Alishahi, Moein and Mazloum, Seyed Reza and Mohajer, Samira and Namazinia, Mohammad (2024) The effect of recreational therapy application on fatigue in hemodialysis patients: A randomized clinical trial. BMC Nephrology, 25 (1). ISSN 1471-2369, DOI https://doi.org/10.1186/s12882-024-03807-4.
Full text not available from this repository.Abstract
Background Chronic Kidney Disease (CKD) is a progressive disorder that often leads to End-Stage Renal Disease (ESRD), necessitating hemodialysis (HD) treatment. Fatigue is a prevalent and debilitating symptom among HD patients, significantly affecting their quality of life. Recreational Therapy (RT) is a therapeutic recreational service designed to maintain and restore a person's level of performance and independence in daily activities. This study aimed to evaluate the effect of a smartphone-based recreational therapy intervention on fatigue in hemodialysis patients. Methods This randomized controlled trial was conducted on HD patients at a hospital in Mashhad, Iran. The intervention group received a custom-designed recreational therapy mobile application, including music, comedy, exercise, and educational content. The control group received standard care. Fatigue was assessed using the Multidimensional Fatigue Inventory (MFI-20) before and after the 30-day intervention. Results A total of 72 patients (36 per group) participated in the study. The intervention group demonstrated a significant reduction in overall fatigue scores and improvements across various fatigue dimensions, including general fatigue, physical fatigue, mental fatigue, reduced activity, and reduced motivation, compared to the control group (p < 0.001). Conclusion The smartphone-based recreational therapy intervention effectively reduced fatigue in hemodialysis patients. This approach could be a valuable complementary strategy for managing fatigue in this population. Further research is needed to explore the long-term sustainability of these benefits and the intervention's impact on other patient-reported outcomes.
| Item Type: | Article |
|---|---|
| Funders: | Mashhad University of Medical Sciences |
| Uncontrolled Keywords: | Chronic kidney disease; Hemodialysis; Fatigue; Recreational therapy; Mobile application; Telemedicine |
| Subjects: | R Medicine > RT Nursing |
| Divisions: | Faculty of Medicine > Nursing Science Department |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 30 Oct 2025 01:49 |
| Last Modified: | 30 Oct 2025 01:49 |
| URI: | http://eprints.um.edu.my/id/eprint/46361 |
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