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Effectiveness of an educational intervention and physical exercise on the functional capacity of patients on
Esmeralda Molina-Robles1, Marta Colomer-Codinachs2, Marta Roquet-Bohils2
1Unidad de Nefrología, Consorcio Hospitalario de Vic, Vic, Barcelona, España; Research group on Methodology, Methods, Models and Outcome of Health and Social Sciences. Facultad de Ciencias de la Salud y el Bienestar. Universidad de Vic-Universidad Central de Cataluña (UVic-UCC), Vic, Barcelona, España.
Objective:
To describe the impact of a standard hospital educational intervention including active physical exercises on personal well-being, functional capacity and knowledge of the benefits of prescribed physical activity for patients undergoing haemodialysis.
Method:
An uncontrolled, quasi-experimental, before-and-after study with repeated measures of response variables at 4, 8 and 12 weeks after participating in an educational and physical exercise hospital intervention. It was performed at the Nephrology Unit at the Hospital Complex in Vic within september and december 2014. The patients' well-being, functional capacity and knowledge were assessed. Assessment tools: NOC nursing indicators, Barthel index scale, FAC Holden, Timed Get Up and Go test and Daniels scale.
Results:
We included 68 (80.0%) patients and 58 (85.3%) completed, with a mean age of 70.16±13.5 years; 62.1% were males. After 12 weeks, the patients had better scores of personal well-being (2.33±1.2, 3.88±0.8), more autonomy to perform activities of daily living (Barthel: 92.8±12.8; 93.5±13.9), more muscle strength (Daniels Scale: 3.81±0.7, 4.19±0.6) and walked more briskly (Get Up and Go test: 14.98±8.5; 15.65±10.5). All of the score differences were statistically significant (P<05) except the Barthel Index.
Conclusions:
The standard educational intervention and active exercise performed at hospital level improved the personal well-being, knowledge and functional capacity of patients on haemodialysis.
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