Kontos Pia, Colobong Romeo, Grigorovich Alisa, Palma Lazgare Luis Ivan, Binns Malcolm, Alibhai Shabbir, Parsons Trisha, Nesrallah Gihad, Jassal Sarbjit Vanita, Thomas Alison, Naglie Gary
KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Int Urol Nephrol. 2021 Jun;53(6):1223-1230. doi: 10.1007/s11255-020-02745-y. Epub 2021 Jan 2.
The present study aimed to evaluate the impact of a filmed research-based drama-Fit for Dialysis-and an exercise program on patients' physical activity and fitness outcomes.
Nineteen (10 at the intervention site, 9 at the control site) older patients with a medical diagnosis of hemodialysis-dependent end-stage renal disease were recruited from two acute care hospitals in urban central Canada where they were receiving out-patient hemodialysis care. Participants at the intervention site viewed Fit for Dialysis prior to participating in a 16-week exercise program. Participants at the control site participated only in the 16-week exercise program. Physical activity, measured by total intradialytic exercise time (TIDE), and physical fitness, measured by the Two-Minute Walk Test (2MWT). Secondary measures included: Timed Up and Go (TUG), Grip Strength, Duke Activity Status Index (DASI), Godin Leisure-Time Exerciser Questionnaire (GLTEQ), and pedometer step count.
TIDE, TUG, and GLTEQ were better at the intervention site compared to the control site at all time points measured. However, the change over time was not different between the sites. The 2MWT improved over time at the intervention site for those who exercised consistently. No significant differences between sites, or over time were found for any of the other measures.
Further research is needed to determine the effectiveness of this intervention to facilitate the incorporation of exercise into the care and treatment of HD patients.
本研究旨在评估一部基于研究的纪实剧《适合透析》以及一项运动计划对患者身体活动和健康状况的影响。
从加拿大中部城市的两家急症护理医院招募了19名（干预组10名，对照组9名）经医学诊断为依赖血液透析的终末期肾病的老年患者，这些患者正在接受门诊血液透析治疗。干预组的参与者在参加为期16周的运动计划之前观看了《适合透析》。对照组的参与者仅参加了为期16周的运动计划。身体活动通过透析期间总运动时间（TIDE）来衡量，身体健康通过两分钟步行测试（2MWT）来衡量。次要指标包括：定时起立行走测试（TUG）、握力、杜克活动状态指数（DASI）、戈丁休闲时间运动问卷（GLTEQ）和计步器步数。
在所有测量时间点，干预组的TIDE、TUG和GLTEQ均优于对照组。然而，各地点之间随时间的变化并无差异。对于持续锻炼的干预组参与者，2MWT随时间有所改善。在其他任何指标上，各地点之间或随时间均未发现显著差异。
需要进一步研究以确定该干预措施在促进将运动纳入血液透析患者护理和治疗中的有效性。
