. (1991). Facters affecting adherence of end stage renal disease patients to an exercise programme. Br J Sports med. 25, 90-93   DOI   ScienceOn
11 Carney, R., Wetzel, R., Hagbag, J., Goldberg, A. (1986). The relationship between depression and aerobic capacity in hemodialysis patients. Psychosom Med, 48, 143-147
12 Painter, P. L., Carlson, L., Carey, S., Paul, S. M., Myll, J. (2000). Physical functioning and health related quality of life changes with exercise training in hemodialysis patients. Am J Kidney Disease, 35(3), 482-492
13 Painter, P. L. (1994). The importance of exercise training in rehab of patients with ESRD. Am J of Kidney Dis, 24(1), Suppll(July), S2-S9
14 Kim, K. I., Kim, J. W. (1984). Korean Standardized research(Ill) of SCL-90-R Mental Health research, 2, 278-311
15 McAuley, E., Lox, C., Duncan, T. E. (1993). Long term maintenance of exercise, self efficacy, and physiology change in older adults. Journal of Gerontology, 48(4), 218-224
16 Cogan, M. G., Garovoy, M. R. (1985). Introduction to dialysis. Churchill Living Stone. 45
17 Hays, R. D., Wells, K. B., Sherbourne, C. D., Rogers, W., Spritzer, K. (1995). Functional and well being outcomes of patients with depression compaired with chronic general medical illnesses. Arch Gen Psychiatry, 52, 1-19
18 Suh, M. R., Juug, H H., Kim, S. B., Park, J. S., Yang, W. S. (2002). Effects of regular exercise on anxiety, depression, and quality of life in maintenance hemodialysis patientients. Renal Faliure, 24(3), 337-345
19 Hofstetter, R. M., Hovell, M., Sallis, J. (1990). Social learning correlates of exercise self efficacy: Early experience with physical activity. Social Science Medicine, 31(10), 1169-1176
20 Kim, J. H., Ro, J. G., Yun, J. S., Lee, S. J., Lee, D. Y. (2003). Association between depression, anxiety, hostility and fighting spirit among the cancer patients. Cancer Research and Treatment, 35(5), 40-50
21 Kim, J. S. (1998). The effect of exercise program on depression and anxiety in Hemodialysis patients. Korea University of Korea, in Seoul
22 Lo, C. Y., Li, L., Lo, W. K., Chan, M. L., So, E., Tang, S., Yuen, M. C., Cheng, K. P., Chan, T. M. (1998). Benefits of exercise training in patients on continuous ambulatory peritoneal dialysis. Am J Kidney Dis, 32(6), Dec, 1011-1018
23 Lee, E. O., Lim, N., & Park, H. (1998). Nursing Medical Research and Statistical Analysis. Soo Moon Sa Co. Seoul
24 Painter, P. L. (1988). Exercise training during hemodialysis: Rates of participation. Dialysis and transplantation, 17, 165-168
25 Konstantinidou, E., Koukouvou, G., Kouidi, E., Deligiannis, A., Tourkantonis, A. (2002). Exercise training in patients with end stage renal disease on hemodialysis: comparison of three rehabilitation program. J Rehabil, 34, 40-45   DOI   ScienceOn
26 Curtin, R. B., Lowrie, E. G., Deoreo, P. B. (1999). Self reported functional status an important predictor of health outcomes among end stage renal disease patients. Adv Ren Replace Ther, 6, 133-140
27 Kim, Y. S., Jung, E. S., Kim, J. S. (2001). A Study on influencing facters in health promoting lifestyle of CAPD patients. J of Health education & health promotion, 18(1), 17-34
28 Painter, P., Moore, G., Carlson, L., Paul, S., Myll, J., Phillips, W., Haskell, W. (2002). Effects of exercise training plus normalization of hematocrit on exercise capacity and health related quality of life. Am J Kidney Disease, 39(2), Feb, 257-265