Effect of Intradialytic Exercise on Fatigue, Psychological Distress, and Biochemical Findings among Hemodialysis Children

H. Salama, Alyaa; Mahmoud Zaki, Mawaheb; A . Radwan, Hanaa; Ramzy Elfiky, Elham; ,A.Zayed, Doaa

doi:10.21608/ejhc.2022.272201

Effect of Intradialytic Exercise on Fatigue, Psychological Distress, and Biochemical Findings among Hemodialysis Children

Document Type : Original Article

Authors

¹ Pediatric Nursing, Faculty of Nursing, Menoufia University, Egypt,

² Psychiatric Mental Health Nursing, Faculty of Nursing, Banha University, Egypt

³ Psychiatric & Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt

10.21608/ejhc.2022.272201

Abstract

Background: End-stage renal disease is becoming important to public health in developing
world. Hemodialysis is a kidney function replacement therapy that removes certain toxins or
metabolic waste from the bloodstream. Patients on hemodialysis for chronic renal failure encounter
a variety of issues, including psychological distress, fatigue, and biochemical disturbances. The
aim of the study was to assess the effect of intradialytic exercise on fatigue, psychological distress,
and biochemical findings among hemodialysis children. Research design: A quasi-experimental
design was used to conduct the study (study and control group pre/ posttest) was used to achieve the
purpose of the study. Data were collected using the following tools (1) Pediatric quality of life
inventory–multidimensional fatigue scale (PedsQL-MFS) (2) Depression Anxiety and stress scale
(DASS-21) (3) Biochemical values developed by the researchers including blood samples for
creatinine, blood urea nitrogen (BUN), sodium, calcium, potassium and phosphorus. The study was
conducted at pediatric hemodialysis unit in Menofia University Hospital at Shebin El-Koom City,
Egypt. The results revealed that there were highly statistically significant differences in children’s
fatigue before intervention, after four and eight weeks of intervention compared with the control
group. Also, there was a highly significant difference in the total mean score of anxiety, depression,
and stress after four and eight weeks of intervention between the study and control groups.
Moreover, there was improvement in the mean score of blood urea nitrogen (BUN), calcium and
phosphor in the study group after 4 and 8 weeks of intervention compared to before intervention.
Conclusion: the study concluded that intradialytic exercise had a positive effect on fatigue,
psychological distress, and biochemical findings among hemodialysis children. Recommendation:
Intradialytic exercise should become a fundamental part of the total management of all patients
undergoing hemodialysis.

Keywords