Effect of Intradialytic Range of Motion Exercises Sessions on Fatigue Level for Hemodialysis Patients
Keywords:
Range of motion, Exercise session, Fatigue, HemodialysisAbstract
Chronic kidney disease (CKD) is a major global health concern, with hemodialysis (HD) being one of the most common life-sustaining treatments for end-stage renal disease (ESRD) patients. Despite its necessity, hemodialysis is associated with numerous debilitating symptoms, among which fatigue is one of the most prevalent and distressing. Fatigue in HD patients significantly impairs their physical functioning, mental health, and overall quality of life, often leading to increased dependency on caregivers and reduced engagement in daily activities. This study aimed to evaluate the effect of intradialytic range of motion (ROM) exercise sessions on fatigue levels in hemodialysis patients.
Methods: To evaluate the effect of intradialytic range of motion exercise sessions on fatigue level to hemodialysis patients. Quantitative study quasi-experimental design carried out with two groups in Specialized Center for Kidney Diseases and Transplantation in AL-Najaf City from the period 1 December 2024 to 1 febraury 2025, a total of (100) patient undergoing regulated schedualed hemodialysis were divided into experimental and comparison groups, which were included by Non-probability purposive sampling methods.
Results: After conducting range of motion exercise sessions (post-tests) revealed a significant improvement for hemodialysis patient’s activities and daily life and decrease the dependency on family care giver and significant decrease of fatigue. The post-intervention analysis revealed a statistically highly significant reduction in fatigue levels among the experimental group compared to the control group (Mean ± SD: 2.79 ± 0.191 vs. 4.25 ± 0.147, p < 0.001). In contrast, the control group showed no significant change in fatigue levels between pre- and post-tests (p = 0.193). These findings demonstrate that intradialytic ROM exercise sessions effectively alleviated fatigue in hemodialysis patients.
Conclusion: application of the range of motion exercise sessions for at least eight weeks is an effective approach to improving dialy activities and reduced of fatigue for patients undergoing hemodialysis compared with the control group.
Recommendations: establishing a range of motion exercises sessions program that would reduce fatigue and support the patient’s health and apply this program to hemodialysis patients during the hemodialysis period to improve the physical, mental, and psychological condition of the hemodialysis patients.
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