End-stage Renal Disease (ESRD)
Conditions
Interventions
Experimental group (Part I):On the basis of routine hemodialysis care, the pre-established exercise rehabilitation plan (including the core content of the exercise rehabilitation plan, the phased exec
Conventional group (Part I):1. Hemodialysis treatment three times per week, each session lasting four hours, with a blood flow rate of 180–280 ml/min and dialysate temperature maintained at 36–37°C, a
2. Closely monitor the vascular access connection to prevent dislodgement of connectors
3. Regularly inspect the patient's arm on the dialysis side for swelling or bleeding, and check tubing for kinks or twists
4. Monitor the patient’s vital signs, measuring blood pressure, arterial pressure, venous pressure, and transmembrane pressure every hour during hemodialysis
5. Promptly identify and manage any emergency complications that may arise during hemodialysis.
Experimental group (Part II):On the basis of routine hemodialysis care, the pre-established exercise rehabilitation plan (including the core content of the exercise rehabilitation plan, the phased exe
Sponsors
Tangdu Hospital of the Fourth Military Medical University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age = 18 years, diagnosed with end-stage kidney disease, with stable condition; 2. Requires continuous and regular hemodialysis treatment, with treatment duration of no less than 3 months; 3. Dialysis frequency is 3 times per week, 3-4 hours per session; 4. Muscle strength >= 3 grades; 5. The patient voluntarily participates in this study.
Exclusion criteria
Exclusion criteria: 1. Patients with severe swelling of the lower limb muscles or joints, limb movement disorders, and who cannot tolerate this study; 2. Patients with severe cardiovascular or cerebrovascular diseases (NYHA classification level IV); 3. Patients who switched to peritoneal dialysis during the study; 4. Patients with impaired consciousness, mental disorders, and those who cannot cooperate with the investigation and exercise.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| single pool Kt/V; | — |
Secondary
| Measure | Time frame |
|---|---|
| Six-minute walk test;60-second sit-to-stand test;Kidney Disease Quality of Life Scale;Intervention implementation indicators; | — |
Countries
China
Contacts
Public ContactHonghong Lyu
Tangdu Hospital of the Fourth Military Medical University
Outcome results
None listed