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논문분류	춘계학술대회 초록집
제목	The Effect of Home Rehabilitation Program on Muscle Strength in Patients with Peritoneal Dialysis
저자	Siribha Changsirikulchai, Worapon Aramrussameekul,
출판정보	2016; 2016(1):
키워드	rehabilitation, peritoneal dialysis, exercise, quality of life
초록	Background: Patients with dialysis have low physical activity. The design of home-based rehabilitation program may help patients to do more exercise resulting in improvement of physical function. To assess the effect of home rehabilitation program on muscle strength and quality of life (QOL) in peritoneal dialysis(PD) patients. Methods: The patients with ≥18 year of age performed PD atleast 3 months at the HRH Princess Maha Chakri Sirindhorn Medical Center (MSMC) were invited to this study. The inclusion criteria to select patients were lack ofserious medical illness which was contraindication to exercise, able to stand with stability, and having readiness to follow the rehabilitation program. The patients were received the equipment, elastic band, and trained how to use it for exercise at home. They were assessed the physical fitness prior to start the program and reassessed at the4th, 8th and 12th week. The muscle strength was assessed by using digital hand grip dynamometer and digital leg dynamometer. The QOLwas evaluated by using SF36 Thai version. The temperature, heart rate, respiratory rate systolic and diastolic blood pressure (SBP, DBP), and oxygen saturation were additionally evaluated. Results: The 30 PD patients with 16 males and 14 females were enrolled in this study. The mean age was 51.57 ± 11.83 years (23-69 years). The mean duration of dialysis was 21.47 ± 19.10 months (3-72 months). The variable before and after start program at the 4th, 8th and 12th week were shown improvement with significant difference in SBP, DBP and SF 36 in aspects of social role functioning, emotional role functioning, bodily pain, vitality and the total score. The values of these variables are showed in table. Conclusion: Our home-based rehabilitation program has benefit to PD patients in improvement of physical function and QOL.
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