The Effects of Exercise and Health Education Intervention for Chronic Renal Failure Predialysis patients

• Main Authors: Pei-Ying Chen, 陳佩盈
• Other Authors: Yu-Hsiu Kao, Ph.D.
• Format: Others
• Language: zh-TW
• Published: 2007
• Online Access: http://ndltd.ncl.edu.tw/handle/92825745930546412688

碩士 === 國立台北護理學院 === 醫護教育研究所 === 95 === The main purpose of this study was to investigate the effects of health education on exercise as an intervention upon the predialytic phase of chronic renal failure, i the areas of blood biochemistry, depression, fatigue and exercise behavior. Experimental design and a pre-test/post-test comparison group design between a study group and control group were used in this study. The study group received health education in exercise and the control group didn't. Patients with chronic renal failure without undergoing hemodialysis were selected as the study subjects in the nephrology clinics of a medical center in northern Taiwan. Subjects were randomly distributed into the study group or control group. The total number of valid sample was 94; 45 persons in the study group and 49 in the control group. The study tool included questionnaires on personal information, exercise behavior scale, depression rating scale and fatigue rating scale and blood biochemistry test record. The content of health education on exercise included the relation between disease and exercise, suggestion of exercise and exercise program for patients with renal diseases. The data were analyzed using chi-square test, t-test, paired t-test, Bowker’s test of symmetry, and analysis of covariance (ANCOVA). Results of the study showed that exercise and health education intervention reduced fasting plasma total cholesterol level, improved depression and fatigue, and increased exercise population and amount of exercise per week. However, no significant differences were found for red blood cell(RBC), hemoglobin(Hb), hematocrit (Hct) and blood sugar. The results of this research can provide information for health education intervention on exercise in patients with chronic renal diseases. Adopting exercise as an integral part of a care program for patients with chronic renal diseases can improve the quality of care.