EXERCISE IN DIALYSIS PATIENTS
Dialysis patients have decreased lung-heart capacity, muscle strength and functional capacity. Because of these problems, a rehabilitation program should be included in their treatment. The rehabilitation program should include aerobic and strengthening exercises.
It is reported that the exercises performed by dialysis patients positively affect the mental state of the patients by helping to reduce anxiety and depression and to cope with stress. It is also reported that exercises help control body weight, reduce cardiovascular risk factors, positively affect bone, muscle and joint health, and increase physical exercise capacity.
Dialysis patients’ rehabilitation program including exercise can be applied in three ways:
(1) The program performed under observation on the days of dialysis
(2) Rehabilitation program in the dialysis unit in the first hours of hemodialysis
(3) Home exercise program
Decreased muscle strength and decreased cardiovascular and aerobic capacity are three main problems in dialysis patients rehabilitation. Therefore, the goals of the rehabilitation program should be to increase muscle strength, cardiovascular and aerobic capacity. In line with these goals, programs including aerobic and strengthening exercises should be organized for patients, and relaxation exercises in every sense should be included in the program.
In our center, we have exercise programs for patients who we find suitable to apply programs that do not exceed 30 minutes in the first two hours of dialysis.