Evidence map›Paper›PMID 42427260›Full record

ArticleJournal of nursing management2026

Development of an Exercise Intervention Program During Dialysis for Patients on Maintenance Hemodialysis Based on the Health Belief Model.

Xianjuan Cheng, Heng Dai, Yuanchun Guan, Chunling Xia, Hailong Hou, He Li, Hangfei Qu, Shiqi Xiao

Abstract read
In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Xianjuan ChengDepartment of Nursing (Department of Nephrology), Shengjing Hospital of China Medical University, Shenyang, Liaoning, China, cmu.edu.cn.ORCID https://orcid.org/0000-0003-3681-5116
Heng DaiDepartment of Nursing (Department of Nephrology), Shengjing Hospital of China Medical University, Shenyang, Liaoning, China, cmu.edu.cn.ORCID https://orcid.org/0000-0001-8916-7306
Yuanchun GuanDepartment of Nursing (Department of Nephrology), Shengjing Hospital of China Medical University, Shenyang, Liaoning, China, cmu.edu.cn.ORCID https://orcid.org/0009-0009-0648-5188
Chunling XiaDepartment of Nursing (Department of Obstetrics and Gynecology), Shengjing Hospital of China Medical University, Shenyang, Liaoning, China, cmu.edu.cn.ORCID https://orcid.org/0000-0002-8340-8823
Hailong HouDepartment of Nursing, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China, cmu.edu.cn.ORCID https://orcid.org/0009-0003-3059-7936
He LiDepartment of Nursing, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China, cmu.edu.cn.ORCID https://orcid.org/0009-0009-8524-5608
Hangfei QuDepartment of Nursing (Department of Pediatric Hematology), Shengjing Hospital of China Medical University, Shenyang, Liaoning, China, cmu.edu.cn.ORCID https://orcid.org/0009-0008-0777-2958
Shiqi XiaoInpatient Department, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China, cmu.edu.cn.ORCID https://orcid.org/0000-0002-2715-331X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aims to develop an exercise intervention program for maintenance hemodialysis patients during dialysis based on the Health Belief Model, providing a scientific reference for the implementation and clinical guidance of intradialytic exercise interventions.

methodsGuided by the evidence pyramid model, a comprehensive computer-based search was conducted to identify literature related to intradialytic exercise in maintenance hemodialysis patients. The search covered publications from database inception to October 2023. The quality of the included studies was assessed using a standardized literature quality evaluation system. Based on the Health Belief Model, the available evidence was synthesized to formulate a preliminary exercise intervention program, which was subsequently refined through expert consultation to establish the final intervention program for maintenance hemodialysis patients during dialysis.

resultsA total of 15 eligible studies were included, consisting of 1 clinical decision, 2 guidelines, 3 expert consensus statements, and 9 systematic reviews. The evidence was summarized into five key domains: the necessity of exercise, pre-exercise preparation, exercise prescription, exercise monitoring, and exercise support. Following expert consultation, the final exercise intervention program was established, comprising 5 first-level items, 15 second-level items, and 44 third-level items.

conclusionThe evidence-based summary of intradialytic exercise for maintenance hemodialysis patients, developed within the Health Belief Model framework, demonstrates strong scientific validity and practical applicability. This program provides a reliable foundation for future implementation and clinical guidance of exercise interventions during dialysis, while also promoting patients' voluntary participation in healthy exercise behaviors and improving exercise adherence. Nursing managers can use this exercise intervention as a foundation to develop unit-specific standardized protocols and incentive systems for intradialytic exercise. They should integrate exercise intervention into nurses' routine duties and organize targeted training programs. Additionally, establishing quality monitoring indicators will help promote the sustainable implementation of intradialytic exercise.

Indexed as

ExerciseExercise TherapyHealth Belief ModelProgram DevelopmentRenal DialysisHumansevidence summaryexercise interventionmaintenance hemodialysisprogram construction

Identifiers

PMID42427260
PMCPMC13351614

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.