The effect of recreational therapy application on fatigue in hemodialysis patients: a randomized clinical trial.

IF 2.2 4区医学 Q2 UROLOGY & NEPHROLOGY BMC Nephrology Pub Date : 2024-10-20 DOI:10.1186/s12882-024-03807-4

Moein Alishahi, Seyed Reza Mazloum, Samira Mohajer, Mohammad Namazinia

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Abstract

Background: Chronic Kidney Disease (CKD) is a progressive disorder that often leads to End-Stage Renal Disease (ESRD), necessitating hemodialysis (HD) treatment. Fatigue is a prevalent and debilitating symptom among HD patients, significantly affecting their quality of life. Recreational Therapy (RT) is a therapeutic recreational service designed to maintain and restore a person's level of performance and independence in daily activities. This study aimed to evaluate the effect of a smartphone-based recreational therapy intervention on fatigue in hemodialysis patients.

Methods: This randomized controlled trial was conducted on HD patients at a hospital in Mashhad, Iran. The intervention group received a custom-designed recreational therapy mobile application, including music, comedy, exercise, and educational content. The control group received standard care. Fatigue was assessed using the Multidimensional Fatigue Inventory (MFI-20) before and after the 30-day intervention.

Results: A total of 72 patients (36 per group) participated in the study. The intervention group demonstrated a significant reduction in overall fatigue scores and improvements across various fatigue dimensions, including general fatigue, physical fatigue, mental fatigue, reduced activity, and reduced motivation, compared to the control group (p < 0.001).

Conclusion: The smartphone-based recreational therapy intervention effectively reduced fatigue in hemodialysis patients. This approach could be a valuable complementary strategy for managing fatigue in this population. Further research is needed to explore the long-term sustainability of these benefits and the intervention's impact on other patient-reported outcomes.

Trial registration: This study was registered in the Iranian Registry of Clinical Trials (no. IRCT20220803055608N1) on 29/08/2022.

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应用娱乐疗法对血液透析患者疲劳的影响：随机临床试验。

背景：慢性肾脏病（CKD）是一种进展性疾病，通常会导致终末期肾脏病（ESRD），因此必须进行血液透析（HD）治疗。疲劳是血液透析患者中普遍存在的一种使人衰弱的症状，严重影响了他们的生活质量。娱乐疗法（RT）是一种治疗性娱乐服务，旨在维持和恢复患者在日常活动中的表现水平和独立性。本研究旨在评估基于智能手机的娱乐疗法干预对血液透析患者疲劳的影响：这项随机对照试验针对伊朗马什哈德一家医院的血液透析患者。干预组接受定制的娱乐治疗手机应用，包括音乐、喜剧、运动和教育内容。对照组接受标准护理。在为期 30 天的干预前后，使用多维疲劳量表 (MFI-20) 对疲劳进行评估：共有 72 名患者（每组 36 人）参加了研究。与对照组相比，干预组的总体疲劳评分明显降低，各疲劳维度（包括总体疲劳、身体疲劳、精神疲劳、活动减少和动力降低）均有所改善（P 结论：干预组的疲劳评分明显降低，各疲劳维度（包括总体疲劳、身体疲劳、精神疲劳、活动减少和动力降低）均有所改善：基于智能手机的娱乐疗法干预能有效减轻血液透析患者的疲劳。这种方法可能是控制这类人群疲劳的一种有价值的补充策略。还需要进一步的研究来探讨这些益处的长期可持续性以及干预措施对其他患者报告结果的影响：本研究于 2022 年 8 月 29 日在伊朗临床试验注册中心注册（编号：IRCT20220803055608N1）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Nephrology UROLOGY & NEPHROLOGY-

CiteScore

4.30

自引率

0.00%

发文量

375

审稿时长

3-8 weeks

期刊介绍： BMC Nephrology is an open access journal publishing original peer-reviewed research articles in all aspects of the prevention, diagnosis and management of kidney and associated disorders, as well as related molecular genetics, pathophysiology, and epidemiology.