Volume 27, Issue 90 And 91 (October ِDecember 2014 2014)                   IJN 2014, 27(90 And 91): 22-32 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Rambod M, Pasyar N, Sharif F, Rafii F, Pourali Mohammadi N. The Effect of Relaxation Technique on Physical Activity of Hemodialysis Patients. IJN 2014; 27 (90 and 91) :22-32
URL: http://ijn.iums.ac.ir/article-1-1867-en.html
1- Doctoral student, Community Based Psychiatric Care Research Center, Medical Surgical Nursing Department, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran. (٭Corresponding author). Tel: +98 71 6474258 Email: rambodma@yahoo.com
2- Doctoral student, Medical Surgical department, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
3- Professor, Community Based Psychiatric Care Research Center, Department of Mental Health and Psychiatric Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
4- Professor, Center for Nursing Care Research, Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
5- Master degree, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Abstract:   (10793 Views)

  Abstract

  Background & Aim: Physical activity has an important role in the length of life of hemodialysis patients. Some complementary interventions such as relaxation technique might be effective on the level of physical activity. The aim of this study was to evaluate the effects of Benson’s relaxation technique on physical activity of hemodialysis patients.

  Material & Methods: It was a randomized controlled trial that was carried out in the hemodialysis units of Shiraz University of Medical sciences. Eighty six hemodialysis patients were randomly assigned to Benson’s relaxation technique group (n =43) and control group (n=43). The technique was performed in experimenmtal group for 20 min, twice a day for 8 consecutive weeks. Physical activity was assessed by the "Daily Living Activity (ADL)" and "Instrumental Daily Living Activity (IADL)" scale in both groups at baseline and 8 weeks after intervention. Data were analyzed with independent and dependent samples t–test, and chi–square using SPSS-PC (v.16).

  Results: Before the intervention, the mean score of ADL in intervention and control groups was 12.53 (2.54) and 12.30 (2.78), respectively. However, at the 8th week of the intervention, the mean score of ADL in the intervention group was 13.42 (1.44) and in the control was 11.74 (3.45). The results of independent samples t–test showed a significant difference between ADL of the groups (t=2.83, P=0.006). In addition, the mean score of IADL at the beginning of study in intervention and control group was 14.36 (4.36) and 12.04 (6.01) and at 8th week of intervention, it was 15.62 (3.77) and 12.00 (5.77), respectively. A significant difference was observed between two groups regarding the IADL scale at the 8th week of the intervention (t=3.29, P=0.001).

Conclusion: The findings suggest beneficial effects of Benson’s relaxation technique on the improvement of physical activity in hemodialysis patients. Therefore, teaching relaxation techniques could serve as a resource for improving the levels of physical activity.
Full-Text [PDF 1269 kb]   (2592 Downloads)    
Type of Study: Research | Subject: nursing
Received: 2014/07/5 | Accepted: 2014/10/6 | Published: 2014/10/6

References
1. Parsons TL, Toffelmire EB, King-VanVlack CE. Exercise training during hemodialysis improves dialysis efficacy and physical performance. Arch Phys Med Rehabil. 2006;87(5):680-7. [DOI:10.1016/j.apmr.2005.12.044] [PMID]
2. Johansen KL, Chertow GM, Ng AV, Mulligan K, Carey S, Schoenfeld PY, et al. Physical activity levels in patients on hemodialysis and healthy sedentary controls. Kidney Int. 2000;57(6):2564-70. [DOI:10.1046/j.1523-1755.2000.00116.x] [PMID]
3. Wong S, Chan YM, Lim T. Correlates of physical activity level among hemodialysis patients in Selangor, Malaysia. Malays J Nutr. 2011;17:277-86. [PMID]
4. Painter P, Carlson L, Carey S, Paul SM, Myll J. Physical functioning and health-related quality-of-life changes with exercise training in hemodialysis patients. Am J Kidney Dis. 2000;35(3):482-92. [DOI:10.1016/S0272-6386(00)70202-2]
5. O'Hare AM, Tawney K, Bacchetti P, Johansen KL. Decreased survival among sedentary patients undergoing dialysis: results from the dialysis morbidity and mortality study wave 2. Am J Kidney Dis. 2003;41(2):447-54. [DOI:10.1053/ajkd.2003.50055] [PMID]
6. Loos C, Briançon S, Frimat L, Hanesse B, Kessler M. Effect of End‐Stage Renal Disease on the Quality of Life of Older Patients. J Am Geriatr Soc. 2003;51(2):229-33. [DOI:10.1046/j.1532-5415.2003.51062.x] [PMID]
7. Cupisti A, Capitanini A, Betti G, D'Alessandro C, Barsotti G. Assessment of habitual physical activity and energy expenditure in dialysis patients and relationships to nutritional parameters. Clinical Nephrology. 2011;75(3):218.-25.
8. Ware J E, Kosinski M. SF-36 Physical and Mental Health Summary Scales: A Manual for Users of Version 1, 2nd ed. Quality Metric, Inc., Lincoln, RI. 2001.
9. Lowrie EG, Curtin RB, LePain N, Schatell D. Medical outcomes study short form-36: a consistent and powerful predictor of morbidity and mortality in dialysis patients. Am J Kidney Dis. 2003;41(6):1286-92. [DOI:10.1016/S0272-6386(03)00361-5]
10. Matsuzawa R, Matsunaga A, Wang G, Kutsuna T, Ishii A, Abe Y, et al. Habitual physical activity measured by accelerometer and survival in maintenance hemodialysis patients. Clin J Am Soc Nephrol. 2012;7(12):2010-6. [DOI:10.2215/CJN.03660412] [PMID] [PMCID]
11. Kutner NG. How can exercise be incorporated into the routine care of patients on dialysis? Int Urol Nephrol. 2007;39(4):1281-5. [DOI:10.1007/s11255-007-9281-z] [PMID]
12. Anand S, Johansen KL, Grimes B, Kaysen GA, Dalrymple LS, Kutner NG, et al. Physical activity and self‐reported symptoms of insomnia, restless legs syndrome, and depression: The comprehensive dialysis study. Hemodial Int. 2013;17(1):50-8. [DOI:10.1111/j.1542-4758.2012.00726.x] [PMID] [PMCID]
13. van Vilsteren MC, de Greef MH, Huisman RM. The effects of a low-to-moderate intensity pre-conditioning exercise programme linked with exercise counselling for sedentary haemodialysis patients in The Netherlands: results of a randomized clinical trial. Nephrology Dialysis Transplantation. 2005;20(1):141-6. [DOI:10.1093/ndt/gfh560] [PMID]
14. Mustata S, Chan C, Lai V, Miller JA. Impact of an exercise program on arterial stiffness and insulin resistance in hemodialysis patients. J Am Soc Nephrol. 2004;15(10):2713-8. [DOI:10.1097/01.ASN.0000140256.21892.89] [PMID]
15. Parsons T, Toffelmire E, King-VanVlack C. The effect of an exercise program during hemodialysis on dialysis efficacy, blood pressure and quality of life in end-stage renal disease (ESRD) patients. Clinical Nephrology. 2004;61(4):261-74. [DOI:10.5414/CNP61261] [PMID]
16. Macdonald JH, Marcora SM, Jibani M, Phanish MK, Holly J, Lemmey AB. Intradialytic exercise as anabolic therapy in haemodialysis patients–a pilot study. Clin Physiol Funct Imaging. 2005;25(2):113-8. [DOI:10.1111/j.1475-097X.2004.00600.x] [PMID]
17. Levendoğlu F, Altintepe L, Okudan N, Uğurlu H, Gökbel H, Tonbul Z, et al. A twelve week exercise program improves the psychological status, quality of life and work capacity in hemodialysis patients. J Nephrol. 2003;17(6):826-32.
18. Anand S, Chertow GM, Johansen KL, Grimes B, Tamura MK, Dalrymple LS, et al. Association of self-reported physical activity with laboratory markers of nutrition and inflammation: the Comprehensive Dialysis Study. J Ren Nutr. 2011;21(6):429-37. [DOI:10.1053/j.jrn.2010.09.007] [PMID] [PMCID]
19. Gill S, Kolt GS, Keating J. Examining the multi-process theory: an investigation of the effects of two relaxation techniques on state anxiety. J Bodyw Mov Ther. 2004;8(4):288-96. [DOI:10.1016/j.jbmt.2003.11.002]
20. Chan AS, Han YM, Cheung M-c. Electroencephalographic (EEG) measurements of mindfulness-based Triarchic body-pathway relaxation technique: a pilot study. Appl Psychophysiol Biofeedback. 2008;33(1):39-47. [DOI:10.1007/s10484-008-9050-5] [PMID]
21. Ling K-w, Wong FS, Chan W-k, Chan S-y, Chan EP, Cheng Y-l, et al. Effect of a home exercise program based on Tai Chi in patients with end-stage renal disease. Peritoneal Dialysis International. 2003;23(Supplement 2):S99-S103. [PMID]
22. Mustata S, Cooper L, Langrick N, Simon N, Jassal SV, Oreopoulos DG. The effect of a Tai Chi exercise program on quality of life in patients on peritoneal dialysis: a pilot study. Peritoneal Dialysis International. 2005;25(3):291-4. [PMID]
23. Sheu S, Irvin BL, Lin H-S, Mar C-L. Effects of progressive muscle relaxation on blood pressure and psychosocial status for clients with essential hypertension in Taiwan. Holist Nurs Pract. 2003;17(1):41-7. [DOI:10.1097/00004650-200301000-00009] [PMID]
24. Fredrickson BL, Cohn MA, Coffey KA, Pek J, Finkel SM. Open hearts build lives: positive emotions, induced through loving-kindness meditation, build consequential personal resources. J Pers Soc Psychol. 2008;95(5):1045–62. [DOI:10.1037/a0013262] [PMID] [PMCID]
25. Donna SW. The impact of a yoga intervention on the mental well-being and physical functioning in older adult living in the community. ProQuest Dissertations and Theses; 2009: 15-16. http://fordham.bepress.com/dissertations/AAI3365060/.
26. To MY, Chan S. Evaluating the Effectiveness of Progressive Muscle Relaxation in Reducing the Aggressive Behaviors of Mentally Handicapped Patients. Arch Psychiatr Nurs 2000; 15(1): 39-46. [DOI:10.1016/S0883-9417(00)80007-2]
27. Doris S, Lee DT, Woo J. Effects of relaxation therapy on psychologic distress and symptom status in older Chinese patients with heart failure. J Psychosom Res. 2007;62(4):427-37. [DOI:10.1016/j.jpsychores.2006.10.012] [PMID]
28. Tsai SL. Audio‐visual relaxation training for anxiety, sleep, and relaxation among Chinese adults with cardiac disease. Res Nurs Health. 2004;27(6):458-68. [DOI:10.1002/nur.20039] [PMID]
29. Rambod M, Pourali-Mohammadi N, Pasyar N, Rafii F, Sharif F. [The effect of Benson's relaxation technique on the quality of sleep of Iranian hemodialysis patients: A randomized trial]. Complement Therap Med. 2013;21(6):577-84. [DOI:10.1016/j.ctim.2013.08.009] [PMID]
30. Pasyar N, Rambod M, Sharif F, Rafii F, Pourali-Mohammadi N. [Improving adherence and biomedical markers in hemodialysis patients: The effects of relaxation therapy]. Complement Therap Med. 2015; 23:38-45. http://dx.doi.org/10.1016/j.ctim.2014.10.011. [DOI:10.1016/j.ctim.2014.10.011]
31. Rambod M, Sharif F, Pourali-Mohammadi N, Pasyar N, Rafii F. [Evaluation of the effect of Benson's relaxation technique on pain and quality of life of haemodialysis patients: A randomized controlled trial]. Int J Nurs Stud 2014; 51(7):964-973. [DOI:10.1016/j.ijnurstu.2013.11.004] [PMID]
32. Mahdavi A, Gorji MAH, Gorji AMH, Yazdani J, Ardebil MD. [Implementing benson's relaxation training in hemodialysis patients: Changes in perceived stress, anxiety, and depression]. N Am J Med Sci. 2013;5(9):536-40. [DOI:10.4103/1947-2714.118917] [PMID] [PMCID]
33. Ghafari S, Ahmadi F, Nabavi M, Anoshirvan K, Memarian R, Rafatbakhsh M. [Effectiveness of applying progressive muscle relaxation technique on quality of life of patients with multiple sclerosis]. J Clin Nurs. 2009;18(15):2171-9. [DOI:10.1111/j.1365-2702.2009.02787.x] [PMID]
34. Bagheri‐Nesami M, Mohseni‐Bandpei MA, Shayesteh‐Azar M. [The effect of Benson Relaxation Technique on rheumatoid arthritis patients: extended report]. Int J Nurs Pract. 2006;12(4):214-9. [DOI:10.1111/j.1440-172X.2006.00568.x] [PMID]
35. Yu DS, Lee DT, Woo J. Improving health‐related quality of life of patients with chronic heart failure: effects of relaxation therapy. J Adv Nurs. 2010;66(2):392-403. [DOI:10.1111/j.1365-2648.2009.05198.x] [PMID]
36. Wändell PE, Carlsson AC, Gåfvels C, Andersson K, Törnkvist L. Measuring possible effect on health-related quality of life by tactile massage or relaxation in patients with type 2 diabetes. Complement Therap Med. 2012;20(1):8-15. [DOI:10.1016/j.ctim.2011.09.007] [PMID]
37. Habibi A, Nikpour S, Rezaie M, Haghani H. [Health promotion behaviours and level of activities of daily living and instromental activities of daily living among elderly people in west region of tehran: a cross sectional survey]. Journal of elderly in Iran 2007; 2(5): 332-9.
38. Day RC, Sadek SN. The effect of Benson's relaxation response on the anxiety levels of Lebanese children under stress. J Exp Child Psychol. 1982;34(2):350-6. [DOI:10.1016/0022-0965(82)90052-2]
39. León‐Pizarro C, Gich I, Barthe E, Rovirosa A, Farrús B, Casas F, et al. A randomized trial of the effect of training in relaxation and guided imagery techniques in improving psychological and quality‐of‐life indices for gynecologic and breast brachytherapy patients. Psycho‐Oncology. 2007;16(11):971-9. [DOI:10.1002/pon.1171] [PMID]
40. Pan L, Zhang J, Li L. Effects of progressive muscle relaxation training on anxiety and quality of life of inpatients with ectopic pregnancy receiving methotrexate treatment. Res Nurs Health. 2012;35(4):376-82. [DOI:10.1002/nur.21486] [PMID]
41. Büyükyılmaz F, Aştı T. The effect of relaxation techniques and back massage on pain and anxiety in Turkish total hip or knee arthroplasty patients. Pain Manag Nurs. 2013;14(3):143-54. [DOI:10.1016/j.pmn.2010.11.001] [PMID]
42. Sutherland G, Andersen MB, Morris T. Relaxation and health-related quality of life in multiple sclerosis: the example of autogenic training. J Behav Med. 2005;28(3):249-56. [DOI:10.1007/s10865-005-4661-2] [PMID]
43. Crew L. Designing a yoga program for active seniors. IDEA Fitness J. 2005; 2(10):56-63.
44. Lee LW. Poster board S33: Enhancing balance, lower extremity function, and gait in people with Parkinson's disease through yoga exercise. Am J Phys Med Rehabil. 2006;85(3):284. [DOI:10.1097/00002060-200603000-00167]
45. DiBenedetto M, Innes KE, Taylor AG, Rodeheaver PF, Boxer JA, Wright HJ, et al. Effect of a gentle Iyengar yoga program on gait in the elderly: an exploratory study. Arch Phys Med Rehabil. 2005;86(9):1830-7. [DOI:10.1016/j.apmr.2005.03.011] [PMID]
46. Chang B-H, Boehmer U, Zhao Y, Sommers E. The combined effect of relaxation response and acupuncture on quality of life in patients with HIV: a pilot study. J Altern Complement Med. 2007;13(8):807-16. [DOI:10.1089/acm.2007.7024] [PMID] [PMCID]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2015 All Rights Reserved | Iran Journal of Nursing

Designed & Developed by : Yektaweb