Breathing Exercises to Improve Fatigue and Quality of Life in Hemodialysis Patients

NCT ID: NCT03499054

Last Updated: 2018-04-17

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 86 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2017-03-01
• Study Completion Date: 2017-06-30

Brief Summary

Breathing exercises to improve fatigue and quality of life in hemodialysis patients

Detailed Description

Patients receiving haemodialysis have poor physical function, psychological status and quality of life than the general population.Fatigue is a debilitating symptom in haemodialysis patients Exercise training may improve these parameters for haemodialysis patients.

A 3-month randomized control trial with baseline、Week 4、Week 12 measurement periods was conducted. Exercise group was taught to Breathing exercise week and Usual care for three months. The control group received usual routine care.

A total of 86 patients participated in this study, with 43 patients in the Exercise group and 43 patients in the control group Methods: Hemodialysis Fatigue scale 、 WHOQOL-BREF 、 HADS_ Anxiety

、 HRV

Conditions

Hemodialysis; Breathing Exercises; Fatigue

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: SINGLE

Study Groups

control group

Hemodialysis patients in the control group who receive only routine nursing care during hemodialysis

Group Type: NO_INTERVENTION

No interventions assigned to this group

exercise group

The exercise group are asked to perform breathing exercises during hemodialysis for the study period of 3 months.

Group Type: EXPERIMENTAL

Breathing exercises

Intervention Type: OTHER

During hemodialysis, the participants in the exercise group are asked to keep ttheir muscles relaxed, breathe normally through the nose at a rate of 3-8 times per minute with each breath held over 5 seconds in length. At the same time, the particpants are asked to also perform lower leg lifts for about 8 seconds per lift. The exercise is performed for 15-20 minutes, and after resting, blood pressure, oxygen saturation and HRV are measured.

Interventions

Breathing exercises

During hemodialysis, the participants in the exercise group are asked to keep ttheir muscles relaxed, breathe normally through the nose at a rate of 3-8 times per minute with each breath held over 5 seconds in length. At the same time, the particpants are asked to also perform lower leg lifts for about 8 seconds per lift. The exercise is performed for 15-20 minutes, and after resting, blood pressure, oxygen saturation and HRV are measured.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. diagnosed by end-stage renal disease, regular hemodialysis three times a week and up to six months or more

2. Adults over 20 years of age.

3. Consciousness.

4. can be used to communicate in Taiwanese, accept questionnaire interviews or self-filling questionnaire.

5. no chest pain or shortness of breath symptoms.

6. No lower extremity disability and ability to walk on their own.

7. agree to take respiratory exercise intervention measures, have the intention to participate in this study and signed a consent form.

Exclusion Criteria

1. unstable vital signs, or serious heart disease: such as the diagnosis of myocardial infarction, unstable angina pectoris, cardiopulmonary disease and other patients.

2. A complication occurs, such as aspiration pneumonia.

3. history of arrhythmia, as well as taking heart rate medication.

4. Physician's advice is not suitable for exercise, such as bone and joint problems.

5. There is a temporary double vena cava catheter placed.

• Minimum Eligible Age: 20 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

National Taipei University of Nursing and Health Sciences

OTHER

Sponsor Role: lead

Responsible Party

HUANG HSIN YI

Co-head of Nurses, AHN Department of Internal Medicine

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Far Eastern Memorial Hospital

Taipei County, , Taiwan

Countries

Taiwan

Other Identifiers

4rfvgy7m

Identifier Type: -

Identifier Source: org_study_id