Babakhani Mahdi, Rahzani Kobra, Hekmatpou Davood, Sheykh Vida
School of Nursing, Arak University of Medical Sciences, Arak, Iran.
School of Nursing, Department of Nursing, Arak University of Medical Sciences, Arak, Iran.
Heliyon. 2024 Aug 15;10(16):e36384. doi: 10.1016/j.heliyon.2024.e36384. eCollection 2024 Aug 30.
Cognitive impairment is one of the most important end-stage consequences of renal disease. This study was conducted to investigate the effect of super brain yoga on the cognitive function of hemodialysis (HD) patients.
This randomized clinical trial was conducted on 60 HD patients who were assigned to the control (n = 30) and intervention (n = 30) groups. In addition to undergoing their routine HD, subjects in the intervention group performed yoga exercises for one month, at least three days a week, once a day. Cognitive function score of the patients at baseline and after the study (one month later) was measured using the Mini-Mental State Examination (MMSE). Data were analyzed using SPSS version 20 using descriptive statistics, including mean and standard deviation, and inferential statistics, including independent -test, paired -test, and ANCOVA.
The mean score of cognitive function, urea, creatinine, and dialysis adequacy at baseline was 26.07 ± 3.72, 133.83 ± 34.19, 9.37 ± 2.55, and 1.22 ± 0.24 in the control group and28.97 ± 1.62, 174.17 ± 52.8, 13.38 ± 4.16, and 1.26 ± 0.22, in the intervention group, respectively. At the baseline, there was a significant difference between the two groups in terms of cognitive function, urea, creatinine (p-value = 0.001), but there was not in terms of dialysis adequacy (p-value = 0.974). Therefore, the analysis of covariance (ANCOVA) was used to adjust their effects. The mean score of these variables after the study was 25.77 ± 3.11, 146 ± 42.03, 9.7 ± 2.61, and 1.24 ± 0.24 in the control group and 29.17 ± 1.23, 156.03 ± 37.67, 12.27 ± 3.46, and 1.43 ± 0.19 in the intervention group, respectively. There was a significant difference in cognitive function between two the groups (p = 0.05).
Super brain yoga exercises seem to play an effective role in improving the cognitive function of HD patients. Therefore, super brain yoga is recommended as a complementary therapy for HD patients in nursing.
认知障碍是肾脏疾病最重要的终末期后果之一。本研究旨在探讨超级大脑瑜伽对血液透析（HD）患者认知功能的影响。
本随机临床试验对60例HD患者进行，这些患者被分为对照组（n = 30）和干预组（n = 30）。除了进行常规血液透析外，干预组的受试者进行了为期一个月的瑜伽练习，每周至少三天，每天一次。使用简易精神状态检查表（MMSE）测量患者在基线时和研究后（一个月后）的认知功能评分。使用SPSS 20版软件进行数据分析，包括描述性统计（包括均值和标准差）以及推断性统计（包括独立样本t检验、配对样本t检验和协方差分析）。
对照组在基线时认知功能、尿素、肌酐和透析充分性的平均得分分别为26.07±3.72、133.83±34.19、9.37±2.55和1.22±0.24，干预组分别为28.97±1.62、174.17±52.8、13.38±4.16和1.26±0.22。在基线时，两组在认知功能、尿素、肌酐方面存在显著差异（p值 = 0.001），但在透析充分性方面无显著差异（p值 = 0.974）。因此，使用协方差分析（ANCOVA）来调整它们的影响。研究后这些变量的平均得分在对照组分别为25.77±3.11、146±42.03、9.7±2.61和1.24±0.24，在干预组分别为29.17±1.23、156.03±37.67、12.27±3.46和1.43±0.19。两组在认知功能方面存在显著差异（p = 0.05）。
超级大脑瑜伽练习似乎在改善HD患者的认知功能方面发挥了有效作用。因此，建议将超级大脑瑜伽作为HD患者护理中的一种辅助治疗方法。
