IJEBN (2019) 1–5 © JournalsPub 2019. All Rights Reserved Page 1
International Journal of Evidence Based Nursing
Vol. 2: Issue 1
www.journalspub.com
Intradialytic Exercises: A Good Intervention to Improve Quality
of Life among Patient undergoing Hemodialysis—An Evidenced
based Report
B. Sasirekha*
Msc Nursing, PhD (doing), Nursing Tutor, Ranimeyyammai College of Nursing, Annamalai
University, Chidambaram, Cuddalore, Tamil Nadu, India
ABSTRACT
Chronic kidney disease (CKD) is an important growing non-communicable disease epidemic
that affects the world population. The prevalence of end stage renal disease (ESRD) is rising
throughout the developed and developing countries mainly due to Diabetes Mellitus and
Hypertension. Chronic Hemodialysis was first introduced in 1960s to extend the lives of
patient with end stage renal disease and by 1982, almost 1,00,000 patients throughout the
world were being alive by some form of dialysis therapy. Dialysis removes many of the toxins
responsible for the uremic syndrome and prolongs survival. However, the dialysis treatment
thus not fully correct the uremia and may be associated with treatment related complication
mainly muscle cramps pain. The complication prevents patients from attaining a state of full
health and interferes with many aspects of life. The degree to which an individual patient can
adapt to their medical and psychological stresses is reflected in the quality of life of that
individual. A world perspective on renal care, the challenges of prevention and treatment)
says cramps are a common intra-dialytic event, the discomfort leads to premature
termination of the treatment, noncompliance with the prescription and therefore under
dialysis. Exercise training is favorable for hemodialysis patients, but it should be modified to
individual abilities and willingness to participate. Since nurses are taking care of
hemodialysis patients, almost everywhere it becomes predominantly the nurse’s role to
improve their quality of life by relieving the complications during dialysis using this
Hallmark intervention.
Keywords: CKD, ESRD, intra-dialytic exercises, muscle cramp
*Corresponding Author
E-mail: sasirekhanm@gmail.com
INTRODUCTION
Chronic kidney disease (CKD) in an
important non-communicable trouble
shooting disease among the world
population including India. The prevalence
of end stage renal (ESRD) is rising
throughout the developed and developing
countries mainly due to diabetes mellitus
and hypertension [1]. There are currently
10,65,000 people on hemodialysis
worldwide (European dialysis and
transplant nurse’s association/European
Renal Care Association Journal, 2005).
CKD will kill 36 million people by the
year 2015. Different kidney pathologies
challenge these functions and puts human
life in danger [2]. Two such important
pathologies are acute and chronic renal
failures. But in early years itself, some had
the vision and courage to risk everything