عنوان

Effects of Exercise on Physiologic and Psychologic Outcomes in Patients with End Stage Renal Disease on Hemodialysis: A Quasi-Experimental Study in Lebanon

Number

TL57816

.Language of Text, Soundtrack etc

انگلیسی

Title Proper

Effects of Exercise on Physiologic and Psychologic Outcomes in Patients with End Stage Renal Disease on Hemodialysis: A Quasi-Experimental Study in Lebanon

General Material Designation

[Thesis]

First Statement of Responsibility

Dunbar, Ghada Ballout

Subsequent Statement of Responsibility

Badr, Lina K.

Name of Publisher, Distributor, etc.

Azusa Pacific University

Date of Publication, Distribution, etc.

2021

Text of Note

160 p.

Dissertation or thesis details and type of degree

Ph.D.

Body granting the degree

Azusa Pacific University

Text preceding or following the note

2021

Text of Note

End stage renal disease (ESRD) is a public health problem that is expected to continue to rise and has overwhelming effects on individuals' psychological, physical, and emotional wellbeing. Treatment options include hemodialysis (HD), which is a lifesaving procedure for patients suffering from ESRD where a dialysis machine and a dialyzer are used to clean and purify the blood as their kidneys are not functioning normally (Mayo Clinic, 2016). This patient population will suffer from muscle atrophy and weakness due to inactive lifestyle and lack of physical activity. They also question their existence, are extremely stressed, and are afraid of death. The review of literature shows that HD patients are physically inactive, and less than 50% exercise once a week, leading to an increased mortality compared to HD patients who exercise regularly (Graham-Brown et al., 2019). Guided by Pender's Health Promotion Model, this longitudinal, quasiexperimental, quantitative pre-post study design was used to study the effects of exercise on physiologic and psychologic outcomes in HD patients with ESRD in an HD unit in Lebanon. Inclusion and exclusion criteria were applied, and a convenience sampling was utilized. The participants received clear instructions of the exercise program, and two survey instruments were utilized: The Kidney Disease and Quality of Life Survey and the Daily Spiritual Experience Scale. Institutional Review Board approval was obtained from the academic institution as well as the practice setting. Descriptive statistics were summarized by presenting the number and percentage for categorical variables, mean, and standard deviation for continuous variables. The associations between pre and post and other continuous variables were carried out by using the paired t-test. Multivariate regression was used to adjust for potentially confounding variables. Multiple regression analysis assessed the association between the score of quality of life and the different predictors. The correlation between two continuous variables was assessed by using Pearson correlation coefficient. p-value < 0.05 to indicate statistical significance. All statistical analysis was performed using SPSS. Results showed that there is a significant increase of physiologic measures post exercise intervention, and a highly significant decrease was observed for the average of quality of life. In addition, there was no correlation between spirituality and quality of life among this patient population, and age was the only significantly positive characteristic associated with quality of life. Future studies are recommended with a bigger sample size to clarify whether exercise could improve and affect patients' quality of life. Based on the results, the findings of this study, and the impact of using exercise bicycles during HD to improve physiologic measures and dialysis efficacy, this author suggests incorporating bicycle exercise routinely during HD in hemodialysis centers for eligible patients.

Subject Term

Health care management

Subject Term

Nursing

Subject Term

Public health

Dunbar, Ghada Ballout

Badr, Lina K.

Azusa Pacific University

Electronic name

p

[Thesis]

276903

a

Y