Abstract
BackgroundHealth promoting behaviors are among the determinants of health. Hemodialysis causes significant changes in the lives of patients and affects their health promoting behaviors. Accordingly, this study aimed at investigating the effect of exercise during hemodialysis on health promotion behaviors in patients undergoing hemodialysis.MethodsThis study was a two-stage (before and after) clinical trial. The sample of the study consisted of 60 hemodialysis patients in two hospitals in Isfahan who were selected randomly and divided into two groups of control and intervention using random allocation method. A 8-week exercise program by stationary bicycles (Mini-bike) was designed for the intervention group, while the control group underwent a 10-min limbering exercise for 8 weeks. Data were collected using demographic questionnaire and the Health Promoting Lifestyle Profile II (HPLP-II) questionnaire before and after the intervention and were analyzed using SPSS21 software.ResultsBased on the independent t-test results, no significant difference was observed between the mean score of health promoting behaviors and its areas before the intervention (P > 0.05). However, the results of this test showed that the mean score of health promoting behaviors and its areas, except for the areas of responsibility (P = 0.052) and spirituality (P = 0.211), was significantly different between the two groups after the intervention (p < 0.05).ConclusionsThe results of this study showed that exercise with stationary bicycle during hemodialysis could promote health promoting behaviors. Thus, this exercise is recommended to be considered as part of the therapeutic protocol of these patients in hemodialysis departments.Trial registrationThe clinical trial was found to be in accordance to the ethical principles and the national norms and standards for conducting medical research in Iran. IRCT registration number: IRCT20150116020675N3. Registration date: 2019-01-18, 1397/10/28Approval ID: IR.MUI.RESEARCH.REC.1397.014Approval Date: 2018-07-01Evaluated by: Vice-Chancellor in Research Affairs -Medical University of Isfahan
Highlights
Health promoting behaviors are among the determinants of health
Similar studies have proven the positive effect of exercise during dialysis on the physical symptoms of patients; but the effect of this method on promoting other aspects of health has been less investigated [18]. As care for these patients in addition to the physical dimension should include other dimensions of health [19] and as there is a need for a holistic approach, this study aimed at determining the effect of exercise during dialysis on health promoting behaviors in hemodialysis patients
This study was conducted on 60 hemodialysis patients and, 27 patients of the intervention group and 25 patients of the control group completed the process (Fig. 1).In the intervention and control groups, respectively, 3 and 5 patients get out of the study because did not consent to continue participating in the study
Summary
Health promoting behaviors are among the determinants of health. Hemodialysis causes significant changes in the lives of patients and affects their health promoting behaviors. The areas of health promoting behaviors include nutrition, physical activity, stress management, health responsibilities, interpersonal relationships, and spiritual growth [8, 9] These behaviors are important as they have the potentiality to prevent the complications of illness and treatment, reduce pathogenicity, improve quality of life, maintain the function and independence of individuals, and reduce the burden of care on society. These behaviors are considered to be important determinants of health, and promoting them can prevent one third of deaths and the risk of heart disease in these patients [10, 11]
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