Effects of physical activity by the teach-back educational method on the physical ability and quality of life in hemodialysis patients: a clinical trial

Demographic characteristic	Intervention group	Control group	P-value
Demographic characteristic	Number (percent)	Number (percent)	P-value
Gender			0.387
Female	22 (48.9)	26 (57.8)
Male	23 (51.1)	19 (42.2)
Marital status			0.148
Married	26 (57.8)	26 (57.8)
Single	13 (28.9)	14 (31.1)
Divorced	5 (11.1)	4 (8.9)
Spouse of the deceased	1 (2.2)	1 (2.2)
Level of education			0.329
High school	25 (55.6)	11 (24.4)
Diploma	14 (31.1)	27 (60.0)
College education	6 (13.4)	7 (15.6)
Employment status			0.231
Housewife	20 (44.4)	22 (48.9)
Employee	7 (15.6)	6 (13.3)
Self-employed	9 (20.0)	8 (17.8)
Retired	9 (20.0)	9 (20.0)

Block randomization of subjects in intervention and control groups.

Patient number	Group	Patient number	Group	Patient number	Group	Patient number	Group	Patient number	Group
1	A	25	A	49	A	67	B	85	A
2	B	26	B	50	A	68	A	86	B
3	A	27	A	51	B	69	B	87	A
4	B	28	B	52	B	70	A	88	B
5	A	29	A	53	A	71	A	89	A
6	B	30	B	54	B	72	B	90	B
7	B	31	B	55	B	73	B
8	A	32	A	56	A	74	A
9	B	33	B	57	A	75	A
10	A	34	A	58	B	76	B
11	B	35	B	59	A	77	A
12	A	36	A	60	B	78	B
13	B	37	A	61	B	79	B
14	A	38	B	62	B	80	B
15	B	39	B	63	A	81	A
16	A	40	A	64	A	82	A
17	B	41	A	65	A	83	A
18	A	42	B	66	B	84	B

Evaluation and comparison of the 6MWD between control and intervention groups before the intervention and after the 2nd, 4th, 6th, 8th, 10th, and 12th weeks (M ± SD).

	Before intervention		Wk2		Wk4		Wk6		Wk8		Wk10		Wk12
	Intervention	Control	Intervention	Control	Intervention	Control	Intervention	Control	Intervention	Control	Intervention	Control	Intervention	Control
SMWT	232.22	214.08	233.17		234.86		238.98		245.17		248.46		250.55	240.22	P < 0.001
SMWT	(68.17)	(75.33)	(65.58)		(68.12)		(69.67)		(73.93)		(71.33)		(71.92)	(73.92)

Frequency of age and duration of hemodialysis treatment in control and intervention groups.

Characteristic	Intervention		Control		P-value
Characteristic	Mean	SD	Mean	SD	P-value
Age (years)	43.28	10.31	44.20	9.85	0.669
Duration of hemodialysis treatment (years)	11.76	41.21	11.76	41.19	1

Comparison of the means (±SD) of different dimensions of the QOL in the intervention and control groups before the intervention and after the 2nd, 4th, 6th, 8th, 10th, and 12th weeks (M ± SD).

Dimension	Before intervention		Wk2		Wk4		Wk6		Wk8		Wk10		Wk12
Dimension	Intervention	Control	Intervention	Control	Intervention	Control	Intervention	Control	Intervention	Control	Intervention	Control	Intervention	Control
Symptoms and problems	33.91	33.55	32.97		32.19		32.66		32.26		29.75		30.9	32.13	F = 9.009
Symptoms and problems	9.7	9.9	10.3		10.9		10.1		10.4		11.07		9.2	10.5	P < 0.001
Effect of kidney disease	25.11	25.26	25.70		25.31		25.43		24.60		24.73		24.11	24.66	F=8.310
Effect of kidney disease	7.2	7.3	8.1		8.4		8.5		8.6		8.9		8.8	8.7	P < 0.001
Kidney disease burden	10.80	10.66	10.64		10.60		11.08		11.0		10.46		10.75	10.64	F=2.555
Kidney disease burden	4.3	4.3	4.1		4.5		4.1		4.2		4.6		4.6	4.7	P = 0.052
Working status	3.48	3.51	3.51		3.51		3.51		3.51		3.51		3.51	3.53	F=
Working status	0.5	0.5	0.5		0.5		0.5		0.5		0.5		0.5	0.5	P =
Cognitive function	9.03	8.75	8.42		9.46		8.07		9.30		8.78		9.17	9.14	F = 14.802
Cognitive function	2.74	2.9	3.2		3.3		2.6		2.6		3.4		3.8	3.6	P < 0.001
Quality of social interactions	9.95	9.95	10.30		10.00		10.15		9.90		9.60		9.37	9.30	F = 4.303
Quality of social interactions	2.9	3.2	2.8		3.2		3.04		2.9		2.45		3.3	3.1	P = 0.007
Sexual function	7.24	7.22	7.48		6.88		7.14		7.14		6.85		6.97	6.92	F = 14.325
Sexual function	3.05	2.9	3.1		2.9		3.08		3.08		3.05		3.0	2.9	P < 0.001
Sleep	16.41	16.38	16.55		15.89		15.21		16.73		16.97		16.45	16.47	F = 3.605
Sleep	3.3	3.4	3.5		3.2		3.2		2.9		3.3		3.1	3.3	P = 0.026
Social support	7.07	7.13	7.24		7.22		7.02		7.02		6.93		7.08	6.91	F = 3.596
Social support	1.63	1.61	1.49		1.3		1.7		1.5		1.8		1.5	1.5	P = 0.037
Encourage dialysis staff	4.95	4.88	4.79		4.70		4.54		4.54		4.61		4.65	4.83	F = 5.668
Encourage dialysis staff	3.2	3.00	2.8		3.1		2.8		3.0		2.9		2.9	2.9	P < 0.001
Patient satisfaction	4.47	4.45	4.38		4.61		4.97		4.88		5.38		5.15	5.11	F = 7.894
Patient satisfaction	3.1	3.1	3.1		3.01		2.86		2.78		2.74		2.89	3.04	P < 0.003
Physical function	21.8	21.30	21.59		21.04		20.83		20.80		21.52		21.38	21.53	F = 5.332
Physical function	4.97	5.13	5.04		5.19		5.45		5.58		5.11		5.16	4.38	P = 0.006
Restrictions of role due to physical problems	6.00	6.06	6.26		6.33		6.42		6.55		6.13		6.06	6.13	F = 3.804
Restrictions of role due to physical problems	1.66	1.67	1.35		1.50		1.51		1.47		1.45		1.45	1.52	P= 0.019
Pain	8.30	8.27	7.90		7.86		7.47		7.00		7.31		6.56	6.52	F = 18.943
Pain	2.22	2.29	2.54		2.92		2.37		2.15		1.82		2.29	2.22	P < 0.001
General health	16.84	16.93	16.61		15.97		16.17		15.45		15.18		15.15	15.04	F = 24.572
General health	3.24	3.23	2.95		3.17		3.22		2.70		2.99		3.28	3.34	P < 0.001
Sense of well-being psychologically	17.73	17.92	17.78		17.54		17.47		17.00		17.59		17.21	17.02	F = 2.412
Sense of well-being psychologically	2.65	2.55	2.29		1.69		2.43		2.29		2.24		2.63	2.69	P = 0.087
Restrictions on role due to emotional problems	5.29	5.25	5.36		5.19		5.26		5.14		5.09		5.04	5.13	F = 7.294
Restrictions on role due to emotional problems	1.07	1.12	1.13		1.22		1.11		1.25		1.28		1.30	1.25	P*=0.002
Social performance	5.86	5.86	5.59		6.02		6.38		6.40		6.56		6.47	6.43	F = 13.203
Social performance	1.03	1.12	1.46		1.54		1.60		2.19		1.99		2.21	2.44	P < 0.001
Vitality	13.60	13.91	14.37		13.66		13.95		13.20		13.60		13.48	13.57	F = 4.954
Vitality	2.53	2.79	2.32		2.08		2.51		2.86		2.57		2.06	2.91	P = 0.009

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Patient number	Group	Patient number	Group	Patient number	Group	Patient number	Group	Patient number	Group
1	A	25	A	49	A	67	B	85	A
2	B	26	B	50	A	68	A	86	B
3	A	27	A	51	B	69	B	87	A
4	B	28	B	52	B	70	A	88	B
5	A	29	A	53	A	71	A	89	A
6	B	30	B	54	B	72	B	90	B
7	B	31	B	55	B	73	B
8	A	32	A	56	A	74	A
9	B	33	B	57	A	75	A
10	A	34	A	58	B	76	B
11	B	35	B	59	A	77	A
12	A	36	A	60	B	78	B
13	B	37	A	61	B	79	B
14	A	38	B	62	B	80	B
15	B	39	B	63	A	81	A
16	A	40	A	64	A	82	A
17	B	41	A	65	A	83	A
18	A	42	B	66	B	84	B

Patient number	Group	Patient number	Group	Patient number	Group	Patient number	Group	Patient number	Group
1	A	25	A	49	A	67	B	85	A
2	B	26	B	50	A	68	A	86	B
3	A	27	A	51	B	69	B	87	A
4	B	28	B	52	B	70	A	88	B
5	A	29	A	53	A	71	A	89	A
6	B	30	B	54	B	72	B	90	B
7	B	31	B	55	B	73	B
8	A	32	A	56	A	74	A
9	B	33	B	57	A	75	A
10	A	34	A	58	B	76	B
11	B	35	B	59	A	77	A
12	A	36	A	60	B	78	B
13	B	37	A	61	B	79	B
14	A	38	B	62	B	80	B
15	B	39	B	63	A	81	A
16	A	40	A	64	A	82	A
17	B	41	A	65	A	83	A
18	A	42	B	66	B	84	B

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

Pubblicato online: 22 giu 2023

Pagine: 223 - 231

Ricevuto: 13 ott 2022

Accettato: 21 nov 2022

DOI: https://doi.org/10.2478/fon-2023-0027

Parole chiavehemodialysis patients, physical ability, physical activity, quality of life, teach-back education

© 2023 Pegah Sharifian et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Figure 1.

Comparison of categorized demographic characteristics of participants in the control and intervention groups.

Block randomization of subjects in intervention and control groups.

Evaluation and comparison of the 6MWD between control and intervention groups before the intervention and after the 2nd, 4th, 6th, 8th, 10th, and 12th weeks (M ± SD).

Frequency of age and duration of hemodialysis treatment in control and intervention groups.

Comparison of the means (±SD) of different dimensions of the QOL in the intervention and control groups before the intervention and after the 2nd, 4th, 6th, 8th, 10th, and 12th weeks (M ± SD).

Parole chiave
hemodialysis patients, physical ability, physical activity, quality of life, teach-back education

Patient number	Group	Patient number	Group	Patient number	Group	Patient number	Group	Patient number	Group
1	A	25	A	49	A	67	B	85	A
2	B	26	B	50	A	68	A	86	B
3	A	27	A	51	B	69	B	87	A
4	B	28	B	52	B	70	A	88	B
5	A	29	A	53	A	71	A	89	A
6	B	30	B	54	B	72	B	90	B
7	B	31	B	55	B	73	B
8	A	32	A	56	A	74	A
9	B	33	B	57	A	75	A
10	A	34	A	58	B	76	B
11	B	35	B	59	A	77	A
12	A	36	A	60	B	78	B
13	B	37	A	61	B	79	B
14	A	38	B	62	B	80	B
15	B	39	B	63	A	81	A
16	A	40	A	64	A	82	A
17	B	41	A	65	A	83	A
18	A	42	B	66	B	84	B