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研究生:鄭培毓
研究生(外文):CHENG PEI YU
論文名稱:運動介入對血液透析病人身體活動、生化指標與運動自我效能之效果評價
論文名稱(外文):Effects of Exercise Intervention on Physical activity, Blood Biochemical Index and Exercise Self-Efficacy in patients during hemodialysis
指導教授:方莉方莉引用關係
指導教授(外文):FANG LI
學位類別:碩士
校院名稱:美和科技大學
系所名稱:護理系健康照護碩士班
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2018
畢業學年度:106
語文別:中文
論文頁數:100
中文關鍵詞:血液透析運動身體活動生化指標運動自我效能
外文關鍵詞:hemodialysisexercisephysical activitybiochemical criterionexercise self-efficacy
相關次數:
  • 被引用被引用:1
  • 點閱點閱:330
  • 評分評分:
  • 下載下載:79
  • 收藏至我的研究室書目清單書目收藏:0
中文摘要
【背景】末期腎臟疾病盛行率居高不下,再加上透析高齡化,死亡率及合併症相對提高,住院率及醫療費用也跟著增加。透析病人運動習慣偏低,運動對病人生理、心理皆有益,提供安全有效益的運動設施,提升運動自我效能,促進病人持續運動非常重要,臨床上少有透析中運用復健式腳踏車執行運動之相關研究。因此,本研究欲探討八週的運動介入對於透析病人的身體活動、生化指標與運動自我效能的情形,希望日後可作為透析護理人員臨床上運動執行之應用與參考。
【目的】本研究主要目的在探討透析中運動介入對血液透析病人的身體活動、生化指標與運動自我效能之成效。
【方法】本研究為實驗設計,於台灣南部某區域教學醫院血液透析室進行收案,以隨機分配方式分為實驗組與對照組,實驗組接受8週透析中踩腳踏車的運動,測量與紀錄血液透析病人運動前、後兩組的身體活動情形、生化指標與運動自我效能量表。資料由SPSS23.0軟體進行分析,描述性統計檢定基本資料,獨立樣本t檢定和卡方檢定檢驗兩組人口學變項、身體活動、運動自我效能及生化指標之前測的同質性;再以配對t檢定(paired-test)分別進行兩組前、後測比之較,使用ANCOVA共變數分析檢驗重複測量資料。
【結果】本研究共收案實驗組28人對照組35人,運動介入後實驗組身體活動情明顯改善,開眼單足立(F=20.28, p<.001)、坐椅體前彎(F=12.64, p<.001)、起立坐下20秒(F=22.213, p<.001)、抬膝測驗30秒(F=55.57, p<.001)、腰圍(F=11.779, p<.001)與對照組成效有顯著差異。運動自我效能實驗組有顯著提升,生化指標僅有尿素氮透析率、磷、血糖有微幅進步,三酸甘油脂卻上升。
【結論】研究結果確立此運動方案可以改善透析病人身體活動情形,提升運動自我效能,於透析中執行運動安全且有效益,適合繼續推展。希望日後能給予虛弱者相關運動訓練,改善身體活動及增進生活品質。
Abstract
Background: The prevalence of end-stage renal disease was high, combined with the aging of dialysis, mortality and complication were relatively higher, hospitalization rate and medical expenses also increased. Dialysis patients‘s exercise habit is poor, exercise is beneficial to the patient's physiology and psychology. Providing safe and effective sports facilities, promoting the exercise self-efficac, and promoting the patient's continuous movement are very important issues. However, there are few studies incorporating simple bike into the patients’ exercise program in the clinical field. Therefore, the researcher would like to study how eight weeks exercise influence on the dialysis patients’ body activities, physiological indicators. At the same time, exercise self-efficacy. And providing nursing staffs refer to execute the patients’ exercise program in the clinical area.
Purpose: The purpose of this study is to explore the effectiveness of exercise during dialysis on the dialysis patients’ body activities, biochemical indicators and exercise self-efficacy.
Methods: Participants of this current experimental study were recruited from a reagional hospital in south Taiwan. Participants were randomly assigned to experimental group and control group. In experimental group, the patients rode bike for exercise during dialysis for eight weeks and the reasearcher and assistants recorded the patients’ body activities, biochemical indicators and exercise self-efficacy before and after exercise. SPSS software (version 23.0) was used to analyze the participants’ characteristics. T-test and 2-test was used to examine if the two groups have homogeneity. Then the participants’ body activities, biochemical indicators and exercise self-efficacy before and after exercise were compared by using paired t-test and ANCOVA was used to analyze the data of repeated measurements.
Results: In this study, there are twentyeight persons in the experimental group and thirtyfive persons in the control group. Compared to control group, there were significant improvements in their body activities in the experimental group, such as eye open and stand on right foot (F=20.28, p<.001), sit down and reach test (F=12.64, p<.001), stand and sit for 20 seconds (F=22.213, p<.001), lift of knee test for 30 seconds (F=55.57, p<.001), waistline (F=11.779, p<.001). There are also significant improvements found in the experimental group on exercise self-efficacy. Kt/V、Phosphorum and blood sugar of the biochemical indicators were slightly improved in the experimental group but TG level of the experimental group was elevated.
Conclusion: The results of this study showed that exercise in patients during hemodialysis can improve the physical activity of dialysis patients and enhance their self-efficacy. At the same time, the exercise is safe and effective in dialysis, which is suitable for further promotion. Hopefully, we can provide dialysis patients with relevant sports training toimprove their physical activities and enhance their quality of life.
目錄
中文摘要 III
ABSTRACT V
致謝 VIII
目錄 X
表目錄 XIV
圖目錄 XV
參考資料 73

第一章 緒論 1
第一節 研究動機與重要性 1
第二節 研究目的 4
第三節 研究問題 4
第四節 研究假設 4
第五節 名詞界定 5
一、血液透析病人 5
二、身體活動度 5
三、生化指標 7
四、運動自我效能 7
第二章 文獻查證 9
第一節 何謂血液透析 9
第二節 血液透析病人之身體活動 10
第三節 血液透析病人的生化指標 14
第四節 血液透析病人之運動自我效能 17
第五節 運動概念與血液透析病人運動處方 21
第三章 研究方法 31
第一節 研究架構 31
第二節 研究設計 33
第三節 研究對象 34
第四節 研究步驟 37
第五節 研究工具 38
第六節 研究工具信效度檢定 41
第七節 資料分析方法 42
第八節 倫理考量 43
第四章 研究結果 45
第一節 研究對象基本屬性 47
第二節 研究對象前測身體活動功能、生化指標、運動自我效能 52
第三節 運動方案介入後研究對象身體活動功能之成效 57
第四節 運動方案介入後研究對象生化指標之成效 59
第五節 運動方案介入後研究對象運動自我效能之成效 61
第五章 討論 63
第一節 研究對象基本屬性、身體活動、生化指標與運動自我效能之評 析 63
第二節 運動介入對研究對象身體活動之成效 64
第三節 運動介入對研究對象生化指標之成效 66
第四節 運動介入對研究對象運動自我效能之成效 68
第五節 血液透析病人運動模式 69
第六章 結論與建議 71
參考文獻
附錄一 倫理委員會審査通過證明
附錄二 運動自我效能量表使用同意書
附錄三 受試者同意書
附錄四 研究問卷
附錄五 運動自我效能量表
附錄六 前、後測身體活動功能紀錄表與月抽血報告分析
附錄七 運動紀錄表
中文資料
王建楠、李璧伊(2015)・缺乏身體活動之不良健康效應系統性回顧及統合分析・中華職業醫學雜誌,22(1),9-19。
石孟哲、陳淑英、高宗妙、陳美如(2017)・社區復健治療對老人自覺身體活動的影響・北市醫學雜誌,14(3),324-332. DOI10.6200/TCMJ.2017.14.3.07
台灣腎臟醫學會(2013年04月07)・台灣血液透析臨床診療指引・取至http://imohw.tmu.edu.tw/idohtmu/wp-content/uploads/
朱美麗(2009)・長期血液透析病患隻身體功能狀況及其相關因素探討・嘉南藥理科技大學:台南縣。
朱美麗、郭姵伶、曾淑芬(2011)・長期血液透析患者之身體功能狀況及其相關因素探討—以南部某地區醫院為例・嘉南學報,37,338-402。
余珮華、郭弘典(2017)・慢性腎臟病的評估與治療・腎臟與透析,29(3),107-111。DOI:10.6340/KD.2017.29(3).02
李淑芳、王秀華、溫蕙甄、蔡健儀、林玉瓊、王順正···丁文琴(2015)・高齡
及特殊族群之運動處方・台北市:華都文化。
李碧霞(2000)・中年人運動階段、身體活動及其影響因素之研究∼以臺北市中山
區居民為例・臺灣師範大學衛生教育學系學位論文,1- 246。
李麗晶(2012)・生活型態和健身運動介入對成年人身體活動行為、認知及體適能之影響・臺灣師範大學體育學系學位論文,1-126。
林文綾(2012)・血液透析病人的運動訓練・台灣腎臟護理學雜誌,3(11),8-
15。
林育如(2016)・團體運動介入對社區老年人健康體能的成效探討・台中科技大學護理系學位論文,1-143。
邱郁耘、林淑媛、張淑琴、李玲玲(2015).社區老年人運動持續性影響因素.健康暨健康照護研究,11(1),43-52。
林秋菊、賴曉蓉、周偉倪(2000)・運動訓練對血液透析病患生理、心理之效應・中華公共衛生雜誌,19(3),161-170。
DOI:10.6288/CJPH2000-19-03-02
林娥朱、簡惠貞、蔡秋月、陳素娥、陳進堂(2006)・某區域醫院腎臟病患血液透析效率之影響因素分析・醫保研究雜誌,1(2),31-38。
DOI:10.29827/YBYJZZ.200603.0004
林慶源、林耀豐(2009)・運動自我效能與運動行為之探討・屏東教大體12,217-231。
席美玲、沈永芳、陳意超、韓湘芳、鍾玉珠(2016).血液透析病人規律運動行為及預測因子之探討.護理雜誌,63(1),78-86。DOI10.6224/JN.63.1.78
馬品溱(2017).臺中市長青學苑銀髮族社交舞的參與動機、社會支持及運動自我效能之相關研究.國立台中教育大學,台中市。
陳乃榕(2012).血液透析患者休閒與體能活動參與之研究.國立臺北護理健康大學旅遊健康研究所:台北市。
陳乃榕、方文熙(2012).血液透析患者休閒與體能活動參與初探.台灣腎臟護理學會,12(4),9-24。
陳育亭、吳安邦、張育誌、孫健耀(2016).美國國家腎臟基金(KDOQI)血液透析足量性(Hemodialysis Adequacy)的治療指引更新.腎臟與透析,28(4)
,160-163。DOI:10.6340/KD.2016.28(4).02
教育部體育署(2016).105年運動統計.2016年10月,取至
http://www.sa.gov.tw/wSite/ct?xItem=5457&ctNode=698&mp=11
教育部體育署(2017年1月).體適能健身寶典.取至
http://www.sa.gov.tw/wSite/ct?xItem=34079&ctNode=316&mp=11&idPath=214_265
陳約任(2014)・慢性腎臟病與血脂用藥・腎臟與透析,26(3),149-159。
DOI:10.6340/KD.2014.26(3).02
陳俊宇、吳逸文、許恆榮、李進昌(2015).急性腎損傷之腎臟替代療法.腎臟與透析,27(4),173-177。DOI:10.6340/KD.2015.27(4).03
陳柏佑(2015).身體活動課程介入對社區民眾身體活動量與運動自我效能的影響.國立臺灣師範大學:台北市。
陳雯英、張瑞興、劉輝煌、許銘禮、許吉越(2017).柔道選手運動價值觀、組織承諾與運動自我效能之相關研究.屏東科大體育學刊,5,67-83。
張景泓、陳碩菲(2017)・有氧運動對於糖尿病病患血脂肪及糖化血色素的影響・中華民國糖尿病衛教學會會訊,13(4),9-15。
陳曉琪(2013).血液透析病患衰弱相關因素之探討.國立臺北護理健康大學長期照護系暨研究所學位論文,1-109。
陳靜玉、姜逸群、黃雅文、胡益進(2016).社區中老年人規律運動方案介入之成效.健康促進暨衛生教育雜誌,(40),79-101。
黃小倩(2006)・血液透析患者身體活動量與相關因素探討・臺北醫學大學護理學系碩士暨碩士在職專班學位論文,1-137。
黃文德、朱柏齡、許育瑞(2014)・磷結合劑在慢性腎臟疾病病人運用的新進展・內科學誌,25(3),184-194。DOI:10.6314/JIMT.2014.25(3).08
黃如萍(2014)・比較易筋經氣功和健走對糖尿病患之運動自我效能、生理改善與生活品質的成效・國立台北健康大學護理研究所博士論文。
黃秀蓁、王俊毅、康宜靜、吳鳳美、張家築(2011).慢性腎臟病患者選擇透析治療模式之考量因素評估.腎臟與透析,23(1),71-76。
DOI:10.6340/KD.2011(1).14
彭邦中、陳韋良、廖芳藝、方文輝、張耀文(2018)・代謝症候群及血液相關生化指標與血管內皮功能之表現・中華職業醫學雜誌,25(2),95-103。
黃美玲,2016.慢性腎臟病患者之自覺健康狀況、身體症狀困擾與生活品質相關性之研究.經國管理暨健康學院健康產業管理研究所學位論文,1-99。
葉宏傑、楊豐榮、陳世宜(2006)・透析患者的低血磷及高磷透析・腎臟與透析,18(3),118-122。DOI:10.6340/KD.2006(3).04
楊素真(2013).永久性血管通路之評估與照護.臺灣腎臟護理學會雜誌,12(1)
,1-6。
楊喻捷、郭嘉文、廖昱凱、張立建、吳家兆(2017)・高血鉀的診斷與治療・腎臟與透析,29(1),12-16。DOI:10.6340/KD.2017.29(1).03
衛生福利部中央健康保險署(107年4月)・全民健康保險重大傷病各疾病別有效領證統計表・取至https://www.nhi.gov.tw/Advanced_Search.aspx?q=
衛生福利部國民健康署(2015年11月2日)・慢性病防治・取至
https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=630&pid=1175
衛生福利部(2017,9月)・慢性腎臟病防治・取至https://www.nhi.gov.tw/Content_List.aspx?n=D5CC89AE36D48E5E&topn=CA428784F9ED78C9
衛生福利部國民健康署(2016年10月25日)・健康體能・取至
https://www.hpa.gov.tw/Pages/List.aspx?nodeid=37
衛生福利部國民健康署(2018/03/26 )・營養及健康飲食・取至
https://www.hpa.gov.tw/Pages/Detail.aspxnodeid=1425&pid=8450
劉月敏、葉美玲、鍾玉珠(2013).應用運動訓練於一位血液透析患者生理及心理成效之護理經驗.護理雜誌,60(5),104-110。DOI:10.6224/JN.60.5.104
蔡英美、王俊明(2006).中年人運動參與動機、自我效能、知覺運動障礙及運動行為之關係.臺灣運動心理學報,(9),109-131。
劉淑樺、林秋菊、葉淑惠、周偉倪、陳彰惠(2002).運動訓練對血液透析病患之成效.台灣醫學,6(2),129-142。DOI:10.6320/FJM.2002.6(2).01
劉崢偉、何長軒(2018)・謠言止於智者:簡介2015-2020美國膳食指南兼評膽固醇攝取量的迷思・中華民國內膜異位症婦女協會會刊,25(1),2-6。
韓湘芳、陳意超、葉美玲、鍾玉珠(2014).長期血液透析患者身體功能狀態及其影響因素之探討.護理暨健康照護研究,10(3),211-219。
DOI:10.6225/JNHR.10.3.211
魏光宇、鄭智仁、林石化(2017)・低血鉀・腎臟與透析,29(1),17-24。
DOI:10.6340/KD.2017.29(1).04
譚柱光、楊五常,(2002).人工腎臟.台北市:力大圖書。
Singorile, J. F.(2014).邁向成功老化:高齡者運動指導(蔡忠昌、周俊忠、柳家琪譯).台北市:華藤文化。
英文文獻
Aliasgharpour,M.,Shomali,M.,Moghaddam,M.Z.,&Faghihzadeh,S. (2012).Effect of a self‐efficacy promotion training programme on the body weight changes in patients undergoing haemodialysis.Journal of renal care,38(3),155-161.
Anderson,E.S.,Winett,R A.,& Wojcik,J.R.(2007).Self-regulation,self-efficacy,outcome expectations,and social support:social cognitive theory and nutrition behavior. Annals of behavioral medicine,34(3),304-312.
Blair,S.N.,&Connelly,J.C.(1996).How much physical activity should we do? The case for moderate amounts and intensities of physical activity. Research quarterly for exercise and sport,67(2),193-205.
Brown,P.D.S.,Rowed,K.,Shearer,J.,MacRae,J.M.,& Parker,K. (2017).Impact of intradialytic exercise intensity on urea clearance in hemodialysis patients. Applied Physiology, Nutrition,and Metabolism,(999),1-4.
Capitanini,A.,Lange,S.,D'Alessandro,C.,Salotti,E.,Tavolaro, A. Baronti,M.E., ... & Cupisti,A.(2014).Dialysis exercise team:the way to sustain exercise programs in hemodialysis patients.Kidney and Blood Pressure Research,39(2-3),129-133.
Chen,J.L.,Godfrey,S.,Ng,T.T.,Moorthi,R.,Liangos O.,
Ruthazer,R., ... & Castaneda-Sceppa,C.(2010).Effect of intra-dialytic,low-intensity strength training on functional capacity in adult haemodialysis patients: a randomized pilot trial.Nephrology Dialysis Transplantation, 25(6),1936-1943.
Chigira,Y.,Oda,T.,Izumi,M.,& Yoshimura,T.(2017).Effects of exercise therapy during dialysis for elderly patients undergoing maintenance dialysis.Journal of physical therapy science,29(1),20-23.
Clarkson,M.J.,Fraser,S.F.,Bennett,P.N.,McMahon,L.P., Brumby,C.,&Warmington,S.A.(2017).Efficacy of blood flow restriction exercise during dialysis for end stage kidney disease patients: protocol of a randomised controlled trial.BMC nephrology,18(1),294.
Cobo,G.,Gallar,P.,Gama-Axelsson,T.,Di Gioia, C.,Qureshi,A. R.,Camacho,R., ... & Herrero,J.C.(2015).Clinical determinants of reduced physical activity in hemodialysis and peritoneal dialysis patients. Journal of nephrology,28(4),503-510.
Cupisti,A.,Kovesdy,C.P.,D’Alessandro,C.,& Kalantar-Zadeh, K.(2018).Dietary approach to recurrent or chronic
hyperkalaemia in patients with decreased kidney function. Nutrients,10(3), 261.
Dziubek,W.,Bulińska,K.,Rogowski,Ƚ. Kusztal,M.,Zembroń-Ƚacny,A.,Goƚȩbiowski,T., ... & Woźniewski,M.(2016).Three-month endurance training improves functional fitness and knee muscle performance of patients with end stage renal disease(ESRD).Isokinetics and Exercise Science,24(3),237-246.
Esteve,V.S.,Junqué,A.J.,Moreno,F G.,Carneiro,J.O.,Fulquet, M.N.,Pou,M.P., ... & de Arellano Ramirez,M.(2015).Benefits of a low intensity exercise programme during haemodialysis sessions in elderly patients. Nefrologia: publicacion oficial de la Sociedad Espanola Nefrologia,35(4),385-394.
Greenwood,S.A.,Lindup,H.,Taylor,K.,Koufaki,P.,Rush,R., Macdougall,I.C.,& Mercer,T.H.(2012).Evaluation of a
pragmatic exercise rehabilitation programme in chronic kidney disease. Nephrology Dialysis Transplantation,27(suppl_3),126-134.
Giannaki,C.D.,Stefanidis,I.,Karatzaferi,C.,Liakos,N.,Roka,V.,Ntente,I.,& Sakkas,G.K.(2011).The effect of prolonged intradialytic exercise in hemodialysis efficiency indices. Asaio Journal, 57(3),213-218.
Gomes,E.P.,Reboredo,M.M.,Carvalho,E.V.,Teixeira,D.R., Carvalho,L.F.C.D.O., Oliveira,J C A.D., ... & Pinheiro,B. D.V.(2015).Physical activity in hemodialysis patients measured by triaxial accelerometer. BioMed research international,1-7.
Heiwe,S.,& Jacobson,S.H.(2011).Exercise training for adults with chronic kidney disease. Cochrane Database Syst Rev,10(10),CD003236.
Himmelfarb,J.,& Sayegh,M.H.(2010).Chronic Kidney Disease, Dialysis, and Transplantation E-Book: A Companion to Brenner and Rector’s The Kidney.Elsevier Health Sciences.
His,M.L.,Shen,Y.F.,Chen,Y.C.,Han,H.F.,& Chung,Y.C.(2016).
Exploring Regular Exercise Behavior and Its Predictors in Hemodialysis Patients. Hu Li Za Zhi,63(1),78.
Han,H.F.,Chen,Y.C.,Yeh,M.L.,& Chung,Y.C.(2014).Factors Affecting Physical Performance Status in Long-Term Hemodialysis Patients.Journal of Nursing & Healthcare Research, 10(3).
Johansen,K.L.,& Painter,P.(2012).Exercise in individuals with CKD.American Journal of Kidney Diseases,59(1),126-134.
Kosmadakis,G.C.,Bevington,A.,Smith,A.C.,Clapp,E.L. Viana,J. L.,Bishop,Moore,G.E.,Painter,P.L.,Brinker,K.R.,Stray-Gundersen,J.,& Mitchell,J.H.(1998).Cardiovascular response to submaximal stationary cycling during hemodialysis. American journal of kidney diseases,31(4),631-637.
de Lima,M.C.,Cicotoste,C.D.L.,Cardoso,K.D.S.,Forgiarini Junior,L.A.,Monteiro,M.B.,& Dias,A.S.(2013).Effect of exercise performed during hemodialysis: strength versus aerobic. Renal failure,35(5),697-704.
Liao,M.T.,Liu,W.C.,Lin,F.H.,Huang,C.F.,Chen,S.Y.,Liu,C.C., ... & Wu,C.C.(2016).Intradialytic aerobic cycling exercise alleviates inflammation and improves endothelial progenitor cell count and bone density in hemodialysis patients. Medicine,95(27).
van Loon,I.,Hamaker,M.E.,Boereboom,F.T.,Grooteman,M.P., Blankestijn,P.J.,van den Dorpel, R. M.,... & Bots,M.L. (2017).A closer look at the trajectory of physical functioning in chronic hemodialysis. Age and ageing,46(4), 594-599.
Ma S1,Lui J,Brooks D,Parsons TL.(2012).The availability of exercise rehabilitation programs in hemodialysis centres in Ontario. CANNT J ,22(4),26-32.
Maheshwari,V.,Samavedham,L.,Rangaiah,G.P.,Loy Y.,Ling,L.H., Sethi,S.,& Leong, T. L. W. (2012). Comparison of toxin removal outcomes in online hemodiafiltration and intra-dialytic exercise in high-flux hemodialysis: a prospective randomized open-label clinical study protocol.BMC
nephrology,13(1),156.
McGuire,S.,Horton,E.J.,Renshaw,D.,Jimenez,A.,Krishnan,N.,& McGregor,G.(2018).Hemodynamic Instability during Dialysis: The Potential Role of Intradialytic Exercise.BioMed research international,1-11.
Michikawa,T.,Nishiwaki,Y.,Takebayashi,T.,&Toyama,Y.(2009). One-leg standing test for elderly populations. Journal of Orthopaedic Science,14(5),675-685.
Momeni,A.,Nematolahi,A.,& Nasr,M.(2014).Effect of intradialytic exercise on echocardiographic findings in hemodialysis patients. Iranian journal of kidney diseases, 8(3),207.
Moraes,C.,Marinho,S.,Lobo,J.C.,Stockler-Pinto,M.B.,Barros, A.F.,Jacobson,L.V.,... & Denise, M.(2015).Effects of resistance exercise training on acyl-ghrelin and obestatin levels in hemodialysis patients. Renal failure,37(5),851-857.
N.C.,& Feehally,J.(2010).Physical exercise in patients with severe kidney disease.Nephron Clinical Practice,115(1),c7-c16.
Orcy,R.B.,Dias,P.S.,Seus,T.L.,Barcellos,F C.,& Bohlke,M. (2012).Combined resistance and aerobic exercise is better than resistance training alone to improve functional performance of haemodialysis patients—results of a randomized controlled trial.Physiotherapy Research International,17(4),235-243.
Ouzouni,S.,Kouidi,E.,Sioulis,A.,Grekas,D.,& Deligiannis,A. (2009).Effects of intradialytic exercise training on health-related quality of life indices in hemodialysis patients. Clinical rehabilitation,23(1),53-63.
Painter,P.L.,Nelson-Worel,J.N.,Hill,M.M.,Thornbery,D.R., Shelp,W.R.,Harrington,A.R.,& Weinstein,A.B.(1986).Effects of exercise training during hemodialysis. Nephron,43(2),87-92.
Pani,A.,Floris,M.,Rosner,M.H.,& Ronco,C.(2014).Hyperkalemia in hemodialysis patients. In Seminars in dialysis ,27(6),
571-576.
Parker K1,Zhang X,Lewin A,MacRae JM.(2015).The association between intradialytic exercise and hospital usage among hemodialysis patients. Appl Physiol Nutr Metab. 40(4):371-8.
doi: 10.1139/apnm-2014-0326.
Parsons,T.L.,Toffelmire,E.B.,& King-VanVlack,C.E.(2006). Exercise training during hemodialysis improves dialysis efficacy and physical performance. Archives of physical medicine and rehabilitation,87(5),680-687.
Rikli,R.E.,& Jones,C.J.(2013).Senior fitness test manual. Canada, Human Kinetics.
Rhee,S.Y.,Song,J.K.,Hong,S.C.,Choi,J.W.,Jeon,H.J.,Shin,D.H., ... & Choi,S.W.(2017).Intradialytic exercise improves physical function and reduces intradialytic hypotension and depression in hemodialysis patients. The Korean journal of internal medicine.
Ryota Matsuzawa ,Atsuhiko Matsunaga,Guoqin Wang,Shuhei Yamamoto,Toshiki Kutsuna, Akira Ishii, Yoshifumi Abe, Kei Yoneki, Atsushi Yoshida,Naonobu Takahira (2014).
Relationship Between Lower Extremity Muscle Stre ngth and All-Cause Mortality in Japanese Patien ts Undergoing Dialysis.
Rosa,C.S.,Bueno,D.R.,Souza,G.D.,Gobbo,L.A.,Freitas,I.F., Sakkas,G.K.,& Monteiro,H.L.(2015).Factors associated with leisure-time physical activity among patients undergoing hemodialysis.BMC nephrology,16(1),192.
Saitoh,M.,Ogawa,M.,Dos Santos,M.R.,Kondo,H.,Suga,K.,Itoh, H.,& Tabata, Y.(2016).Effects of Intradialytic Resistance Exercise on Protein Energy Wasting, Physical Performance and Physical Activity in Ambulatory Patients on Dialysis:
A Single‐Center Preliminary Study in a Japanese Dialysis Facility. Therapeutic Apheresis and Dialysis,20(6),632-638.
Shah,A.,Bross,R.,Shapiro,B.B.,Morrison,G.,& Kopple,J.D. (2016).Dietary energy requirements in relatively healthy maintenance hemodialysis patients estimated from long-term metabolic studies. The American journal of clinical
nutrition,103(3),757-765.
Sud,M.,Tangri,N.,Pintilie M.,Levey,A.S.,& Naimark,D.(2014). Risk of end-stage renal disease and death after
cardiovascular events in chronic kidney disease.Circulation,
CIRCULATIONAHA-113.
UNITED STATES RENAL DATA SYSTEM (2017). Annual Data Report.
https://www.usrds.org/2017/view/v2_05.aspx
Villareal,D.T.,Aguirre,L.,Gurney,A.B.,Waters,D.L.,Sinacore, D.R.,Colombo,E., ... & Qualls, C. (2017).Aerobic or
resistance exercise, or both, in dieting obese older adults
.New England Journal of Medicine, 376(20), 1943-1955.
Wu,M.S.,Wu,I.W.,Shih,C.P.,& Hsu,K.H. (2011).Establishing a platform for battling end-stage renal disease and continuing quality improvement in dialysis therapy in Taiwan-Taiwan Renal Registry Data System (TWRDS). Acta
Nephrologica,25(3),148-153.
Wu,Y.,He,Q.,Yin,X.,He,Q.,Cao,S.,& Ying,G.(2014).Effect of individualized exercise during maintenance haemodialysis on exercise capacity and health-related quality of life in patients with uraemia. Journal of International Medical
Research,42(3),718-727.
Sawant,A.,House,A.A.,& Overend,T.J.(2014).Anabolic effect of exercise training in people with end-stage renal disease on hemodialysis: a systematic review with meta-analysis. Physiotherapy Canada,66(1),44-53.
Załuska A.,Załuska,W.T.,Bednarek-Skublewska,A.,& Ksiazek,A. (2001).Nutrition and hydration status improve with exercise training using stationary cycling during hemodialysis (HD) in patients with end-stage renal disease (ESRD). In Annales Universitatis Mariae Curie-Sklodowska. Sectio D: Medicina, 57,(2),342-346.
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