혈액투석 중 동영상을 이용한 운동요법이 혈액투석환자의 심리적 웰빙, 우울 및 혈액화학지표에 미치는 효과

Effects of Intradialytic Exercise on Psychological Well-being, Depression and Blood Chemicals in Hemodialysis Patients

Purpose: This study investigated the effects of the exercise guided by video taped program during hemodialysis on psychological wellbeing, depression and blood chemicals of the patients with end stage renal failure. Method: This study used a nonequivalent control group pretest-posttest design. The experimental group (n=31) received 15-20 minutes of low-intensity exercise guided by video during hemodialysis, 3 times a week for 8 weeks, and usual care. The control group (n=31) received usual care only. The main outcome measures include Wellbeing Picture Scale, CES-D, and blood chemical indices. Results: After an 8-week intervention, significant improvements were noted in both Wellbeing Picture Scale scores (t=-2.09, p=.048) and CES-D scores (t=2.77, p=.009) and serum K level(t=-2.57, p=.016). Conclusion: A low-intensity exercise guided by video during hemodalysis is a complementary, safe, and effective clinical treatment modality in hemodialysis patients.