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노인 혈액투석 환자를 위한 근력강화 운동 프로그램의 효과

Effects of a Muscle Strength Reinforcement Exercise Program for Older Adult Patients on Hemodialysis

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초록

Purpose: The purpose of this study was to examine effects of a muscle strength reinforcement exercise program (MSREP) for older adult patients with hemodialysis (OAPHD) which was designed to improve health status and quality of life of these older adult patients. Methods: Participants were 40 patients with OAPHD: 20 in the experimental group and 20 in the control group. MSREP was conducted with the experimental group for 12 weeks at H geriatric hospital. An assessment was done to determine effects on physical performance, inflammation index, fatigue, muscle strength and quality of life. Short physical performance battery, C-Reactive Protein (CRP), visual analog scale for fatigue, object lifting' proposed by the Life Options Rehabilitation Advisory Council, sit-to-stand test, and quality of life index were used to gather data. Results: Between the 2 groups there was no significant difference in scores for physical performance, fatigue or quality of life. However, the 2 groups showed significant difference in CRP values and muscle power scores on post-test. Conclusion: Findings provide evidence for the potential utility of education for older adult patients with hemodialysis. Also, this program could allow these patients to increase muscle strength, and contribute to achieving better health conditions in OAPHD care.

Abstract

Purpose: The purpose of this study was to examine effects of a muscle strength reinforcement exercise program (MSREP) for older adult patients with hemodialysis (OAPHD) which was designed to improve health status and quality of life of these older adult patients. Methods: Participants were 40 patients with OAPHD: 20 in the experimental group and 20 in the control group. MSREP was conducted with the experimental group for 12 weeks at H geriatric hospital. An assessment was done to determine effects on physical performance, inflammation index, fatigue, muscle strength and quality of life. Short physical performance battery, C-Reactive Protein (CRP), visual analog scale for fatigue, object lifting' proposed by the Life Options Rehabilitation Advisory Council, sit-to-stand test, and quality of life index were used to gather data. Results: Between the 2 groups there was no significant difference in scores for physical performance, fatigue or quality of life. However, the 2 groups showed significant difference in CRP values and muscle power scores on post-test. Conclusion: Findings provide evidence for the potential utility of education for older adult patients with hemodialysis. Also, this program could allow these patients to increase muscle strength, and contribute to achieving better health conditions in OAPHD care.

참고문헌 (27)

  1. Kim YS, "Medication adherence and related factors in elderly hemodialysis patients", Health & Nursing, 30(1), pp.29~42 (2018)[DOI]
  2. Janine Farragher, "Rehabilitation of the Geriatric Dialysis Patient", Seminars in Dialysis, 25(6), pp.649~656 (2012), Wiley[DOI]
  3. Song, Woo-Jung, "Effects of Progressive Resistance Training on Body Composition, Physical Fitness and Quality of Life of Patients on Hemodialysis", Journal of Korean Academy of Nursing, 42(7), pp.947~956 (2012), 한국간호과학회
  4. Tuschar Malavade, "Dialysis Therapies in Older Patients with End-Stage Renal Disease", Clinics in Geriatric Medicine, 29(3), pp.625~639 (2013), Elsevier BV[DOI]
  5. Denise Mafra, "Influence of Inflammation on Total Energy Expenditure in Hemodialysis Patients", Journal of Renal Nutrition, 21(5), pp.387~393 (2011), Elsevier BV[DOI]
  6. 박근숙, "혈액투석 환자와 건강인의 근력과 보행능력의 비교", 한국보건간호학회지, 26(1), pp.82~90 (2012), 한국보건간호학회[DOI]
  7. Dungey M, "Inflammatory factors and exercise in chronic kidney disease", International Journal of Endocrinology, pp.1~12 (2013)[DOI]
  8. Irfan Moinuddin, "A Comparison of Aerobic Exercise and Resistance Training in Patients With and Without Chronic Kidney Disease", Advances in Chronic Kidney Disease, 15(1), pp.83~96 (2008), Elsevier BV[DOI]
  9. 김혜원, "혈액투석 환자의 피로와 피로조절행위", 디지털융복합연구, 10(5), pp.301~305 (2012), 한국디지털정책학회[DOI]
  10. Roberto Bullani, "Effect of Intradialytic Resistance Band Exercise on Physical Function in Patients on Maintenance Hemodialysis: A Pilot Study", Journal of Renal Nutrition, 21(1), pp.61~65 (2011), Elsevier BV[DOI]
  11. K. L. Johansen, "Exercise in the End-Stage Renal Disease Population", Journal of the American Society of Nephrology, 18(6), pp.1845~1854 (2007), American Society of Nephrology (ASN)[DOI]
  12. Kim JS, "The effects of exercise program on depression and anxiety for hemodialysis patients", master's, pp.1997
  13. 이영규, "단기간의 혈액투석 전 운동이 말기 신장질환 환자의 신체적ㆍ정신적 기능에 미치는 효과", Kidney Research and Clinical Practice, 20(2), pp.290~297 (2001), 대한신장학회
  14. Suh MR, "Effects of regular exercise on anxiety, depression, and quality of life in maintenance hemodialysis patients", Renal Failure, 24(3), pp.337~346 (2002)
  15. 장은정, "운동요법이 혈액투석 환자의 체력과 건강관련 삶의 질에 미치는 효과", Journal of Korean Academy of Nursing, 39(4), pp.584~593 (2009), 한국간호과학회
  16. Cheema BS, "Progressive resistance training during hemodialysis:rationale and method of a randomized-controlled trial", Hemodialysis International, 10(3), pp.303~310 (2006)[DOI]
  17. Guralnik JM, "A short physical performance battery assessing lower extremity func tion: association with self-reported disability and prediction of mortality and nursing home admission", Journal of Gerontology, 49(2), pp.85~ (1994)[DOI]
  18. Kathryn A. Lee, "Validity and reliability of a scale to assess fatigue", Psychiatry Research, 36(3), pp.291~298 (1991), Elsevier BV[DOI]
  19. "A guide for the people on dialysis" (2000)[URL]
  20. Carol E. Ferrans, "Quality of life index", Advances in Nursing Science, 8(1), pp.15~24 (1985), Ovid Technologies (Wolters Kluwer Health)[DOI]
  21. 김주현, "혈액투석환자에게 적용한 지시적 심상요법의 효과", 박사, 간호학, pp.1995
  22. 김도경, "노인 남성에 있어서 C-반응성 단백질(CRP)과 근력과의 관련성", 대한스포츠의학회지, 28(1), pp.44~49 (2010), 대한스포츠의학회
  23. 이승엽, "24주간 복합 트레이닝이 고령자들의 근력, 에너지기질과 염증인자에 미치는 영향", 한국발육발달학회지, 21(3), pp.237~242 (2013), 한국발육발달학회
  24. 신원태, "운동 유형이 당뇨병 여성노인의 혈중 염증지표에 미치는 영향", 한국웰니스학회지, 7(1), pp.201~211 (2012), 한국웰니스학회
  25. Fernanda Stringuetta-Belik, "Greater level of physical activity associated with better cognitive function in hemodialysis in end stage renal disease", Jornal Brasileiro de Nefrologia, 34(4), pp.378~386 (2012), FapUNIFESP (SciELO)[DOI]
  26. Fernanda Stringuetta-Belik, "Greater level of physical activity associated with better cognitive function in hemodialysis in end stage renal disease", Jornal Brasileiro de Nefrologia, 34(4), pp.378~386 (2012), FapUNIFESP (SciELO)[DOI]
  27. Cristiane Moraes, "Resistance exercise: a strategy to attenuate inflammation and protein-energy wasting in hemodialysis patients?", International Urology and Nephrology, 46(8), pp.1655~1662 (2014), Springer Nature[DOI]

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