Effect of Muscle Stretching and Range of Motion Exercises on Sleep Quality and Anxiety among Hemodialysis Patients
Elsayed Rady, S., Gomah Yousef, S., Ramadan Ibrahim Elrefaey, S., Samir Abdelhady, M. (2020). Effect of Muscle Stretching and Range of Motion Exercises on Sleep Quality and Anxiety among Hemodialysis Patients. EKB Journal Management System, 11(4), 582-601. doi: 10.21608/ejhc.2020.156947
Saada Elsayed Rady; Shimaa Gomah Yousef; Samah Ramadan Ibrahim Elrefaey; Monira Samir Abdelhady. "Effect of Muscle Stretching and Range of Motion Exercises on Sleep Quality and Anxiety among Hemodialysis Patients". EKB Journal Management System, 11, 4, 2020, 582-601. doi: 10.21608/ejhc.2020.156947
Elsayed Rady, S., Gomah Yousef, S., Ramadan Ibrahim Elrefaey, S., Samir Abdelhady, M. (2020). 'Effect of Muscle Stretching and Range of Motion Exercises on Sleep Quality and Anxiety among Hemodialysis Patients', EKB Journal Management System, 11(4), pp. 582-601. doi: 10.21608/ejhc.2020.156947
Elsayed Rady, S., Gomah Yousef, S., Ramadan Ibrahim Elrefaey, S., Samir Abdelhady, M. Effect of Muscle Stretching and Range of Motion Exercises on Sleep Quality and Anxiety among Hemodialysis Patients. EKB Journal Management System, 2020; 11(4): 582-601. doi: 10.21608/ejhc.2020.156947

Effect of Muscle Stretching and Range of Motion Exercises on Sleep Quality and Anxiety among Hemodialysis Patients

Egyptian Journal of Health Care
Article 32, Volume 11, Issue 4, December 2020, Pages 582-601    PDF (569.73 K)
Document Type: Original Article
DOI: 10.21608/ejhc.2020.156947
Authors
Saada Elsayed Rady1; Shimaa Gomah Yousef1; Samah Ramadan Ibrahim Elrefaey2; Monira Samir Abdelhady3
1Medical-Surgical Nursing, Faculty of Nursing, Damanhour University, Egypt
2Psychiatric and Mental Health Nursing, Faculty of Nursing, Benha University, Egypt
3Medical-Surgical Nursing, Faculty of Nursing, Fayoum University, Egypt
Abstract
Background: Sleep disturbance and anxiety are more common observed in
hemodialysis patients than in healthy people and affect patients' clinical outcomes. Aim:
determine the effect of muscle stretching and range of motion exercises on sleep quality and
anxiety among hemodialysis patients. Design: A quasi experimental research design (pre
posttest control group) was employed. Setting: The study was accomplished at the
hemodialysis unit at El Fayoum General Hospital. The unit worked three shifts per day /week
expect Friday. Subjects: specific eligibility criteria were applied to purposively select a
sample of 60 adult patients/both genders on maintenance hemodialysis. They further were
partitioned into two groups 30 patients in each (study and control groups). Tools: three tools
were handled: A structured interview questionnaire, The Pittsburgh Sleep Quality Index
(PSQI) Scale and Spielberger State-Trait Anxiety Inventory scale/STAI: Results: a
statistically significant difference was observed between the study and control groups in favor
of the former concerning the Global Pittsburgh Sleep Quality Index(PSQI) score and anxiety
level after 6 weeks of intervention in which more than half (60.0%) in the study group have
no difficulty comparing to more than three quarters(76.7%) in the control group had somewhat
difficulty with P = 0 .00. Also 70.0% in the study group had mild anxiety while, in the control
group 53.3% had moderate anxiety. Conclusion: The study concluded that; muscle stretching
and range of motion exercises have significant positive effect on sleep quality and anxiety
level among patients on maintenance hemodialysis. Recommendation: The developed
booklet with its simple instructions and illustrations should be utilized in hemodialysis unit as
a teaching aid for hemodialysis patients. Intradialytic exercise programs should be
incorporated into routine clinical practice.
Keywords
hemodialysis; sleep quality; anxiety; range of motion and muscle stretching exercises
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