Volume 22, Issue 3 (June 2024)
Nursing and Midwifery Journal 2024, 22(3): 191-199 |
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Eghtedar S, Akbarbegloo M, Pourmohammad F. THE EFFECT OF PHYSICAL ACTIVITY ON MUSCLE CRAMP PAIN IN HEMODIALYSIS PATIENTS IN 2023. Nursing and Midwifery Journal 2024; 22 (3) :191-199
URL: http://unmf.umsu.ac.ir/article-1-5154-en.html
URL: http://unmf.umsu.ac.ir/article-1-5154-en.html
1- Assistant Professor, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
2- Assistant Professor, Department of Nursing, Khoy University of Medical Sciences, Khoy, Iran
3- MSc Student Medical Surgical Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran (Corresponding Author) ,fatemehpoumohammad78@gmail.com
2- Assistant Professor, Department of Nursing, Khoy University of Medical Sciences, Khoy, Iran
3- MSc Student Medical Surgical Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran (Corresponding Author) ,
Abstract: (967 Views)
Background & Aim: Hemodialysis is a commonly successful method for controlling chronic kidney failure. However, dialysis patients face numerous physical and mental stressors that diminish their quality of life and sense of well-being, and one of these physical factors is muscle cramps. Because these patients have low physical endurance and may dialyze through the veins in their hands, they should focus on exercising with their legs to relief muscle cramps and improve overall quality of life. Therefore, this study aimed to investigate the impact of physical activity on muscle cramps in the patients undergoing hemodialysis at Shahid Madani Hospital of Khoi city in 2023.
Materials & Methods: The present study was semi-experimental. The sample size was calculated 34 patients, with 17 in the intervention and 17 in the control groups, based on previous studies and using a formula. Convenience sampling was conducted to choose the cases and controls, and then by randomly selecting the cards to divide them into intervention and control groups. The physical activity program involved a 30-minute walking session for three times a week for intervention group. The walks occurred right after the hemodialysis session or in an outdoor area at Shahid Madani Khoi Hospital, with the patient's prior coordination. Both groups completed the demographic characteristics questionnaire at the start of the intervention. They also filled out the visual analog scale for the intensity of muscle cramp pain at the beginning and end of the intervention. The data were then statistically analyzed.
Results: The results showed no significant difference between the mean muscle cramp pain scores in the control and intervention groups before the intervention (p>0.05). However, there was a statistically significant difference between the mean muscle cramp pain scores in the control and intervention groups after the intervention (p<0.05), as in the intervention group, the mean muscle cramp pain score was decreased compared to the control group.
Conclusion: The study demonstrated that physical activity is effective in alleviating muscle cramp pain. Therefore, recognizing the significance of educational interventions in enhancing the well-being of patients and their caregivers, healthcare managers can improve patients' health by implementing measures such as written educational programs and workshops aimed at highlighting the pivotal role of physical activity.
Materials & Methods: The present study was semi-experimental. The sample size was calculated 34 patients, with 17 in the intervention and 17 in the control groups, based on previous studies and using a formula. Convenience sampling was conducted to choose the cases and controls, and then by randomly selecting the cards to divide them into intervention and control groups. The physical activity program involved a 30-minute walking session for three times a week for intervention group. The walks occurred right after the hemodialysis session or in an outdoor area at Shahid Madani Khoi Hospital, with the patient's prior coordination. Both groups completed the demographic characteristics questionnaire at the start of the intervention. They also filled out the visual analog scale for the intensity of muscle cramp pain at the beginning and end of the intervention. The data were then statistically analyzed.
Results: The results showed no significant difference between the mean muscle cramp pain scores in the control and intervention groups before the intervention (p>0.05). However, there was a statistically significant difference between the mean muscle cramp pain scores in the control and intervention groups after the intervention (p<0.05), as in the intervention group, the mean muscle cramp pain score was decreased compared to the control group.
Conclusion: The study demonstrated that physical activity is effective in alleviating muscle cramp pain. Therefore, recognizing the significance of educational interventions in enhancing the well-being of patients and their caregivers, healthcare managers can improve patients' health by implementing measures such as written educational programs and workshops aimed at highlighting the pivotal role of physical activity.
References
1. Carney EF. The impact of chronic kidney disease on global health. Nat Rev Nephrol 2020;16(5):251. [DOI:10.1038/s41581-020-0268-7] [PMID]
2. Levey AS, Eckardt K-U, Dorman NM, Christiansen SL, Hoorn EJ, Ingelfinger JR, et al. Nomenclature for kidney function and disease: report of a Kidney Disease: Improving Global Outcomes (KDIGO) Consensus Conference. Kidney Int 2020;97(6):1117-29. [DOI:10.1016/j.kint.2020.02.010] [PMID]
3. Mousavi SS, Soleimani A, Mousavi MB. Epidemiology of End-Stage Renal Disease in Iran: A Review Article. Saud J Kidney Dis Transplan 2014;25(3):697-702. (Persian) [DOI:10.4103/1319-2442.132242] [PMID]
4. Bouya S, Balouchi A, Rafiemanesh H, Hesaraki M. Prevalence of chronic kidney disease in iranian general population: A meta‐analysis and systematic review. Ther Apher Dial 2018;22(6):594-9. [DOI:10.1111/1744-9987.12716] [PMID]
5. Alipor A, Yasari F, Khodakarim S, Shokri A. Epidemiologic Pattern of Patients with Chronic Renal Failure and Related Factors in Hemodialysis Patients of Shahid Ayatollah Ashrafi Esfahani Hospital in Tehran in 2017. J Res Urology 2018;2(3):13-9. (Persian) [DOI:10.30699/jru.2.3.13]
6. Baker LA, O'Sullivan TF, Robinson KA, Graham‐Brown MP, Major RW, Ashford RU, et al. Primary skeletal muscle cells from chronic kidney disease patients retain hallmarks of cachexia in vitro. J Cachexia Sarcopenia Muscle 2022;13(2):1238-49. [DOI:10.1002/jcsm.12802] [PMID] []
7. Seto Y, Kimura M, Matsunaga T, Miyasita E, Kanno Y. Long-term body composition changes in patients undergoing hemodialysis: a single-center retrospective study. Ren Replace Ther 2022;8(1):57. [DOI:10.1186/s41100-022-00448-x]
8. Kesik G, Altinok Ersoy N. The effect of nonpharmacologic interventions for muscle cramps and restless‐leg syndrome in hemodialysis patients: A meta‐analysis of randomized controlled trials. Ther Apher Dial 2023. [DOI:10.1111/1744-9987.13968] [PMID]
9. Takahashi A. The pathophysiology of leg cramping during dialysis and the use of carnitine in its treatment. Physiol Rep 2021;9(21):e15114. [DOI:10.14814/phy2.15114]
10. Gerogianni G. Factors Affecting Pain in Hemodialysis and Non-pharmacological Management. Cureus. 2023;15(2). [DOI:10.7759/cureus.35448]
11. Bagheri-Nesami M, Shorofi SA, Nikkhah A, Roohi Moghaddam H, Mahdavi A. The effect of lavender aromatherapy on well-being in hemodialysis patients: A randomized clinical trial. Pharm Biomed Res 2018;4(2):18-22. (Persian) [DOI:10.18502/pbr.v4i2.215]
12. Huang H-Y, Hung K-S, Yeh M-L, Chou H-L, Yeh AL, Liao T-Y. Breathing-based leg exercises during hemodialysis improve quality of life: A randomized controlled trial. Clin Rehabil 2021;35(8):1175-84. [DOI:10.1177/02692155211000738] [PMID]
13. Zamanzadeh V HM, Oshvandi KH, Argani H, Abedi S.. Effect of physical exersice on quality of life in hemodialysis patients. Medical Jurnal of Tabriz University of Medical Sciences. 2008;30(1):51-55. Med J Tabriz Univ Med Sci 2008;30(1):51-5. (Persian) [URL]
14. Hjermstad MJ, Fayers PM, Haugen DF, Caraceni A, Hanks GW, Loge JH, et al. Studies Comparing Numerical Rating Scales, Verbal Rating Scales, and Visual Analogue Scales for Assessment of Pain Intensity in Adults: A Systematic Literature Review. J Pain Symptom Manag 2011;41(6):1073-93. [DOI:10.1016/j.jpainsymman.2010.08.016] [PMID]
15. Alghadir AH, Anwer S, Iqbal A, Iqbal ZA. Test-retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. J Pain Res 2018;11(null):851-6. [DOI:10.2147/JPR.S158847] [PMID] []
16. Mousavi Fs, Golmakani N. comparison and correlation between visual analogue scale and different dimensions of the short form of mcgill pain questionnaire in post cesarean pain evaluation. Nurs Midwifery J 2018;16(9):622-30. (Persian) [URL]
17. Hatef M, Esmaeili R, Mousavinasab N, Madani Z, Spahbodi F, Shafipour V. Effect of Intradialytic and Home-Based Walking Exercises on Physical Function and Dialysis Adequacy in Hemodialysis Patients. J Mazandaran Univ Med Sci 2017;27(154):83-93. (Persian) [URL]
18. Hadian Jazi Z, Aliasgharpoor M. Evaluating the effects of designed exercise program on mean of activity tolerance in hemodialysis patients. J Shahrekord Univ Med Sci 2012;14(5):83-91. (Persian) [URL]
19. Elsedawy AE, Mohsen MM, El-Saidy TM, Shehata HS. Effect of intradialytic stretching exercises on muscle cramps among elderly patients undergoing hemodialysis. Menoufia Nurs J 2023;8(1):1-11. [DOI:10.21608/menj.2023.284020]
20. Albadr AH, Azer SZ, Abd Elhamed N, Mostafa NM. Effect of intradialytic hemodialysis exercises on fatigue and leg cramps. Assiut Sci Nurs J 2020;8(20):132-41. [DOI:10.21608/asnj.2020.80746]
21. Dhudum B, Bhore NR. Intradialytic stretching exercises on muscle cramps: a systematic review. J Crit Rev 2020;7(15):4390-8. [URL]
22. Kalani N, Riahi Z. The effects of exercise training intra-dialysis on muscular function and physical performance in Hemodialysis Patient. Sport Physiol 2015;7(26):67-80. (Persian) [URL]
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