Intradialytic Exercise on Changes in Blood Pressure in Chronic Kidney Failure Patients during Hemodialysis Therapy

Abstract

BACKGROUND: Chronic kidney disease (CKD) is a chronic decline in kidney function that causes irreversible and progressive kidney tissue damage. Blood pressure is a major factor that can cause death up to 20 times in CKD patients undergoing hemodialysis therapy. AIM: This study aims to analyze the effect of intradialytic exercise that will benefit the cardiovascular system on changes in blood pressure in CKD patients undergoing hemodialysis therapy. METHODS: The research method used is a quasi-experimental pre-post design with a control group design. The study population was 97 dialysis patients. The sampling technique used purposive sampling as many as 30 people. Inclusion criteria: Patients with systolic blood pressure not >180 mmHg and diastolic 120 mmHg were included in the study, exclusion criteria: Patients with comorbidities, namely, asthma and heart disease were excluded from the study. Data analysis using paired t-test. RESULTS: The results showed that the average blood pressure in the control group, before exercise was: Systolic 168.93 mmHg, diastolic 106.20 mmHg, after exercise: Systolic 173.13 mmHg, diastolic 107 mmHg. The results of the average blood pressure in the intervention group, before exercise was: Systolic 162.20 mmHg, diastolic 104.27 mmHg, after exercise: Systolic 153.13 mmHg, diastolic 94.33 mmHg. CONCLUSION: The p value in the control group was found to be 0.321 or p > 0.05, while in the intervention group, p = 0.025 or p < 0.05. Intradialytic exercise can lower blood pressure in CKD patients undergoing hemodialysis therapy.