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혈액투석 중 저강도운동이 환자의 피로, 일상생활활동수행, 긍정심리자본 및 혈압에 미치는 효과

Effects of Low Intensity Exercise Training during Hemodialysis on Fatigue, Activity of Daily Living, Positive Psychological Capital, and Blood Pressure

기본간호학회지 2019년 26권 1호 p.62 ~ 73
김의정, 이현숙, 신희정, 홍미정, 김소영, 김선애, 김화순,
소속 상세정보
김의정 ( Kim Eui-Jeung ) - 인하대학교병원
이현숙 ( Lee Hyun-Suk ) - 인하대학교병원
신희정 ( Shin Hee-Jeong ) - 인하대학교병원
홍미정 ( Hong Mi-Jeong ) - 인하대학교병원
김소영 ( Kim So-Young ) - 인하대학교병원
김선애 ( Kim Seon-Ae ) - 인하대학교병원
김화순 ( Kim Hwa-Soon ) - 인하대학교 간호학과

Abstract


Purpose: The purpose of this study was to estimate the effects of a video low intensity exercise program provided during hemodialysis on fatigue, activity of daily living, positive psychological capital and blood pressure of patients being treated.

Methods: A non-equivalent control group pre-post test design was used. Participants were 85 hemodialysis patients assigned to either the experimental group (n=41) or the control group (n=44). The experimental group exercised for about 25 minutes 3 times a week for 8 weeks. Data analyses involved descriptive statistics, x2 test, t-test, multiple regression and repeated measure ANOVA using SPSS/WIN 23.0.

Results: The exercise intervention significantly reduced post hemodialysis fatigue and significantly increased positive psychological capital. There was a significant interaction effect on time by group in blood pressure. Systolic blood pressure changes in the experimental group were stable but, changes in the control group tended to increase gradually.

Conclusion: To reduce fatigue and increase positive psychological capital for hemodialysis patients, providing exercise during hemodialysis is recommended. Furthermore individualized exercise in terms of intensity, time, duration, etc should be developed and tested. Also, to reduce drastic blood pressure changes during hemodialysis, exercise should be provided.

키워드

혈액투석; 운동 프로그램; 피로; 긍정심리자본; 혈압
Renal dialysis; Exercise; Fatigue; Blood pressure; Emotions

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