Journal List > J Korean Acad Nurs > v.50(1) > 1143146

J Korean Acad Nurs. 2020 Feb;50(1):52-65. Korean.
Published online Feb 28, 2020.  https://doi.org/10.4040/jkan.2020.50.1.52
© 2020 Korean Society of Nursing Science
Development and Effects of Smartphone App-Based Exercise Program for Hemodialysis Patients
Eun Jeong Ki,1 and Hyang Sook So2
1Department of Nursing, Seoyoung University, Gwangju, Korea.
2College of Nursing, Chonnam National University, Gwangju, Korea.

Address reprint requests to: So, Hyang Sook. College of Nursing, Chonnam National University, 160 Baekseo-ro, Dong-gu, Gwangju 61469, Korea. Tel: +82-62-530-4952, Fax: +82-62-220-4544, Email: hsso0075@jnu.ac.kr
Received Jul 01, 2019; Revised Dec 04, 2019; Accepted Jan 19, 2020.

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.


Abstract

Purpose

To examine the effects of a smartphone application-based exercise program on self-efficacy expectations (SEE) and outcome expectations regarding exercise (OEE), physical fitness, activity level, physiological indices, and health-related quality of life in a sample of hemodialysis patients.

Methods

A quasi-experimental control group pre-test post-test design was used. Subjects were recruited from two university hospitals in G city. The subjects were assigned randomly by coin toss: 33 participants to the experimental group and 30 to the control group. A literature review and the self-efficacy theory were used to develop the smartphone program. Experts designed and verified the program to be userfriendly and in consideration of user interaction. Data were collected through a self-report pre-test post-test questionnaire and online medical records.

Results

In the experimental group, the levels of physical fitness and physical activity were significantly improved post-test, but the scores on health-related quality of life and the physical indices did not improve. In the experimental group, the SEE and OEE post-test scores were also significantly higher than the pre-test scores, but the control group's scores did not change.

Conclusion

The smartphone application-based exercise program based on self-efficacy theory significantly improved the level of physical fitness and activity, SEE, and OEE for hemodialysis patients. The use of this application-based exercise program for hemodialysis patients might be an effective nursing intervention tool for improving SEE, OEE, level of physical fitness, and physical activity.

Keywords: Hemodialysis; Smartphone; Exercise; Self Efficacy; Physical Fitness

Figures


Figure 1
Theoretical framework and C·T·E structure for this study.
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Figure 2
Smart phone app-based exercise program applying self-efficacy resources for hemodialysis patients.
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Figure 3
Flow diagram of study participants.
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Tables


Table 1
Homogeneity Test of Characteristics and Research Variables (N=63)
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Table 2
Effects of Application-based Exercise Program on Research Variables (N=63)
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Notes

This manuscript is a condensed form of the first author's doctoral dissertation from Chonnam National University.

CONFLICTS OF INTEREST:The authors declared no conflict of interest.

AUTHOR CONTRIBUTIONS:

  • Conceptualization or/and Methodology: So HS.

  • Data curation or/and Analysis: Ki EJ.

  • Investigation: Ki EJ.

  • Project administration or/and Supervision: So HS.

  • Resources or/and Software: Ki EJ.

  • Validation: Ki EJ.

  • Visualization: So HS.

  • Writing original draft or/and Review & editing: So HS.

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