Magda Mohamed Bayoumi
1Al-Farabi College, Saudi Arabia
Title: Benefi ts of interdiayltic exercise program on quality of life for haemodialysis patients in Saudi Arabia
Biography
Biography: Magda Mohamed Bayoumi
Abstract
Background: Physical functioning decline over time with dialysis therapy, in hemodialysis (HD) patients, the exercise has been established as a vital part of health promotion activities to improve all aspects of quality of life.
Methods: A quasi-experimental intervention design was used, pre-post assessment of the eff ect of implementation of exercise program for hemodialysis patients at Mohail General Hospital- southern of Saudi Arabia. Th e questionnaires were used to collect data: Physical Fitness Measurement, KDQoL-SFTM 1.3, Borg's 15-point scale for rating of perceived exertion (RPE), vital signs and lab investigation (Hemoglobin, Serum phosphates, Serum albumin, Creatinine, Fasting blood sugar, Kt/v and Urea).
Results: Th e pre-post physical fi tness scale as assessed among patients; statistically signifi cant changes in the scores of all activities (p<0.001). Regarding the correlations between pre-post-program QOL scores were indicate weak to strong statistically signifi cant positive correlations in all domains except for those of cognitive function, quality of social interaction and sleep. Moreover the patients’ Borg scores statistically signifi cant decreases in throughout the three months of follow-up (p<0.001); in addition improvements in the adequacy of dialysis (kt/v) and in serum potassium level (p<0.001) from the fi rst to the third months. Although the percentages of patients with hemoglobin level 11 gm/dl or higher increased from 41.1% at the fi rst month to 60.3% at the third month, the diff erence could not reach statistical signifi cance (p=0.067).
Conclusions: Th e implementation of the exercise program was associated with signifi cant improvements in the score of all domains of quality of life and physical fi tness scale. Th erefore might be applied in other similar situations as on peritoneal dialysis patients and evaluated for further improvement.