Hemodialysis Patients
Conditions
Keywords
Hemodialysis, range of motion, Benson relaxation exercises, quality of life, dialysis adequacy, treatment adherence
Brief summary
The aim of this study is to determine the effects of range of motion and Benson relaxation exercises applied to patients undergoing hemodialysis treatment on dialysis adequacy, treatment adherence, and quality of life.
Detailed description
The aim of this randomized controlled trial is to determine the effects of range of motion and Benson relaxation exercises on dialysis adequacy, treatment adherence, and quality of life in patients undergoing hemodialysis. The patients in the study will be divided into three groups. One group will perform range of motion exercises, another group will perform Benson relaxation exercises, and the third group will receive no intervention and will be assigned as the control group. The study will be conducted three times a week for eight weeks. A pre-test will be administered before the start of the study. Further tests will be conducted at the end of weeks 4 and 8. The final test results will be collected at the end of week 10. Research hypotheses: H1: Range of motion exercises performed on hemodialysis patients during dialysis affect their dialysis parameters. H2: Range of motion exercises performed on hemodialysis patients during dialysis affect their dialysis adequacy. H3: Range of motion exercises performed on hemodialysis patients during dialysis affect their quality of life. H4: Benson relaxation exercises performed on hemodialysis patients during dialysis affect their dialysis parameters. H5: Benson relaxation exercises performed on hemodialysis patients during dialysis affect their dialysis adequacy. H6: Benson relaxation exercises performed on hemodialysis patients during dialysis affect their quality of life.
Interventions
OTHERRange of Motion Intervention (ROMI)
Procedure Steps: * The patient is evaluated for factors that may affect the procedure (restricted movement, presence of fistula, history of surgery, etc.). • The patient is placed in the supine position. • Movements are performed from head to toe. • Each movement is repeated 3-5 times. • With the patient's head and chin supported, the following movements are performed sequentially: flexion, extension, hyperextension, right lateral flexion, left lateral flexion, right rotation, and left rotation of the head. * The patient's shoulder is supported. Without bending the elbow, the following movements are performed sequentially: flexion, extension, adduction, abduction, internal and external rotation. The same movements are performed sequentially for the forearm, wrist, and fingers. * All movements are performed sequentially for the other arm, hip, and both legs.
OTHERBenson Relaxation Exercise Intervention (BREI)
Procedure Steps: * The patient is asked to choose a word that is important to them and that they can focus their attention on (health, well-being, love, affection, God, etc.), a prayer, or a short sentence. * They are asked to close their eyes in a calm environment and in a comfortable position. * They are asked to slowly relax their muscles from foot to head (foot, calf, thigh, abdomen, chest, shoulder, neck, and head). • They are asked to breathe in through their nose and repeat the chosen word as they exhale. * They are asked to continue the procedure for 10-20 minutes. They are informed that they can open their eyes occasionally to monitor the time, but they should not set an alarm. • After the procedure is complete, they are asked to wait a few minutes with their eyes closed. Then, they are asked to wait a few minutes with their eyes open. • The patient is informed that they should not worry about whether they performed the procedure correctly.
Sponsors
Ardahan University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Masking description
To determine randomization in sample selection, numbers from 1 to 72 were distributed into 3 groups using a simple random randomization method without repetition via https://www.random.org/. 72 patients were divided into three groups: Range of Motion Intervention, Benson Relaxation Exercise Intervention, and Control Group. Cards containing assignment information for intervention and control conditions were placed in pre-prepared, light-proof envelopes, and each envelope was numbered consecutively from 1 to 72. Each participant meeting the inclusion criteria was asked to randomly select one of these envelopes. The number inside the envelope chosen by the participant would be assigned to the relevant research group according to the pre-determined assignment list.
Intervention model description
The study involves three different groups. Two of these groups are experimental, and one is a control group. One experimental group will perform range of motion exercises, and the other will perform Benson relaxation exercises. The control group will receive no intervention.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Being 18 years of age or older * Receiving HD treatment for at least 1 year * Receiving HD treatment 3 days a week for 4 hours * Being able to speak Turkish * Volunteering to participate in the study
Exclusion criteria
* Patients with chronic diseases affecting breathing (advanced COPD, cancer) * Patients with hearing or speech problems * Patients with a diagnosed psychiatric condition * Patients with conditions that impede movement, such as burns, open wounds, edema, thrombophlebitis, limited mobility, fistulas, or previous surgical operations in the extremities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| SEVEN-POINT SUBJECTIVE GLOBAL ASSESSMENT (SGD-7P) | From enrollment to the end of treatment at 8 weeks | It can be used to determine dialysis adequacy. The SGD-7P scale will be used to assess the nutritional status of patients. The SGD-7P was developed by Detsky et al. in 1984. The Turkish validity and reliability study was conducted by Eminsoy et al. in 2019. The scale has five evaluation criteria for medical history and three evaluation criteria for physical characteristics. For each evaluation criterion, an option is selected on a scale of 1-7 points. As a result of the average of the obtained scores, it is classified as 6-7 points (well-nourished), 3-5 points (mild-moderate malnutrition), and 1-2 points (severe malnutrition). |
| END-STAGE RENAL FAILURE - COMPLIANCE SCALE | From enrollment to the end of treatment at 8 weeks | The scale was developed by Kim and Evangelista (2010). The Turkish adaptation, validity, and reliability of the scale were carried out by Ok and Kutlu (2017). The SDBYUÖ consists of 4 subscales: hemodialysis participation, medication adherence, fluid adherence, and diet adherence. Hemodialysis participation is the sum of the scores of items 1, 3, and 5; medication adherence is the score of item 6; fluid adherence is the score of item 8; and diet adherence is the score of item 9. The total score of the scale ranges from 0 to 1200. A higher score indicates higher treatment adherence. |
| Kidney Disease Patients Quality of Life Scale (KDQOL-36) | From enrollment to the end of treatment at 8 weeks | The Turkish validity and reliability study of the scale, developed by Hayy et al. in 1994, was conducted by Yıldırım et al. in 2007. The scale consists of two scales: the SF-12 form, comprising a summary of the physical component and a summary of the mental component. It comprises a total of 4 sections and 36 items covering the burden of kidney disease, symptoms of kidney disease, and effects of kidney disease. There is no total score; each dimension is scored between 0 and 100. A score closer to 100 indicates a high quality of life, while a score closer to 0 indicates a low quality of life. |
Contacts
CONTACTVolkan Kına, Lecturer
STUDY_DIRECTORZümrüt Akgün Şahin, Associate Professor Dr.
Kafkas University
Outcome results
None listed