ผลของโปรแกรมจัดการอาการร่วมกับการบริหารกาย-จิตด้วยชี่กงต่ออาการเหนื่อยล้า ในผู้ป่วยไตวายเรื้อรังระยะสุดท้ายที่ได้รับการฟอกเลือดด้วยเครื่องไตเทียม

Tatchaya Pattaratornwaradol; Pachanut Nunthaitaweekul

Authors

Tatchaya Pattaratornwaradol Faculty of Nursing, Chulalongkorn University
Pachanut Nunthaitaweekul Faculty of Nursing, Chulalongkorn University

Keywords:

qigong, fatigue, chronic kidney disease patients, symptom management

Abstract

Introduction: Fatigue is a common among dialysis patients, affectting their quality of life. Effective symptom management, combined with a Qigong program focusing on slow movement, controlled breathing, and mindfulness helps dialysis patients alleviate tiredness and promote self-care.

Research objectives: To compare fatigue symptoms in an experimental group before and after the Qigong-based symptom management program, and between the control and experimental groups after the program.

Research methodology: This quasi-experimental study with a two-group design involved 42 chronic kidney disease patients on dialysis at Bhumibol Adulyadej Hospital, selected by purposive sampling. Participants were divided into control and experimental groups (21 each), matched by age and dialysis duration. The control group received standard care, while the experimental group received
a Qigong-based symptom management program. developed from Dodd’s conceptual framework, with a content validity index (CVI) of .86. The Brief Fatigue Inventory was used for assessment, with a CVI of .91 and Cronbach’s alpha of .81. Data were analyzed by descriptive statistics, paired t-test, and independent sample t-test.

Results: Patients in experimental group showed a significantly lower mean fatigue score after program completion (p <.05), compared to before, and lower than the control group (p <.05).

Conclusion: The symptom management program combined with Qigong exercises effectively reduces fatigue in chronic kidney disease patients undergoing hemodialysis.

Implications: Program implementation is recommended in patient care to reduce fatigue.

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