Exercise training program and self-care management for patients undergoing hemodialysis.

Abstract

Background: Patient with end stage renal failure who started hemodialysis commonly suffer from muscle weakness, so it’s important to encourage the patients to involve in physical therapy sessions which prepared to provide the patients specific skills by training and improving their knowledge to help them move activity and freely. Objective: To evaluate the effect of exercise educational program upon self-care management for patients undergoing hemodialysis. Methodology: Qausi-experimental design carry out to evaluate the effect of self-care training program upon patients scheduled for hemodialysis in hemodialysis center at Al-Hilla city, from (25. October. 2017) to (12. August. 2018). To achieve the objective of the study purposive (non-probability) sample where selected which consists  of (50) patients with end stage renal disease who undergoing hemodialysis, they divided in to two groups,  (control) group who provided with the routine care of dialysis care, the other group (experimental) were scheduled to attend un exercise educational program session which take about (40 min), with special questionnaire prepared to collect the data which includes three parts, first part related to  demographical characteristics, the second part consist clinical information, while the third part extended to  general information about hemodialysis includes (4) item, exercise self-care management which includes about (4) item, pre-test were collected from the two group. Than the experimental group attend exercise training session, after two weeks’ posttest collected for both group. Result: The dominate characteristics of the participants who involved in the study (control and experimental group) presented that the higher percentages of the subjected 10(40%) and 14(56%) were between (51yrs. and more) years of age. Related to gender 14(56%), female in control group and 15 (60%) male in experimental group, high percentage in both group were married and retired. Most of the response (pre and posttest) among the control group who receive routine care in the hemodialysis unit were (poor) related to exercise. Conclusion: All the responses (post-test) among experimental group who attending training program in the hemodialysis unit during dialysis session were good related to exercise.