The Effect of Intradialytic Exercise on Fatigue-Related Chronic Kidney Disease: A Case Study of Patient Undergoing Hemodialysis

Bastari Dwi Kurniawati; Tatik Dwi Wahyuni; Anggi Lukman Wicaksana

doi:10.3889/oamjms.2022.10745

Authors

Bastari Dwi Kurniawati School of Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
Tatik Dwi Wahyuni Hemodialysis Unit, Dr. Sardjito General Hospital, Yogyakarta, Indonesia
Anggi Lukman Wicaksana Department of Medical Surgical Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia; The Sleman Health and Demographic Surveillance System, Universitas Gadjah Mada, Yogyakarta, Indonesia; School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan, ROC https://orcid.org/0000-0001-9813-8830

DOI:

https://doi.org/10.3889/oamjms.2022.10745

Keywords:

Case study, Chronic kidney disease, Fatigue, Hemodialysis, Intradialytic exercises

Abstract

BACKGROUND: Fatigue is one of the most common problems experienced by chronic kidney disease (CKD) patients undergoing hemodialysis. The application of intradialytic exercises can be the best solutions to overcome fatigue related to CKD.

CASE PRESENTATION: A 50-year-old male patient with CKD, who complained of severe fatigue, was selected in case study. The FACIT Fatigue Scale questionnaire and clinical indicators were measured before and after intervention. The intradialytic exercise was administered at 3rd hour of hemodialysis for 4 sessions in 2 weeks. Each session required 30 minutes, containing warming up, main exercise and cooling down. After two weeks intervention, there was an improvement of fatigue score (16 to 29) and reduction of weakness, tiredness, washout feeling, sleepy, and tiredness on eating. Moreover, the clinical indicators showed positive improvement after the intervention.

CONCLUSION: Thus, intradialytic exercise is practically promising to minimize fatigue related to CKD among patients undergoing hemodialysis. Hemodialysis nurses or other health care providers could utilize this evidence as a program to reduce the fatigue related to CKD.

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