الفهرس 
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Abstract
Fatigue is a frequent symptom shared by almost all patients on
long-term dialysis in (75%) (Horigan et al., 2012). Depending on the
severity of fatigue, sometimes patients can’t perform their activities of
daily living as; eating, bathing, dressing, toileting, transferring
(walking), continence, or can only do so to a lesser degree (Gift and
Pugh, 2010).
Intradialytic exercises increases the waste removal thereby
reducing fatigue and increasing the potentiality for performing their
daily activities (Bamini, 2014).
The aim of this study was to evaluate the effect of exercises
on fatigue and activities of daily living among patients undergoing
hemodialysis.
Setting: The study was carried out at hemodialysis unit of
Menoufia University Hospital.
Subjects: A purposive sample of 160 adult hemodialysis
patients were selected and divided alternatively and randomly into
two equal groups. 80 patients for each group (study - control).
Study group (I): taught and performed intradialytic exercises along
with routine hospital care.
Control group (II): exposed only to routine hospital care only.
Tools of the study: four tools were utilized for data collection
Tool 1: Structural interview questionnaire.
Tool 2: Piper Fatigue Scale (PFS).
Tool 3: Barthel Index of Activities of Daily Living (ADLs).Tool 4: Observational checklist.
The main findings of the present study were
There was a significant improvement of total knowledge score
among study group I than control group II one and two months
post intervention.
There was a significant improvement in the total fatigue score
among subjects of study group I than control group II one and
two months post exercises intervention
There was a significant improvement in the total daily living
activities score for subjects of study group I than control group
II one and two months post exercises intervention .
Conclusion
Total fatigue and activities of daily living scores were
significant improved among hemodialysis patients who performed
intradialytic exercises (study group) than those who exposed only to
the routine hospital care (control group).
Recommendation
Supervised health education about importance of performing
intradialytic exercises should be carried out for all hemodialysis
patients to alleviate their fatigue and activities of daily living and a
colored booklet about theses intradialytic exercises should be
available and distributed to all hemodialysis patients.