Exercise Effect on Psychological Distress of Patients Undergoing Hemodialysis at Al-Suwaiq Dialysis Center

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

54 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-15

Study Completion Date

2025-07-01

Brief Summary

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The aim to investigate the level of psychological distress on patients undergoing hemodialysis at Al-Suwaiq Renal dialysis center as well as to explore the effectiveness of home-based exercise method in reducing such psychological distress, depression, and anxiety.

the main questions aims to answer,

1. Does hemodialysis patients have high level of psychological distress.
2. Does exercise has effect on reducing psychological distress on hemodialysis patients.

participants randomized into control and intervention group, intervention group received home based exercise for 6 month while control group not, to compare in reducing of psychological distress.

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Detailed Description

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Patients with kidney failure undergoing hemodialysis experience psychological distress.Several psychosocial stressors have an impact on patients undergoing hemodialysis as dialysis treatment imposes several lifestyle changes. These include the impact of disease and treatment, dietary and fluid restrictions, functional limitations, sexual dysfunction, future uncertainty and fear of death. Commonly associated psychosocial issues include depression and anxiety. Exercise interventions may mitigate this outcome, but their clinical role is unclear. Thus. this project aims to examine the effect of non- pharmacological intervention exercise, walking, in reducing psychological distress.

This is a two-phases study in which a cross-sectional study will be conducted to evaluate the level of psychological distress among (n=132) patient undergoing hemodialysis at Al- Suwaiq renal dialysis center. as second phase patients randomize into two groups, One group will receive the non- pharmacological intervention (exercise home based) while the other group will continue the regular treatment plan. After 6 months of follow-up, a post-assessment of the psychological symptoms of the interventional and the control groups, using the same tool designed by University of Michigan Depression Center. A face-to-face survey will be applied among selected patients. A paired t-test will be used to assess the expected improvement due to the intervention program by comparing the pre-post assessments of psychological distress level. This study is expected to provide an alternative method of treatment to help renal patients to cope with their treatment consequences.

Conditions

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Exercise Renal Dialysis Anxiety Depression

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Intervention group received home based exercise.

Received home based exercise as following:

1. Exercise (such as walking or biking) for 5 to 10 minutes. once a day or a few times throughout the day.
2. Slowly adding 3 to 5 minutes to the exercise session. And keep adding time up to 30 to 60 minutes in 1 session.
3. Begin exercising 2 to 3 days a week on the days free of a dialysis treatment.
4. Then increase exercise session 4 to 7 times.

Group Type EXPERIMENTAL

Exercise

Intervention Type BEHAVIORAL

Intervention, will receive home based exercise multi times per week for 6 months

Control group

This group will receive the standard care as usual.

Group Type ACTIVE_COMPARATOR

Standard medical treatment

Intervention Type OTHER

Control group will receive the usual standard care.

Interventions

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Exercise

Intervention, will receive home based exercise multi times per week for 6 months

Intervention Type BEHAVIORAL

Standard medical treatment

Control group will receive the usual standard care.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adults ≥18 years of age
* Diagnosis of ESRD on dialysis at least for 3 years
* Stable (no recent exacerbation).
* Not having Diabetic feet.
* Walking without assistance.