Effect of progressive muscle relaxation and aerobic exercise on anxiety, sleep quality, and fatigue in patients with chronic renal failure undergoing hemodialysis

摘要

Insomnia, anxiety, and fatigue are more common in hemodialysis patients than in healthy people and affect patients' quality of life. In the present study, the effects of progressive muscle relaxation (PMR) and aerobic exercise on anxiety, sleep quality, and fatigue in patients with chronic renal failure undergoing hemodialysis were evaluated. In this double-blind clinical trial, 100 hemodialysis patients were randomly assigned to three groups: PMR, aerobic exercise, and control. Patients performed relaxation and aerobic exercise daily for 60 days. Questionnaires of anxiety, sleep quality, and fatigue were completed by participants before and after the interventions. Data were analyzed by Stata software. PMR program significantly decreased general anxiety, trait anxiety, state anxiety, and Beck anxiety and aerobic exercise significantly reduced beck anxiety. PMR program and aerobic exercise both significantly improved sleep quality in hemodialysis patients. PMR program significantly reduced Rhoten fatigue but did not affect Piper fatigue. Aerobic exercise had no effect on Rhoten and Piper fatigue. Results showed better function of PMR compared to aerobic exercise in improving the symptoms of anxiety, sleep disorders, and fatigue in hemodialysis patients. Given that fatigue and sleep quality cause severe anxiety and somehow undermine quality of life in hemodialysis patients, taking into account non-pharmacological treatments such as aerobic exercise particularly PMR is a highly economical but efficient and efficacious strategy to manage several problems of these patients. Healthcare teams can incorporate these safe programs in care designs.