Abstract
Most hemodialysis patients were physically inactive and their functional capacity had been reduced, even though exercise could improve physical fitness, aerobic capacity, quality of life, decrease depressive symptoms and include dialysis adequacy (measured as Kt/V). Lower Kt/V values was associated with increased morbidity and should be avoided. This study aims to determine the application of intradialytic exercise to hemodialysis adequacy through a literature review. Articles were collected from the Wiley Online database, Sciencedirect, clinical key and EBSCOhost (Medline and CINAHL plus) using the keywords "Intradialytic Exercise", "Intradialytic Training", "Hemodialysis Adequacy ", "Urea reduction" and "Kt/V". The criteria for the articles chosen in this paper: full text, published in 2015-2020 and in English. Selected articles were assessed for quality using an evaluation table. From the search results, there were 7 articles. The results showed that the application of intradialytic exercise improves hemodialysis adequacy, quality of life, physical fitness, lowers blood pressure, and had an effect on the mental of hemodialysis patients. In its application, it needs support from staff and hospital organizations so that it could be carried out optimally without neglecting other important tasks. The type of exercise that is most widely used was aerobic exercise. This exercise did not require special tools like other types of exercises. Easy to implement and did not cause side effects, so it is recommended as a type of exercise that can be applied.
Published Version
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