Researchers looked at how different programs help adults on hemodialysis manage fatigue. The study analyzed several methods, including self-management education, exercise training, and cognitive behavioral therapy. These programs aim to improve daily life and well-being for patients facing the physical demands of dialysis.
The results showed that both self-management education and exercise training led to a significant reduction in fatigue. While the evidence for exercise training is currently considered low certainty, it showed a clear benefit. In contrast, the results for cognitive behavioral therapy were not statistically significant, and the evidence for this specific method is very low.
Because the evidence for some methods is limited, these findings should be viewed as preliminary. Self-management education may be a reliable option for routine care, while exercise training could be a helpful addition to current treatments. Patients should talk to their healthcare team to see which approach fits their specific needs.
