[The Nursing Experience Using Pedal Exercise to Prevent Hypotension in Hemodialysis Patients]

This is a case report on the nursing care of an elderly patient with end-stage renal disease experiencing recurrent intradialytic hypotension resulting in physical discomfort and psychological anxiety during hemodialysis. The period of care spanned from August 1-10, 2024. After conducting a comprehensive assessment based on Gordon's Eleven Functional Health Patterns, three primary health problems were identified: deficient fluid volume, impaired physical mobility, and anxiety. The corresponding interventions employed were 1) implementing low-intensity pedal exercise during dialysis to promote blood circulation and stabilize blood pressure, 2) providing guidance on muscle strengthening exercises and nutritional supplementation to enhance physical function, and 3) offering psychological support and vascular access management education to alleviate anxiety. Through multifaceted and individualized nursing care, the patient demonstrated improved dialysis tolerance, symptom relief, and better psychological adaptation. This report aims to share actual nursing experiences and provide clinical references for dialysis nursing, highlighting the application value of pedal exercise in preventing hypotension and enhancing overall quality of care.