ABSTRACT
Objective: The progression of chronic kidney disease can directly affect patient's health-related quality of life (HRQoL). Exercise training is a good option to reverse the impacts caused by the disease. To escape from the monotonous routine and stimulate further practice, the therapist should consider making physical activity more playful. Using videogames during exercise training is possible to rehabilitate the patient aiming for fun beyond the organic condition. The present study aimed to evaluate the effects of exercise training combined with Virtual Reality (VR) in functionality and HRQoL of patients on hemodialysis. Materials and Methods: A randomized controlled study in which control group (n = 20) maintained only hemodialysis without any physical effort or intervention from the researchers and intervention group (n = 20) who performed endurance and strength physical exercises in combination with VR during hemodialysis for 12 weeks. All eligible patients underwent a familiarization of games and were evaluated by an investigator-blind for functional capacity, quality of life, and depressive symptoms. Functional capacity tests included walking speed, timed up and go (TUG), and Duke Activity Status Index (DASI). To evaluate a HRQoL, Kidney Disease and Quality-of-Life Short-Form (KDQOL-SF™, v. 1.3) was used and to investigate depressive symptoms, the Center for Epidemiological Scale-Depression. Paired sample t-tests were conducted to determine differences within each group. Repeated-measures analysis of variance (group vs. time) was used to assess group differences in our major outcomes. The level of significance was 5%. Results: The exercise improved functional capacity (TUG: P = 0.002, DASI: P < 0.001) and HRQoL in physical and specific domains: physical functioning (P = 0.047), role physical (P = 0.021), as well as in physical composite summary (P < 0.001) and effects of kidney disease (P = 0.013). There was no influence on depressive symptoms (P = 0.154). Conclusion: Physical training combined with VR improved functional capacity and some quality-of-life domains of hemodialysis patients.
Subject(s)
Exercise Therapy/standards , Quality of Life/psychology , Renal Dialysis/psychology , Video Games/standards , Virtual Reality , Adult , Exercise Therapy/psychology , Female , Humans , Male , Middle Aged , Psychometrics/instrumentation , Psychometrics/methods , Renal Dialysis/adverse effects , Renal Dialysis/methods , Renal Insufficiency, Chronic/psychology , Renal Insufficiency, Chronic/therapy , Video Games/psychologyABSTRACT
A Política Nacional de Humanização preconiza que sejam estabelecidas estratégias para acolher tanto o doente quanto o cuidador de forma a minimizar o desgaste físico e emocional que está presente em todo o momento de internação. Em Sergipe, os usuários do Sistema Único de Saúde contam com uma rede ampliada de acesso a saúde em diversas microrregiões, e o Hospital de Urgência de Sergipe Governador João Alves Filho é a referência da Rede de Urgência e Emergência local. O Pronto-Socorro está organizado em um sistema de Classificação de Risco para avaliar a gravidade dos pacientes, por meio de cores que compreendem a Área Azul, Área Verde, Área Amarela e Área Vermelha. Este trabalho foi direcionado à Área Vermelha e teve como objetivo descrever o desenvolvimento de um boletim informativo a ser utilizado no acolhimento dos familiares/visitantes. Essa proposta decorre de intervenção do Plano de Educação pelo Trabalho para Saúde/Redes de Urgência e Emergência, como forma de promover humanização entre os usuários, seus familiares/visitantes e os profissionais de saúde atuantes em um serviço hospitalar. Como principais conclusões, destacam-se a aproximação dos alunos do Plano de Educação pelo Trabalho para Saúde/Redes de Urgência e Emergência com o cotidiano de trabalho no Sistema Único de Saúde e a ratificação da importância da interdisciplinaridade no planejamento da assistência hospitalar. Tais elementos permitiram a proposição de um boletim informativo que procura sistematizar informações simples, porém essenciais ao desenvolvimento de um trabalho assistencial mais completo.
The National Policy of Humanization recommends that strategies should be established to accommodate both the patient and the caregiver to minimize the physical and emotional exhaustion is present in every moment of hospitalization. In Sergipe, Unified Health System users have access to an expanded health network in several micro-regions, and the Emergency Hospital of Sergipe Governor João Alves Filho is the local reference of the Urgency and Emergency Network. The emergency unit is organized according to a Risk Rating System to evaluate the severity of patients, by means of colors that comprise the Blue Area, the Green Area, the Yellow Area and the Red Area. This work was directed to the Red Area and aimed to describe the development of an informative report to be used for the reception of family members/visitors. This proposal results from the intervention by the Labour Education Plan for Health/Urgency and Emergency Network as a way to promote humanization among users, their families/visitors and health professionals working in a hospital service. The main conclusions are the approximation of Labour Education Plan for Health/Urgency and Emergency Network students with daily work at the Unified Health System and the ratification of the importance of interdisciplinarity in the planning of hospital care. These elements allowed the proposition of an information report that seeks to systematize simple, but essential information to the development of a more complete care work.
La Política Nacional de Humanización recomienda que se establezcan estrategias para acoger tanto el enfermo cuánto el cuidador de forma a minimizar el desgaste físico y emocional que está presente en todo el momento de la hospitalización. En Sergipe, los usuarios del Sistema Único de Salud cuentan con una red ampliada de acceso a la salud en diversas microrregiones, el Hospital de Urgencia de Sergipe Governador João Alves Filho, la referencia de la Red de Urgencia y Emergencia local. El Primero Auxilio está organizado en un sistema de Clasificación de Riesgo para evaluar la gravedad de los pacientes, por medio de colores que comprenden la Zona Azul, la Zona Verde, la Zona Amarilla y la Zona Roja. Este trabajo fue direccionado a la Zona Roja y tuvo como objetivo describir el desarrollo de un boletín informativo a ser utilizado en el acogimiento de los familiares/visitantes. Esa propuesta resulta de la intervención del Plan de Educación por el Trabajo para Salud/Red de Urgencias y Emergencias como forma de promover la humanización entre los usuarios, sus familiares/visitantes y los profesionales de salud en un servicio hospitalario. Como principales conclusiones, destacanse el acercamiento de los estudiantes del Plan de Educación por el Trabajo para Salud/Red de Urgencias y Emergencias con el trabajo diario en el Sistema Único de Salud y la ratificación de la importancia de la interdisciplinariedad en la planificación de la atención hospitalaria. Estos elementos permiten la proposición de un boletín informativo que busca sistematizar informaciones simples, pero esenciales para el desarrollo de un trabajo de ayuda más completo.
