Abstract: Objective  To investigate the effects of joint mobility exercises in hemodialysis on maintenance hemodialysis (MHD) patients.  Methods  The MHD patients in the Hemodialysis Center of the First Affiliated Hospital of Nanchang University from April to October 2023 were selected as the research subjects, and patients in Donghu Hospital District and patients in Xianghu Hospital District were randomly selected as the experimental group and the control group. The patients in the control group were given routine care, and the patients in the experimental group were implemented the exercise of joint mobility in dialysis on the basis of routine care. Differences in fatigue scale-14 (FS-14) score, 6-minute walk test (6MWT), 30-second sit-to-stand test (30s-STS), and 36-item short form health survey (SF-36) score before and after the intervention were compared between the two groups.   Results   Before intervention, general information, FS-14 scores, 6MWT, 30s-TST and SF-36 scores had no statistical differences between the two groups (Z=-0.199, t=0.501, 0.278 and 0.484 respectively; P=0.842, 0.618, 0.782 and 0.629 respectively).  Compared with the control group, FS-14 scores were significantly lower (Z=-7.782, P<0.001), and 6MWT, 30s-STS, and SF-36 scores were significantly higher (t=5.812, 6.111 and 2.583 respectively;  P<0.001, <0.001  and =0.012 respectively) after the intervention in the test group.  Conclusion Joint mobility exercises in dialysis can effectively relieve fatigue symptoms and improve exercise capacity and quality of life in MHD patients.

Key words: Maintenance hemodialysis patient, Exercise during dialysis, Joint range of motion, Fatigue, Sports ability