Feng Xianxuan, Sun Jingwen, Wang Zihan, Zhang Nina, Liu Yumei, Wang Zhenhong, Wang Niansong, Jian Guihua, Cheng Dongsheng, Sheng Xiaohua, Ma Yanhong
Department of Rehabilitation Medicine, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Department of Nursing, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Ren Fail. 2025 Dec;47(1):2482124. doi: 10.1080/0886022X.2025.2482124. Epub 2025 Apr 2.
Exercise benefits patients on maintenance hemodialysis (MHD) by addressing complications and dysfunctions. Elastic band exercise is cost-effective, but its safety, efficacy, and feasibility during dialysis are not well-established. The aim of this study is to investigate the physical and mental effects of intradialytic elastic band exercise in patients on MHD. Sixty patients on MHD were randomly assigned to the exercise or control group (30 patients/group). The control group received routine hemodialysis care, whereas those in the exercise group performed intradialytic elastic band exercises for 0.5-2 h during hemodialysis three times a week for 12 weeks. Physical function (Short Physical Performance Battery [SPPB]), cognitive function (Montreal Cognitive Assessment [MoCA]), fatigue (14-item Fatigue Scale [FS-14]), sleep quality (Pittsburgh Sleep Quality Index [PSQI]), and anxiety and depression (Hamilton Anxiety Rating Scale [HAMA]/Hamilton Depression Rating Scale [HAMD]) were assessed. The exercise group showed significant improvements in SPPB ( = 0.008) and MoCA ( < 0.001) scores compared to pre-intervention and control groups. FS-14 scores decreased significantly ( = 0.005). PSQI ( < 0.001) and HAMA ( < 0.001) scores improved post-intervention but not versus control. HAMD scores reduced significantly ( < 0.001). Satisfaction and recommendation scores were 9.57 and 9.71. In conclusions, intradialytic elastic band exercise improved physical and cognitive function and alleviated fatigue, sleep issues, depression, and anxiety in patients on MHD. With high compliance, no significant adverse events, and high patient satisfaction, it is recommended as a routine intervention during dialysis.
运动通过解决并发症和功能障碍使维持性血液透析（MHD）患者受益。弹力带运动具有成本效益，但其在透析期间的安全性、有效性和可行性尚未得到充分证实。本研究的目的是调查透析期间弹力带运动对MHD患者身心的影响。60例MHD患者被随机分为运动组或对照组（每组30例）。对照组接受常规血液透析护理，而运动组患者在血液透析期间每周进行3次、每次0.5 - 2小时的透析期间弹力带运动，共进行12周。评估了身体功能（简短身体表现量表[SPPB]）、认知功能（蒙特利尔认知评估[MoCA]）、疲劳（14项疲劳量表[FS - 14]）、睡眠质量（匹兹堡睡眠质量指数[PSQI]）以及焦虑和抑郁（汉密尔顿焦虑量表[HAMA]/汉密尔顿抑郁量表[HAMD]）。与干预前和对照组相比，运动组的SPPB（ = 0.008）和MoCA（ < 0.001）评分有显著改善。FS - 14评分显著降低（ = 0.005）。干预后PSQI（ < 0.001）和HAMA（ < 0.001）评分有所改善，但与对照组相比无差异。HAMD评分显著降低（ < 0.001）。满意度和推荐评分分别为9.57和9.71。总之，透析期间弹力带运动改善了MHD患者的身体和认知功能，减轻了疲劳、睡眠问题、抑郁和焦虑。由于依从性高、无显著不良事件且患者满意度高，建议将其作为透析期间的常规干预措施。
