Priya, Krishna (2015) Effect of intradialytic stretching exercises on muscle cramps among patients undergoing hemodialysis. Masters thesis, Apollo College of Nursing, Chennai.
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Abstract
An Experimental Study to Assess the Effect of Intradialytic Stretching Exercises on Muscle Cramps among Patients Undergoing hemodialysis at Apollo Hospitals, Chennai. Objectives of the Study : 1. To assess the level of muscle cramps among control and experimental group of patients undergoing hemodialysis. 2. To determine the effectiveness of intradialytic stretching exercise on muscle cramp comparing the level of muscle cramps between control group and experimental group of patients undergoing hemodialysis. 3. To assess the level of satisfaction of Patients regarding intradialytic stretching exercises on muscle cramps among experimental group patients undergoing hemodialysis. 4. To find out the association between the selected demographic variables and level of muscle cramps among control and experimental group of patients undergoing hemodialysis. 5. To find out the association between the selected clinical variables and level of muscle cramps among control and experimental group patients undergoing hemodialysis. The conceptual framework for the study was developed on the basis of King’s Goal Attainment Model, which was modified for the present study. An intensive review of literature and experts guidance laid the foundation to the development of tools such as demographic variable proforma, clinical variable proforma, patient satisfaction rating scale. In this study, true experimental research design was adopted. The present study was conducted at Apollo hospitals, Chennai among clients undergoing hemodialysis with muscle cramp. The sample size for the present study was 60 clients with muscle cramp, among which, 30 clients were randomly assigned to control group and 30 clients to experimental group who satisfied the inclusion criteria. The investigator used the demographic and clinical variables proforma of patients to obtain the baseline data. Modified numerical pain rating scale was used to assess the level of muscle cramps during hemodialysis and rating scale to assess the level of satisfaction of patients regarding intradialytic stretching exercise. The data collection tools were validated and reliability was established. After the pilot study, the data collection of main study was conducted for a period of 4 weeks. The collected information was tabulated and analyzed by using appropriate descriptive and inferential statistics. The Major Findings of the Study : A significant percentage of the patients undergoing hemodialysis were in the age group of 31-35years (33.30%) and >35 years (46.70%), qualified up to higher secondary education (23.3,43.3%) and majority were married (73.3%, 90.0%) in control and experimental group respectively. Most of the patients were male (60.00%, 63.30%), moderate workers (40%,56.6%) with an annual income of <3 lakhs (40.0%), and 3-5 lakhs(43.3%) in control group and experimental group respectively. • Most of the patients were non vegetarians (66.7%, 63.3%) , non smokers and non alcoholics (40.0%, 40.0%), used analgesics for pain relief (53.3%,53.3%) and had temperature between 98-99f (76.7%, 76.7) in control and experimental group respectively. Majority of the patients' height was >155cm (80%,50%), nearly half of the patients' weight was 56-60kg (53.3%, 50.0%), with systolic blood pressure of 121-130 mm hg (50%) and 111- 120mm hg (43.3%), diastolic blood pressure of 70-80 mm hg (46.7%40%) in both control an experimental group respectively. Nearly half of the patients had urinary disease (43.30%, 50%), hypertension (53.30%, 46.70%) and most of them had no history of cardiovascular disease (63.30%, 56.70%) or diabetic mellitus (63.30%, 60%) in control and experimental group respectively. • Most of the patients undergoing hemodialysis had moderate level of muscle cramps (53%,57%) in the pre-test, among control and experimental group respectively, whereas in post test most the patients had severe level of muscle cramps (63.33%) in control group and only mild level of muscle cramps (60%) in experimental group. • The pre test mean scores and standard deviation of muscle cramps is (M=6.13,SD =1.28)in control group and (m=6.6, SD=1.27) in experimental group with t' value -0.403 whereas the post test mean scores and standard deviation of muscle cramps is (M= 6.87, SD= 1.20) in control group and(M= 5.8, SD= 0.65) in experimental group with t’ value of 4.86 at P< 0.001 level. Hence the null hypothesis Ho1 “There will be no significant difference in the pretest and post test scores of muscle cramps between control and experimental group of clients undergoing hemodialysis”was rejected. • Majority of the patients undergoing hemodialysis in experimental group were highly satisfied with the method application of intradialytic stretching exercise (93.33%), the effectiveness of therapy (90%) and approach of researcher (93.33%). • There was no significant association between selected demographic variables namely age, gender, educational status, occupation, marital status, nature of work and level of muscle cramps in control and experimental group of patients. Hence the null hypothesis H02 “There will be no significant association between selected demographic variable and pre -test level of muscle cramps among the control and experimental group of patients undergoing hemodialysis” was retained. • There was no significant association between selected clinical variables like weight, height, systolic BP, diastolic BP, history of smoking and alcoholism, type of diet, history of urinary diseases, history of cardiovascular diseases, history of hypertension, history of diabetes etc and level of muscle cramps in control and experimental group of patients. Hence the null hypothesis H03 “There will be no significant association between selected clinical variable and pre-test level of muscle cramps among the control and experimental group of patients undergoing hemodialysis” was retained. Recommendations : A similar study could be undertaken on larger scale for more valid generalization. • This study could be replicated in different settings. • The study could be conducted to compare different non pharmacological methods of muscle cramp management. • Pain management protocol with incorporated intradialytic stretching exercise can be made and put in to practice.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Intradialytic Stretching Exercises ; Muscle Cramps ; Among Patients ; Undergoing Hemodialysis. |
| Subjects: | NURSING > Medical Surgical Nursing |
| Depositing User: | Ramakrishnan J |
| Date Deposited: | 21 Jul 2017 09:32 |
| Last Modified: | 11 Feb 2018 10:18 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/1941 |
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