جستجوی مقالات مرتبط با کلیدواژه « کیفیت دیالیز » در نشریات گروه « پزشکی »

Patients under hemodialysis have sedentary lifestyle، muscle atrophy and muscle weakness. This study was performed to evaluate the effects of aerobic exercise during hemodialysis on the efficacy of dialysis، muscle atrophy and physical performance in patients with chronic renal failure.

In this quasi-experimental study، thirty patients with age mean of 45 years under hemodialysis were divided into control (N=15) and experimental (N=15) groups. Patients in experimental group were particapated in a twenty- week progressing exercise training performed during the first two hours of their hemodialysis on a stationary bicycle، three times a week، for 60 minuntes each time. Eefficacy of dialysis using Clearance time/volume and Urea Reduction Ratio، muscle atrophy by anthropometry skinfold measurements and physical performance، using 2-minute walk test (2MWT)، were assessed before and after training program. Statistical analysis was performed using SPSS 18، t-test and ANCOVA to compare pre and post values within and between groups.

After the exercise، there was a significant increase in the distance walked during the 2MWT from 132. 87 ± 24. 1 m to 165. 27 ± 30. 3 m، and a significant improvement in atrophy from 56. 57 ± 18. 8 to 59. 37 ± 18. 4 cm in exercise group (P<0. 05). No significant differences were observed in efficacy of dialysis after exercise program (P>0. 05).

It seems that regular exercise has a significant impact on physical performance and muscle atrophy in hemodialysis patients and can be used as part of the treatment for hemodialysis patients، but no significant effect has on efficacy of dialysis after exercise program.

Hemodialysis is a common replacement therapy for patients with ESRD, worldwide. Effective and adequate hemodialysis can improve quality of life and reduce complications of renal failure. Enhancing quality of dialysis results in reducing the complications and mortality rate in patients with chronic renal failure. The aim of this study was to assess the adequacy of dialysis in patients undergoing dialysis with Bicarbonate solution in hemodialysis ward of a hospital in Sary. Methods & Materials: This cross-sectional study was conducted on 50 patients admitted in the hemodialysis ward with chronic renal failure diagnosis. A researcher-made questionnaire was used to gather data. The KT/V formula was used to assess the adequacy of hemodialysis. The URR common characteristic was also measured. Data were analyzed using statistical tests.

The mean age of patients was 54.76±12.55 years. The mean of KT/V and URR were 0.26±0.92 and 0.47±0.09, respectively. The kt/v ratio was lower than 1.2 in 85.2% of the patients; and the URR was lower than 65% in 97.8% of the patients.

The hemodialysis adequacy was low in 85.2% of the patients in the hospital and the hemodialysis efficacy indicators were lower than the standard measures. Assessment to find the reasons of low efficacy of hemodialysis is recommended.