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http://dx.doi.org/10.4040/jkan.2020.50.1.52

Development and Effects of Smartphone App-Based Exercise Program for Hemodialysis Patients  

Ki, Eun Jeong (Department of Nursing, Seoyoung University)
So, Hyang Sook (College of Nursing, Chonnam National University)
Publication Information
Journal of Korean Academy of Nursing / v.50, no.1, 2020 , pp. 52-65 More about this Journal
Abstract
Purpose: To examine the effects of a smartphone application-based exercise program on self-efficacy expectations (SEE) and outcome expectations regarding exercise (OEE), physical fitness, activity level, physiological indices, and health-related quality of life in a sample of hemodialysis patients. Methods: A quasi-experimental control group pre-test post-test design was used. Subjects were recruited from two university hospitals in G city. The subjects were assigned randomly by coin toss: 33 participants to the experimental group and 30 to the control group. A literature review and the self-efficacy theory were used to develop the smartphone program. Experts designed and verified the program to be userfriendly and in consideration of user interaction. Data were collected through a self-report pre-test post-test questionnaire and online medical records. Results: In the experimental group, the levels of physical fitness and physical activity were significantly improved post-test, but the scores on health-related quality of life and the physical indices did not improve. In the experimental group, the SEE and OEE post-test scores were also significantly higher than the pre-test scores, but the control group's scores did not change. Conclusion: The smartphone application-based exercise program based on self-efficacy theory significantly improved the level of physical fitness and activity, SEE, and OEE for hemodialysis patients. The use of this application-based exercise program for hemodialysis patients might be an effective nursing intervention tool for improving SEE, OEE, level of physical fitness, and physical activity.
Keywords
Hemodialysis; Smartphone; Exercise; Self Efficacy; Physical Fitness;
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Times Cited By KSCI : 3  (Citation Analysis)
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