Improvements of motor functions and activities of daily living in chronic renal failure patients receiving a 3-month exercise training program during hemodialysis sessions

医学治疗和血液透析（HD）治疗的进步增加了接受HD治疗的慢性肾衰竭患者的预期寿命，现在，正在寻求改善这些患者的运动功能和生活质量（QOL），以使这些患者能够过上更充实的社会生活。我们试图证实1）身体功能与血液透析治疗持续时间之间的关系，2）定期接受血液透析治疗的慢性肾衰竭患者的身体功能和日常生活活动的特征，3）家庭运动训练对身体功能和自我效能的有效性，以及4）安全性和有效性，尤其是对于老年患者，HD治疗期间的运动训练是改善维持性HD患者运动功能和生活质量的方法之一。研究1和研究2的结果显示，随着血液透析时间的延长，血液透析患者的身体功能和ADL评分逐渐下降。 ...更多信息 在研究3中，研究结果表明，以家庭为基础的运动训练是一个有效的计划，以改善运动功能，但也可以防止他们的生活质量恶化。在主研究4中，5例慢性肾功能衰竭老年患者在维持性HD期间进行了为期3个月的运动训练计划。患者在常规HD治疗期间，每周三次使用固定式自行车测力计在床上锻炼。在整个3个月的运动训练期间，任何患者均未发生运动诱导的不良事件。实验室和超声心动图检查没有显示任何患者在运动训练期后的显著变化。另一方面，运动训练期后，通过峰值耗氧量、运动功能和ADL评分评估，观察到运动功能有显著改善。总之，HD治疗期间的运动训练似乎是改善老年HD患者运动功能和生活质量的安全有效的干预措施。少

Advances in medical treatment and hemodialysis (HD) therapy have increased the life expectancy of patients with chronic renal failure on HD, and now, improvements in the motor functions and quality of life (QOL) of these patients are being sought, to allow these patients to lead more fulfilling social lives. We sought to confirm 1) the relation between physical function and the duration of HD treatment, 2) the characteristics of physical function and activity of daily living in patients with chronic renal failure who have regularly received HD therapy, 3) the effectiveness of home-based exercise training on physical function and self-efficacy, and 4) the safety and effectiveness, especially for elderly patients, of exercise training during HD sessions as one of the methods of improving motor functions and QOL for patients on maintenance HD. Findings of research 1 and 2 revealed that physical function and ADL scores of HD patients gradually decline with the prolongation of HD duration. … More In research 3, findings suggested that a home-based exercise training was an effective program to improve motor function, but also to prevent deterioration of their QOL. In main research 4, a 3-month exercise training program was undertaken during the HD sessions in 5 elderly patients with chronic renal failure on maintenance HD. The patients exercised in their beds using a stationary cycle ergometer three times a week, during their routine HD sessions. There were no exercise-induced adverse events in any patient throughout the 3-month exercise training period. Laboratory and echocardiographic examination did not demonstrate significant changes in any patient after the exercise training period. On the other hand, significant improvements were observed in the motor functions, as assessed by the peak oxygen consumption, motor function, and also on ADL scores, after the exercise training period. In conclusion, exercise training during HD sessions appears to be a safe and effective intervention for improving motor functions and QOL in elderly HD patients. Less