A STUDY TO ASSESS THE EFFECTIVENESS OF STRETCHING EXERCISES ON LEVEL OF MUSCLE CRAMPS DURING HEMODIALYSIS AMONG CKD PATIENTS IN SELECTED HOSPITAL AT DEHRADUN (UTTARAKHAND)

Background:The kidney, a critical organ, is important for maintaining the bodys homeostasis system. A healthy individual excretes 1500–2000 ml of urine per 24 hours. A progressive, permanent decrease of kidney function is known as chronic renal disease. disease staging based on a declining GFR. At the point when an individuals GFR is under 15 ml/min, CKD is taken into consideration. Dialysis is frequently the therapy of choice with CKD patients. The fast elimination of salt and water due to neuromuscular hypersensitivity causes muscle cramps. Exercises are one preventive measure that can be used to stop the loss of muscle protein and keep muscles functioning. If patients experience muscle cramps while undergoing hemodialyzer, nurses can show or advise them on the intradialytic stretching exercise and encourage them to use it. Nurses can provide patients stretching exercises to help them function better if they experience muscle cramps during intradialytichaemodialysis. Materials and Methods: A quasi-experimental research approach was used for the investigation. A total of 60 CKD patients undergoing hemodialysis were included in the study, by using non probability purposive sampling technique. The modified Novel muscle cramps scale is used to access the level of muscles cramps. Results:shows that the mean age of 42.30 years in experiment and 42.27 years in control group. The majority of 50% patients were belonged to 41-50 years age group, 20% patients belonged to 20-30 years and 31-40 years in experiment group. The majority of 56.7% patients were belonged to 41-50 years age group, 23.3% patients belonged to 20-30 years and 16.7% patients belonged to 31-40 years in control group in this study. the majority of 56.7% patients were male and 43.3% patients were female in experiment group. The majority of 53.3% patients were male and 46.7% patients were female in control group in this study. shows that the majority of 83.3% patients were non-formal educated and 16.7% patients were literate in experiment group. The majority of 93.3% patients were non-formal educated and 6.7% patients were literate in control group in this study. shows that the majority of 96.7% patients had sedentary lifestyle and 3.3% patients had non-sedentary lifestyle in experiment group. The majority of 100% patients had sedentary lifestyle in control group in this study. shows that the majority of 50% patients were belonged to rural area and urban area equally in experiment group. The majority of 66.7% patients were belonged to rural area and 33.3% patients were belonged to urban in control group in this study. shows that the majority of 86.7% patients had none habit, 10% patients had alcohol drinking habit, and 3.3% patients had smoking habit in experiment group. The majority of 86.6% patients had none habit and 6.7% patients had alcohol drinking habit and smoking habit equally in control group in this study. shows that the majority of 63.3% patients had any medical problem and 36.6 % patients had no any medical problem in experiment group. The majority of 56.7% patients had any medical problem and 43.3 % patients had no any medical problem in control group in this study. shows that the mean weight of patients was 53.27 kg in experimental group and 51.27 kg in control group. The average duration of dialysis treatment was 14.33 days in experiment group and 11.73 days in control group. The majority of 83.3% patients took 1 glass per day water and 16.7% took 2 glasses per day water in experiment group. The majority of 90% patients took 1 glass per day water and 10% took 2 glasses per day water in control group in this study. The majority of 93.3% patients did non-daily activity in experiment and control group and 3.3% patients did cooking and brooming activity in experiment and control group in this study. The majority of 83.3% patients were 2-week sittings, 10% were 3 weeks sitting and 6.7% were 1-week sittings in experiment group. The majority of 90% patients were 2-week sittings and 10% was 1 week sitting in control group in this study. The majority of 70% patients were later stage of cramps and 30% were middle stage of cramps 2-week sittings in experiment group and control group in this study. shows that comparison between pre and post-test mean score of level of muscle cramps experienced in experiment group. There was statistical significance comparison between pre and post-test in frequency with P=0.001 duration with P=0.001 NPS with P=0.001 and interference with P=0.001in CKD patients undergoing hemodialysis after practicing stretching exercise in experience group. pre-test had higher mean score than post-test in this study. shows that comparison between pre and post-test mean score of level of muscle cramps experienced in control group. There was no statistical significance comparison between pre and post-test in frequency with P=0.070 duration with P=0.134 NPS with P=0.103 and interference with P=0.264 in CKD patients undergoing haemodialysis after practicing stretching exercise in control group. there was no such different in pre and post-test of control group. shows that comparison between pre and post-test mean score of level of muscle cramps experienced in control group. There was no statistical significance comparison between pre and post-test in frequency with P=0.070 duration with P=0.134 NPS with P=0.103 and interference with P=0.264 in CKD patients undergoing haemodialysis after practicing stretching exercise in control group. there was no such different in pre and post-test of control group. Conclusion: This indicates that the examination was effective to the studys findings demonstrated that lower leg stretching exercises performed during dialysis dramatically decreased muscle cramping in patients undergoing haemodialysis. There was no statistically significant link between the muscle cramps and the selected demographic characteristics in either the experimental or control groups