Effects of physical activity by the teach-back educational method on the physical ability and quality of life in hemodialysis patients: a clinical trial†
Article Category: Original Article
Published Online: Jun 22, 2023
Page range: 223 - 231
Received: Oct 13, 2022
Accepted: Nov 21, 2022
DOI: https://doi.org/10.2478/fon-2023-0027
Keywords
© 2023 Pegah Sharifian et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Objective
To determine the effect of physical activity by using the teach-back educational method on hemodialysis patients’ quality of life (QOL) and physical ability.
Methods
This is a single-blind clinical trial study involving a control group. A total of 90 patients who admitted to the dialysis centers of Beheshti and Besat hospitals in Hamadan were selected using a convenience sampling method and were randomly assigned to intervention (n = 45) and control (n = 45) groups. Data were collected using a demographic information checklist, a kidney disease QOL questionnaire, and a 6-minute-walk distance (6MWD) checklist. The patients’ QOL questionnaire was completed, and the 6MWD was recorded before and at the end of the 2nd, 4th, 6th, 8th, and 12th weeks of the intervention. In the intervention group, the patients were taught to perform physical activities with Pilates stretches in different resistances using the teach-back educational method during dialysis sessions for 12 weeks. Data were analyzed by using the independent t-test and chi-square test using SPSS-22 software.
Results
Before the intervention, no differences were observed between the experimental and control groups in terms of demographic characteristics, QOL, and physical ability (
Conclusions
Physical activity by using the teach-back method can effectively increase physical ability and improve QOL of hemodialysis patients. Therefore, the recommendations and inclusion of exercise in the dialysis care plan can effectively promote patients’ health.