Abstract
Background: Patients receiving hemodialysis are suffered from several psychological complications, and they required to receive safe, feasible, and applicable interventions to improve their psychological health. Practicing physical exercises were used in the literature as a possible intervention to improve patient’s outcomes. Purpose: The current literature review aimed to evaluate the effectiveness of physical exercises on psychological status, and sleep quality among patients undergoing hemodialysis, and to detect the gab in the Jordanian literature about the effectiveness of practicing physical exercises on psychological status, and sleep quality among patients undergoing hemodialysis. Methods: The design of the current article was literature review of fifty studies. Results: The current review revealed that most of the research studies were conducted to describe the levels and prevalence’s of psychological and mental complication of hemodialysis process, and to evaluate the impact of different types and methods of physical exercises on physical, psychological, and functional outcomes among patients undergoing hemodialysis. However, there are no agreement about the type, time, and intensity of physical exercises, and its impact on patients’ psychological outcomes. In Jordanian context, there are no experimental studies were conducted about the effectiveness of physical exercises on psychological status and sleep quality among patients undergoing hemodialysis. Conclusion: It is imperative for researchers to fill the gap that existed in the body of knowledge regarding the effectiveness of physical exercises on psychological outcomes among patients undergoing hemodialysis in order to improve psychological well-being and improve both quality of life for patients, and quality of nursing care.
Highlights
End stage renal disease (ESRD) is a chronic and irreversible stage of kidney failure, which affected more than 430,000 individuals in the United States, and the majority of them (92%) receiving hemodialysis treatment as renal replacement therapy for 3 times per week, each time prolonged for 4 to 6 hours [1]
Physical exercises among patients with ESRD can be performed during the hemodialysis sessions “intra-dialysis” or between dialysis treatments “extradialysis” at an outpatient health care setting or at fitness centers, or at home [8]
Shimoda and colleagues [12] conducted a systematic review and meta-analysis of randomized controlled trials that conducted about the effects of supervised exercise on depressive symptoms in hemodialysis patients, the review consisted of only five trials with exercise programs ranged from ten weeks to six months included both intra-dialysis and extra dialysis exercise programs, the results showed that exercise training was significantly improve depressive symptoms compared with control groups, the systematic review concluded to conduct additional high-quality studies including different ways of intra-dialysis physical exercises to support these findings [12]
Summary
End stage renal disease (ESRD) is a chronic and irreversible stage of kidney failure, which affected more than 430,000 individuals in the United States, and the majority of them (92%) receiving hemodialysis treatment as renal replacement therapy for 3 times per week, each time prolonged for 4 to 6 hours [1]. There is a prompt needs to evaluate the available ways to improve psychological status (stress, anxiety, and depression, and sleep quality) among patients undergoing hemodialysis. Results: The current review revealed that most of the research studies were conducted to describe the levels and prevalence’s of psychological and mental complication of hemodialysis process, and to evaluate the impact of different types and methods of physical exercises on physical, psychological, and functional outcomes among patients undergoing hemodialysis. In Jordanian context, there are no experimental studies were conducted about the effectiveness of physical exercises on psychological status and sleep quality among patients undergoing hemodialysis. Conclusion: It is imperative for researchers to fill the gap that existed in the body of knowledge regarding the effectiveness of physical exercises on psychological outcomes among patients undergoing hemodialysis in order to improve psychological well-being and improve both quality of life for patients, and quality of nursing care
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