Purpose
Intradialytic exercise could be a cornerstone of management in hemodialysis patients. The aim of this study was to evaluate the effect of intradialytic stretching training on Restless Legs Syndrome (RLS) and sleep quality among patients undergoing hemodialysis. Methods: This 8-week quasi-experimental design study involved adult patients undergoing chronic hemodialysis treatment for at least 3 months at the Drug Dependency Hospital Nephrology Unit in Jakarta. Nineteen participants were listed in each group, so a total of 38 participants were registered. Convenience sampling was used to select respondents. In addition, each respondent was asked to complete the International Restless Legs Syndrome Study Group (IRSSG) rating scale and the Pittsburgh Sleep Quality Index (PSQI). Results: The majority of respondents were women (55.3%), unemployed (71.1%), with duration of hemodialysis>12 months (55.3%), and having hemoglobin levels less than 10 mg/dl (68.4%). The mean RLS before intervention was 1.74 (Standard Deviation [SD]=0.23) and after intervention, there was significant reduction in RLS score to a mean of 0.42 (SD=0.17) (p<.001). Similarly, mean sleep quality before intervention was 4.02 (SD=2.56) and after intervention, it reduced significantly to a mean of 6.16 (SD=3.18) (p<.001). Conclusion: Intradialytic stretching training could play a significant role in decreasing RLS and improving quality of sleep. Further studies with larger sample sizes and longer periods of intervention are required to validate our results and contribute to better patient outcomes.

Citations

• A Systematic Review of Sleep Hygiene Strategy in CKD
  Ginger Chu, Fiona Yu, Ya-Fang Ho, Chia-Ter Chao, Andrea K. Viecelli
  Kidney International Reports.2025;[Epub]     CrossRef
• Comparisons of Intradialytic Exercise Versus Home-Based Exercise in Hemodialysis Patients: A Narrative Review
  Chao-Lin Lee, Ping-Chen Wang, Yi-Ling Chen, Zen-Yong Chen, Ching-Cherng Uen, Hsien-Yung Lai, Chih-Chung Shiao
  Biomedicines.2024; 12(10): 2364.     CrossRef
• Efficacy of Aerobic and Stretching Exercises in Managing Willis-Ekbom Disease (Restless Leg Syndrome) Among Hemodialysis Patients
  Mohamedalamin Alnoor Altayb Ismail , Islam Daffalla, Taranpreet Singh, Qandeel Rida Siddique, Mohammed Khaleel I. KH. Almadhoun , Rabail Irfan, Moeez Saqib, Muhammad Haris, Zaid Khan, Jaqueline Giselle Farias Fernandes, Asma Iqbal, Syed Faqeer Hussain Bok
  Cureus.2024;[Epub]     CrossRef
• Pharmacological and non-pharmacological treatments for restless legs syndrome in end-stage kidney disease: a systematic review and component network meta-analysis
  Jia-Jin Chen, Tao Han Lee, Yu-Kang Tu, George Kuo, Huang-Yu Yang, Chieh-Li Yen, Pei-Chun Fan, Chih-Hsiang Chang
  Nephrology Dialysis Transplantation.2022; 37(10): 1982.     CrossRef
• Analysis of the Influence of Nursing Safety Management on Nursing Quality in Hemodialysis Room
  Ying Huang, Hong Chen, Zhao kaifa
  Computational Intelligence and Neuroscience.2022; 2022: 1.     CrossRef

PURPOSE
The present study was intended to measure fatigue symptoms according to the quality of sleep among nurses working for an university hospital and to reveal its related factors. METHODS: The self-administered questionnaires were given to 397 nurses employed in an university hospital located in Daejeon City during the period from June 1st to July 31st, 2007. RESULTS: The group with higher quality of sleep accounted for 78.1% of all the subjects and the one with lower quality, 21.9%. According to qualities of sleep, the fatigue symptom was determined to be significantly higher in the group with lower quality of sleep than its counterpart. On adjustment for quality of sleep, the level of fatigue symptom was significantly higher in the groups, than in each respective counterparts, who don't take regular exercises, who have few leisure time, who have lower level of subjective health status, who range> or = 1 and < 10 years in job careers, who work in shifts, who reported that it is hard to get physical burden of work, who are satisfied with the job, who find themselves unfit to the job, who are considering quitting the job, who have higher job demand, who have lower job control, who have higher level of supervisor support, who have type A behavior pattern. CONCLUSION: The study results may explain that the fatigue symptom of nurses is highly associated with the quality of sleep independently of other variables and also with job-related characteristics independently of the sleep quality. In conclusion, to reduce the fatigue symptom of nurses, strategic efforts should be directed for programs to improve the quality of sleep and a proper job analysis.