{"id":"https://openalex.org/W7225005068","doi":"https://doi.org/10.23750/abm.2026.18839","title":"Implementation of a nurse-led intra-dialysis physical exercise to improve sleep quality among patients undergoing hemodialysis: A quasi-experimental study","display_name":"Implementation of a nurse-led intra-dialysis physical exercise to improve sleep quality among patients undergoing hemodialysis: A quasi-experimental study","publication_year":2026,"publication_date":"2026-10-30","ids":{"openalex":"https://openalex.org/W7225005068","doi":"https://doi.org/10.23750/abm.2026.18839"},"language":"en","primary_location":{"id":"pmh:oai:mattioli1885journals.com:article/18839","doi":"https://doi.org/10.23750/abm.2026.18839","is_oa":true,"landing_page_url":"https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/18839","pdf_url":"https://www.mattioli1885journals.com/index.php/actabiomedica/article/download/18839/13548","source":{"id":"https://openalex.org/S4393915150","display_name":"Acta bio-medica dell'Ateneo parmense/Acta biomedica","issn_l":"0392-4203","issn":["0392-4203","2531-6745"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","norway-1","poland-20","russia-white-list-2"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"0392-4203","raw_type":"info:eu-repo/semantics/article"},"volume":null,"type":"article","indexed_in":[],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.mattioli1885journals.com/index.php/actabiomedica/article/download/18839/13548","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160249565","display_name":"Mohammad Al-Ma'ani","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I33926330","display_name":"Al-Balqa Applied University","ror":"https://ror.org/00qedmt22","country_code":"JO","type":"education","lineage":["https://openalex.org/I33926330"]}],"countries":["JO"],"is_corresponding":false,"raw_author_name":"Al-Ma'ani, Mohammad","raw_affiliation_strings":["Department of Nursing, Faculty of Nursing, Al-Balqa Applied University, Al-Salt, Jordan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nursing, Faculty of Nursing, Al-Balqa Applied University, Al-Salt, Jordan","institution_ids":["https://openalex.org/I33926330"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160244748","display_name":"Mutaz Alradaydeh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I33926330","display_name":"Al-Balqa Applied University","ror":"https://ror.org/00qedmt22","country_code":"JO","type":"education","lineage":["https://openalex.org/I33926330"]}],"countries":["JO"],"is_corresponding":false,"raw_author_name":"Alradaydeh, Mutaz","raw_affiliation_strings":["Department of Nursing, Faculty of Nursing, Al-Balqa Applied University, Al-Salt, Jordan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nursing, Faculty of Nursing, Al-Balqa Applied University, Al-Salt, Jordan","institution_ids":["https://openalex.org/I33926330"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5074266295","display_name":"Sajeda Alhamory","orcid":"https://orcid.org/0000-0002-6118-6852","observed_orcids":["https://orcid.org/0000-0002-6118-6852"]},"institutions":[{"id":"https://openalex.org/I114972647","display_name":"University of Jordan","ror":"https://ror.org/05k89ew48","country_code":"JO","type":"education","lineage":["https://openalex.org/I114972647"]}],"countries":["JO"],"is_corresponding":false,"raw_author_name":"Alhamory, Sajeda","raw_affiliation_strings":["Department of Nursing, Faculty of Nursing, The University of Jordan, Aqaba, Jordan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nursing, Faculty of Nursing, The University of Jordan, Aqaba, Jordan","institution_ids":["https://openalex.org/I114972647"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.92110662,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10316","display_name":"Sleep and related disorders","score":0.8633000254631042,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10316","display_name":"Sleep and related disorders","score":0.8633000254631042,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10291","display_name":"Dialysis and Renal Disease Management","score":0.12309999763965607,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13111","display_name":"Nursing care and research","score":0.005400000140070915,"subfield":{"id":"https://openalex.org/subfields/3611","display_name":"Pharmacy"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hemodialysis","display_name":"hemodialysis","score":0.9340000152587891},{"id":"https://openalex.org/keywords/sleep-quality","display_name":"sleep quality","score":0.7379999756813049},{"id":"https://openalex.org/keywords/nurse-led-intervention","display_name":"nurse-led intervention","score":0.8790000081062317},{"id":"https://openalex.org/keywords/supervised-exercise","display_name":"supervised exercise","score":0.8019999861717224},{"id":"https://openalex.org/keywords/insomnia","display_name":"insomnia","score":0.6010000109672546},{"id":"https://openalex.org/keywords/pittsburgh-sleep-quality-index","display_name":"Pittsburgh Sleep Quality Index","score":0.7799999713897705},{"id":"https://openalex.org/keywords/end-stage-renal-disease","display_name":"end-stage renal disease","score":0.7929999828338623}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8521999716758728},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.7480999827384949},{"id":"https://openalex.org/C2778063415","wikidata":"https://www.wikidata.org/wiki/Q391744","display_name":"Hemodialysis","level":2,"score":0.7038000226020813},{"id":"https://openalex.org/C2983189541","wikidata":"https://www.wikidata.org/wiki/Q35831","display_name":"Sleep quality","level":3,"score":0.583299994468689},{"id":"https://openalex.org/C2775841894","wikidata":"https://www.wikidata.org/wiki/Q4683692","display_name":"Sleep (system call)","level":2,"score":0.5508000254631042},{"id":"https://openalex.org/C2776245837","wikidata":"https://www.wikidata.org/wiki/Q25053505","display_name":"Pittsburgh Sleep Quality Index","level":4,"score":0.5329999923706055},{"id":"https://openalex.org/C181588539","wikidata":"https://www.wikidata.org/wiki/Q219067","display_name":"Physical exercise","level":2,"score":0.39070001244544983},{"id":"https://openalex.org/C1513209611","wikidata":"https://www.wikidata.org/wiki/Q177190","display_name":"Sleep disorder","level":3,"score":0.3799000084400177},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.36160001158714294},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.3598000109195709},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.3465999960899353},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.28999999165534973},{"id":"https://openalex.org/C129848803","wikidata":"https://www.wikidata.org/wiki/Q2564360","display_name":"Sample size determination","level":2,"score":0.2694999873638153},{"id":"https://openalex.org/C2778910407","wikidata":"https://www.wikidata.org/wiki/Q1778620","display_name":"Sleep diary","level":4,"score":0.26739999651908875},{"id":"https://openalex.org/C2778653478","wikidata":"https://www.wikidata.org/wiki/Q1054718","display_name":"Kidney disease","level":2,"score":0.26350000500679016},{"id":"https://openalex.org/C2779318504","wikidata":"https://www.wikidata.org/wiki/Q1438035","display_name":"Research design","level":2,"score":0.2623000144958496},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.2556000053882599},{"id":"https://openalex.org/C99476002","wikidata":"https://www.wikidata.org/wiki/Q42297","display_name":"Analysis of variance","level":2,"score":0.2522999942302704}],"mesh":[],"locations_count":1,"locations":[{"id":"pmh:oai:mattioli1885journals.com:article/18839","doi":"https://doi.org/10.23750/abm.2026.18839","is_oa":true,"landing_page_url":"https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/18839","pdf_url":"https://www.mattioli1885journals.com/index.php/actabiomedica/article/download/18839/13548","source":{"id":"https://openalex.org/S4393915150","display_name":"Acta bio-medica dell'Ateneo parmense/Acta biomedica","issn_l":"0392-4203","issn":["0392-4203","2531-6745"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","norway-1","poland-20","russia-white-list-2"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"0392-4203","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"pmh:oai:mattioli1885journals.com:article/18839","doi":"https://doi.org/10.23750/abm.2026.18839","is_oa":true,"landing_page_url":"https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/18839","pdf_url":"https://www.mattioli1885journals.com/index.php/actabiomedica/article/download/18839/13548","source":{"id":"https://openalex.org/S4393915150","display_name":"Acta bio-medica dell'Ateneo parmense/Acta biomedica","issn_l":"0392-4203","issn":["0392-4203","2531-6745"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","norway-1","poland-20","russia-white-list-2"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"0392-4203","raw_type":"info:eu-repo/semantics/article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225005068.pdf","grobid_xml":"https://content.openalex.org/works/W7225005068.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3175029543","https://openalex.org/W3031673968","https://openalex.org/W7130860275","https://openalex.org/W3111727846","https://openalex.org/W4415855014","https://openalex.org/W2942853545","https://openalex.org/W3028685874","https://openalex.org/W2791846817","https://openalex.org/W7124770043","https://openalex.org/W2614028881"],"abstract_inverted_index":{"Background":[0],"and":[1,15,23,114,220,226],"aim:":[2],"Patients":[3],"undergoing":[4,46,62,224],"hemodialysis":[5,28,63,225],"reported":[6],"poor":[7],"sleep":[8,13,16,42,128,165,195,229],"quality,":[9],"including":[10],"insomnia,":[11],"short":[12],"duration,":[14],"disturbances":[17],"due":[18],"to":[19,33],"several":[20],"physical,":[21],"psychological,":[22],"functional":[24],"complications":[25],"of":[26,37,156,186],"the":[27,35,65,74,92,115,126,138,147,157,168,172,199,204],"process.":[29],"This":[30],"study":[31,52,173,237],"aimed":[32],"assess":[34],"effectiveness":[36],"intra-dialysis":[38,79,214],"physical":[39,215],"exercises":[40],"on":[41],"quality":[43,129,166,196],"among":[44,59,131,198,222],"patients":[45,61,223],"hemodialysis.":[47],"Methods:":[48],"A":[49],"quasi-experimental":[50],"pretest\u2013posttest":[51],"with":[53,176,203],"a":[54,161],"comparison":[55,93],"group":[56,76,94,170,201],"was":[57,134,142,151],"conducted":[58],"88":[60],"in":[64,68,73,91,137,146,164,167,194],"largest":[66],"hospitals":[67],"Amman,":[69],"Jordan.":[70],"43":[71],"participants":[72,90,133],"experimental":[75,139],"received":[77,95],"supervised":[78],"exercise":[80,216],"for":[81,241],"8":[82],"weeks,":[83],"3":[84],"times":[85],"per":[86],"week,":[87],"whereas":[88],"45":[89],"usual":[96],"care.":[97,244],"The":[98,121,154,184],"data":[99],"were":[100,234],"collected":[101],"at":[102],"two":[103],"separate":[104],"time":[105],"points":[106],"using":[107],"self-reported":[108],"questionnaires":[109],"that":[110,125],"included":[111],"sociodemographic":[112],"variables":[113],"Pittsburgh":[116],"Sleep":[117],"Quality":[118],"Index.":[119],"Results:":[120],"descriptive":[122],"statistics":[123],"indicated":[124],"mean":[127],"score":[130],"all":[132],"9.6":[135],"(SD\u00b14.1);":[136],"group,":[140,149,206],"it":[141,150],"9.8":[143],"(SD\u00b14.1),":[144],"while":[145],"control":[148,205],"9.4":[152],"(SD\u00b14.0).":[153],"results":[155,185],"paired-sample":[158],"t-test":[159,190],"showed":[160,191],"significant":[162,192,239],"improvement":[163,193],"intervention":[169,174],"after":[171],"compared":[175,202],"baseline,":[177],"t":[178,207],"=":[179,208],"9.4,":[180],"p":[181],"<":[182],".001.":[183],"an":[187],"independent":[188],"sample":[189],"levels":[197],"interventional":[200],"3.15,":[209],"p<":[210],".001":[211],"Conclusions:":[212],"Nurse-led":[213],"is":[217],"safe,":[218],"effective,":[219],"applicable":[221],"significantly":[227],"improves":[228],"quality.":[230],"Although":[231],"some":[232],"limitations":[233],"acknowledged,":[235],"this":[236],"has":[238],"implications":[240],"renal":[242],"nursing":[243]},"counts_by_year":[],"updated_date":"2026-11-02T09:45:03.842371","created_date":"2026-11-01T00:00:00"}
