Effect of Regular Exercise Program on Depression in Hemodialysis Patients.

Jahangir Rezaei,Rostam Jalali,Mansour Rezaei,Alireza Abdi,Jafar Heydarnezhadian

doi:10.1155/2015/182030

Abstract

Background and Aim. Depression is the most common psychological disorder in hemodialysis patients which decreases their quality of life and increases the mortality. This study was conducted to assess the effect of regular exercise on depression in hemodialysis patients. Methods. In a randomized clinical trial, 51 hemodialysis patients were allocated in two groups. Beck Depression Inventory (BDI) scale was used to assessing depression rate in participants. Designed program was educated using poster and face-to-face methods for case group. Intervention was carried out three times a week for ten weeks. At the beginning and the end of the study, depression rate of the subjects was assessed. Data was analyzed by SPSS16 software and descriptive and inferential statistics. Findings. According to the results of this study, there were no differences between case and control groups in depression rate at the beginning of the study, but there was significant difference after intervention (P = 0.016). In the beginning of the study, the mean and SD of depression in case group were 23.8 ± 9.29 and reduced to 11.07 ± 12.64 at the end (P < 0.001). Conclusion. The regular exercise program could reduce the depression in hemodialysis patients; therefore it is suggested for training this program for hemodialysis patients. This trial is registered with Iranian Registry of Clinical Trial (IRCT) number IRCT201205159763N1.

Highlights

Depression is the most common psychological disorder in hemodialysis patients, the various studies reported its range 25–70 percent [1, 2]
The study design is clinical trial and population was all of chronic renal failure (CRF) patients under treatment of hemodialysis in Emam Reza Hospital, an educational center affiliated to Kermanshah University of Medical Sciences (KUMS) of Kermanshah in the west of Iran
After dividing the samples into two groups case and control randomizing and data collection, the exercise program was educated for all patients of case group via face-to-face method and poster in setting of hemodialysis ward and waiting room by researchers; once the patients did exercise movements step by step, if there were any difficulties in performing the exercise, the education was continued until patients mastering

Summary

Introduction

Depression is the most common psychological disorder in hemodialysis patients, the various studies reported its range 25–70 percent [1, 2]. At the beginning and the end of the study, depression rate of the subjects was assessed. According to the results of this study, there were no differences between case and control groups in depression rate at the beginning of the study, but there was significant difference after intervention (P = 0.016). In the beginning of the study, the mean and SD of depression in case group were 23.8 ± 9.29 and reduced to 11.07 ± 12.64 at the end (P < 0.001). The regular exercise program could reduce the depression in hemodialysis patients; it is suggested for training this program for hemodialysis patients. This trial is registered with Iranian Registry of Clinical Trial (IRCT) number IRCT201205159763N1

Objectives

Methods

Results

Discussion

Conclusion