الفهرس 
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Abstract
Hemodialysis patients are profoundly deconditioned, often
vulnerable and older with muscle wasting and altered nutritional status
as dialysis leads to distinct metabolic changes such as hypovolemia,
electrolyte imbalance, and systemic inflammation (Cano et al., 2017).
Moreover, several researches have proven that exercise during
hemodialysis is safe and easy showing significant changes in physical
and psychological conditions, which positively influence their social
life (Motedayen et al., 2017).
Intradialytic exercises revealed strong positive correlations with
dialysis efficacy, high-sensitivity C-reactive protein, blood pressure,
arterial stiffness, health-related QOL, and depression (Sheng et al.,
2014).
The purpose of this study was to determine the effect of
intradialytic exercises on dialysis efficacy and blood pressure among
hemodialysis patients.
Setting
The study was carried out in the Hemodialysis Unit of
Menoufia University Hospital, Shebin Elkom, Menoufia Governorate,
Egypt.
Subjects
A consecutive sample of 50 patients had undergone
hemodialysis assigned alternatively into two equal groups.
Study group(I): they were taught and performed intradialytic range
of motion exercises along with routine hospital care and given two
sessions of intradialytic exercises. Every session lasted for one month.
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These intradialytic exercises were performed for 15 minutes in the
first two hours in every dialysis session.
Control group (II): Those patients were exposed only to routine
hospital care.
Tools of the study: Three tools were used for data collection.
Tool I: Structured Interviewing Questionnaire
Tool II: Bio-physiologic measurement tool
Tool III: Observational Checklist
Main findings of the present study:
There was a significant improvement in dialysis efficacy two
months post intervention (intradialytic range of motion
exercises) for study group.
There was a significant improvement in systolic blood pressure
one-month post-intervention.
There was a high significant improvement regarding systolic
blood pressure two months post-intervention.
There was a significant improvement regarding diastolic blood
pressure two months post-intervention.
Conclusion
Intradialytic range of motion exercises was effective in
improving the urea reduction ratio scores.
Intradialytic range of motion exercises was effective in
improving systolic and diastolic blood pressure measurements.
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Recommendations
The intradialytic range of motion exercises can be used as a
non- pharmacological management to improve dialysis efficacy.
The intradialytic exercises can be used as a non-
pharmacological management to improve the patients’ blood
pressure.
Practicing intradialytic exercises can reduce the intake of
antihypertensive drugs and consequently the side effects of
these drugs.