The Effects of a Nurse-led Case Management Programme on Home Exercise Training for Haemodialysis Patients
Kidney Disease
About this trial
This is an interventional health services research trial for Kidney Disease
Eligibility Criteria
Inclusion Criteria:
- Dialysis for >3 months;
- Age > 18 years;
- Kt/V (dialysis adequacy) >1.2;
- Hemoglobin level > 8g/dl;
- Ambulatory without assistance ;
- Able to communicate in Chinese;
- Able to and willing to provide consent.
Exclusion Criteria:
- Unstable physical conditions or severe musculoskeletal diseases that might hinder exercise training;
- Severe hearing impairment;
- Diagnosed with mental diseases;
- Meeting or exceeding the exercise recommendation.
Sites / Locations
- The First Affiliated Hospital with Nanjing Medical University
- The Second Affiliated Hospital with Nanjing Medical University
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Nurse-led interviewing
Brief group exercise
Participants in experimental arm received the in-center exercise training (20 minutes) before hemodialysis sessions weekly for 6 weeks and were instructed to perform exercise at home. They were additionally instructed to start walking or brisk walking at low duration and gradually progress to a maximum of 30 minutes daily per week. To facilitate exercise progression, the nurse case managers discussed exercise benefits, explored exercise barriers and developed mutual goals with patients. The nurse motivated them and checked the exercise behaviors to ensure adherence to the recommended exercise regime. The nurse case managers interviewed the patients weekly for six weeks and biweekly for another six weeks.
Participants received the in-center exercise training (20 minutes) before hemodialysis sessions weekly for 6 weeks and were instructed to perform exercise at home. The in-center training was conducted by the researcher with a group of four-to six participants focusing on flexibility and strengthening exercise only.