ARMY COLLEGE OF NURSING , JALANDHAR

CANTT
PROPOSAL FOR DEPARTMENTAL PROJECT
UNDERTAKEN

NAME OF DEPARTMENT :- MEDICAL

SURGICAL NURSING
• Mrs. Khushnasib , Associate Professor – Principal Investigator
• Ms. Harjot Kaur , Clinical Instructor – Co- Investigator
• Ms. Anita Devi , Clinical Instructor – Co- Investigator
• Institution : - Army College of Nursing , Jalandhar Cantt
Title of Research Project
• A pre experimental study to assess the effect of exercise
program on fatigue and depression among patients
undergoing hemodialysis in Dialysis Unit of selected Hospital ,
Jalandhar
Aim of Project
• The study will be conducted in order to determine the effect
of exercise program ( study group ) will develop a significant
reduction in fatigue and deprsiion among patients undergoing
hemodialysis
Salient Details
• Introduction:
• End stage renal disease ( ESRD ) is a serious irreversible
progressive disorder and considered the last stage of chronic
kidney disease. The risk factors for this disease are aging of
the population , increasing prevalence of hypertension and
diabetes mellitus , and earlier recognition and referral for
ESRD. The worldwide more than 2 million patients with ESRD
have renal replacement thrapy by either renal
transplantation , peritoneal dialysis or intermittent
hemodialysis
• The foremost common side effect of HD is fatigue and
considered the most important nursing diagnosis in patients
with chronic renal failure. Fatigue is a multidimensional
complex and multifactorial phenomenon. Also it has been
defined as extreme and persistent tiredness, weakness or
exhaustion. Fatigue is affecting nearly 42 – 89% of end stage
chronic kidney disease patients and is notably linked with
existence of poor health status among patients undergoing
hemodialysis. Moreover individuals undergoing hemodialysis
usually develop psychological problems. The most important
of them is depression , because of its high prevalence ,
probable to lowering quality of life and increase mortality.
Depression prevalence is still a misdiagnosed disorder.
• Nurses predominantly have more contact with patients
undergoing HD than other clinical staff and are in ideal situation
for monitoring of clinical issues likely to affect patients on dialysis
and to optimise assessment and management. In addition the
importance of exercise in improving the well being of hemodialysis
patients in general has emphasised in evidence from the published
studies over years However few studies studied exercises in HD
patients , those carried out conveyed positive benefits similar to
those seen in younger patients The person is faced with many
physiological and psychological changes that may affect their
functional capacity and health status So it is very important to
research the effect of exercises on patients undergoing
hemodialysis As well as the nurse has an important role in
evaluating fatigue , depression and construct measures that
directly decrease its impact on patient’s health
Problem statement
• A study to assess the effect of exercise program on fatigue
and depression among patients undergoing hemodialysis in
Dialysis Unit of selected Hospital , Jalandhar
Objectives:-

• To assess the level of fatigue before intervention

• To assess the level of depression before intervention
• To assess the effectiveness of exercise on fatigue and
depression
SCHEMATIC REPRESENTATION OF RESEARCH
METHODOLOGY

Research approach
Quantitative approach
↓
Research design
Pre – experimental ( one group pre test and
post test design )
↓
Setting of the study
Patients in dialysis unit
 Sample size
60
↓
Sampling technique
Consecutive sampling technique
↓
• Pre intervention Exercise intervention Post intervention
assessment 10 sessions / 5 weeks Fatigue
• fatigue Each session duration assessment
depression 15 to 20 mins depression
assessment on 2nd
week
Data collection procedure

• Formal permission from concerned authorities

• Written consent to be collected from each participant
• Participants will be selected by consecutive sampling
technique
• based on inclusion criteria
• Investigators will introduce themselves to participants
• The purpose of the study will be explained and assured to
maintain confidentiality and anonymity
• During pre test demographic data , fatigue and depression will
be collected through self administered questionnaire This will
take approximately 15 to 20 mins to complete the test
• Intervention of exercise will be practised under the
supervision of investigator
• Investigator will maintain a record of attendance of
participants during completion of study
• Phase 2:-
• After completion of 2 weeks post test will be conducted for
assessment of fatigue and depression ( multi dimensional
fatigue inventory scale and self rating depression assessment
scale )
Resource team
• MSN Deptt Faculty
Financial details
• Transportation and conveyance – 1000/-
• consumables
• Stepler – ( 1 ) - 60/-
• Stepler pins – ( 1 box ) – 100/-
• Pen – ( 1 box ) – 50/-
• Pencil ( 1 box ) – 50/-
• Eraser ( 1 box ) – 50/-
• Envelope A4 sheets – 10 – 60/-
• Total- 1370 /-
Intervention and duration of study
• At the base line pre intervention assessment of fatigue and
depression
• Intervention of muscle relaxing exercises and ROM will be
done by investigator
• Post intervention assessment will be done on 2nd week
• Thank you