How to Improve Quality of Life among Patients with End-Stage Renal Disease Who Received Hemodialysis: A Systematic Review
Keywords:
Interventions to Improve Quality of Life, End Stage Renal Disease Patients Receiving Hemodialysis, Systematic ReviewAbstract
The objective of this systematic review was to summarize the effectiveness of program interventions to enhance the quality of life among end-stage renal disease patients receiving hemodialysis. The systematic search strategy focused on randomized controlled trials (RCTs) and quasi-experimental, published, or unpublished research studies in Thai or English, reported between 2003 and 2020. Statistic instruments were: 1) inclusion criteria and exclusion criteria form, 2) critical appraisal form, and 3) data extraction form. Sources of queries included PubMed, CINAHL, ProQuest Medical Library, Wiley Online Library, Science Direct, Cochrane library, Springer Link, Scopus, Google Scholar, Web of Science, and ThaiLis.
The results of the study showed that the interventions to improve quality of life were: 1) exercise, 2) education, 3) psychological interventions, 4) visual imagery, 5) occupational therapy, 6) physical therapy, 7) complementary medicine, and 8) nursing interventions. Meta-analysis results indicated that exercise can improve quality of life in the physical health domain, with an SMD of 0.66 (95% CI 0.30-1.02, p<.0001). Resistance exercise improved the quality of life in the physical domain (SMD 0.77, 95% CI 0.22-1.33, p=.006). While a combination of aerobic and resistance exercise did not improve the quality of life in the physical and mental health domain. In addition, moderate heterogeneity was found. Education did not improve quality of life and other interventions could not summarize because few studies were included.
These systematic review results suggest that exercise improves the quality of life regarding physical health. The use of this intervention should be monitored periodically. Other interventions should be conducted to summarize their effectiveness.
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