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Abstract Hemodialysis patients are profoundly deconditioned, often vulnerable and older with muscle wasting and altered nutritional status as dialysis leads to distinct metabolic changes such as hypovolemia, electrolyte imbalance, and systemic inflammation (Cano et al., 2017). Moreover, several researches have proven that exercise during hemodialysis is safe and easy showing significant changes in physical and psychological conditions, which positively influence their social life (Motedayen et al., 2017). Intradialytic exercises revealed strong positive correlations with dialysis efficacy, high-sensitivity C-reactive protein, blood pressure, arterial stiffness, health-related QOL, and depression (Sheng et al., 2014). The purpose of this study was to determine the effect of intradialytic exercises on dialysis efficacy and blood pressure among hemodialysis patients. Setting The study was carried out in the Hemodialysis Unit of Menoufia University Hospital, Shebin Elkom, Menoufia Governorate, Egypt. Subjects A consecutive sample of 50 patients had undergone hemodialysis assigned alternatively into two equal groups. Study group(I): they were taught and performed intradialytic range of motion exercises along with routine hospital care and given two sessions of intradialytic exercises. Every session lasted for one month. 96 These intradialytic exercises were performed for 15 minutes in the first two hours in every dialysis session. Control group (II): Those patients were exposed only to routine hospital care. Tools of the study: Three tools were used for data collection. Tool I: Structured Interviewing Questionnaire Tool II: Bio-physiologic measurement tool Tool III: Observational Checklist Main findings of the present study: There was a significant improvement in dialysis efficacy two months post intervention (intradialytic range of motion exercises) for study group. There was a significant improvement in systolic blood pressure one-month post-intervention. There was a high significant improvement regarding systolic blood pressure two months post-intervention. There was a significant improvement regarding diastolic blood pressure two months post-intervention. Conclusion Intradialytic range of motion exercises was effective in improving the urea reduction ratio scores. Intradialytic range of motion exercises was effective in improving systolic and diastolic blood pressure measurements. 97 Recommendations The intradialytic range of motion exercises can be used as a non- pharmacological management to improve dialysis efficacy. The intradialytic exercises can be used as a non- pharmacological management to improve the patients’ blood pressure. Practicing intradialytic exercises can reduce the intake of antihypertensive drugs and consequently the side effects of these drugs. |