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Effects of intradialytic exercise on the physical function, depression and quality of life for haemodialysis patients: a systematic review and meta‐analysis of randomised controlled trials
Author(s) -
Chung YuChu,
Yeh MeiLing,
Liu YuehMin
Publication year - 2017
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.13514
Subject(s) - medicine , quality of life (healthcare) , physical therapy , meta analysis , randomized controlled trial , cochrane library , depression (economics) , adverse effect , population , clinical trial , systematic review , medline , intensive care medicine , nursing , environmental health , political science , law , economics , macroeconomics
Aims and objectives To determine the efficacy and safety of intradialytic exercises for haemodialysis patients, this study conducted a systematic review and meta‐analysis of randomised controlled trials. Background Patients receiving haemodialysis have poor physical function, psychological status and quality of life than the general population. Exercise training may improve these parameters for haemodialysis patients. Design Systemic review was performed, and a meta‐analysis was conducted. Methods Medline, PubMed, Cochrane Central Register of Controlled Trials, SPORTD iscus, Cumulative Index to Nursing and Allied Health Literature and Airiti Library were systematically searched for studies up to January 2015. In addition, the reference lists of eligible studies and relevant reviews were assessed. Results Seventeen studies with a total of 651 participants were included. Compared with no resistance exercise, nonexercise and walks at home, intradialytic exercises significantly improved the peak oxygen consumption ( SMD = 0·50, 95% CI : 0·26–0·74), haemoglobin ( SMD = 0·34, 95% CI : 0·13–0·55), depression ( SMD = −0·80, 95% CI : −1·10 to −0·50) and physical component of the quality of life ( SMD = 0·46, 95% CI : 0·20–0·73). Intradialytic exercises are safe with no adverse events. However, significant improvements were not observed in the albumin level and mental component of the quality of life. Conclusions The study results facilitate selecting intradialytic exercise that improves and provides safety with respect to the peak oxygen consumption, haemoglobin, depression and physical component of the quality of life. Furthermore, regular exercise should be considered a crucial therapeutic modality for patients undergoing haemodialysis. Relevance to clinical practice This study suggests that performing intradialytic exercises for 30 minutes per session three times a week for at least ≥8 weeks is beneficial. Regular exercise should be considered as a crucial therapeutic modality of managing patients undergoing haemodialysis, thus guiding in clinical practice.