Hemodiyaliz Hastalarının Semptom Yönetiminde Kullanılan İntegratif Yöntemler/ Integrative Methods Used for Symptom Management of Hemodialysis Patients

Dünyada ve ülkemizde önemli sağlık sorunlarından biri olan kronik böbrek yetmezliği, birçok nedene bağlı olarak gelişebilmektedir. Kronikböbrek yetmezliği, vücudun metabolik ve elektrolit dengesini sürdürme yeteneğinin kaybolması ile sonuçlanan, böbrek fonksiyonlarının ilerleyicive geriye dönüşsüz olarak bozulmasıdır. Böbrek fonksiyonları ciddi seviyede bozulduğu durumlarda hastanın yaşamı tehlikeye girer. Budurumda vücutta biriken atık ve toksik maddelerin vücuttan atılması, vücut sıvı volüm ve homeostazisinin sürdürülmesinde uygulanan tedaviyöntemlerinden biri hemodiyalizdir. Hastalar hemodiyalize bağlı kronik ağrı, kramp, kaşıntı, anksiyete, yorgunluk ve uyku bozukluğu gibi birçoksemptom yaşamaktadır. Hemodiyaliz hastalarının yaşadıkları bu semptomların tedavisinde integratif yöntemlerin kullanılması güngeçtikçe yaygınlaşmaktadır. Bu derlemede hemodiyaliz hastalarının semptom yönetiminde kullanılan bazı integratif yöntemlerle ilgili yapılançalışma örnekleri hakkında bilgi verilmiştir.

Integrative Methods Used for Symptom Management of Hemodialysis Patients

.Chronic kidney failure, which is one of the important health problems in the world and our country, can develop due to many reasons. Chronickidney failure is the progressive and irreversible deterioration of kidney functions that loses the body's ability to maintain metabolic andelectrolyte balance. The patient’s life is endangered in cases of severe renal impairment. In this case, hemodialysis is one of the treatmentmethods used to eliminate waste and toxic substances accumulated in the body and to maintain body fluid volume and homeostasis. Patientsexperience many symptoms such as chronic pain, cramps, itching, anxiety, fatigue and sleep disturbance due to hemodialysis. The use ofintegrative methods in the treatment of these symptoms experienced by hemodialysis patients is increasing day by day. In this review, information was given about the examples of studies conducted on some integrative methods used in symptom management of hemodialysis patients.

___

  • 1. Bagheri-Nesami M, Espahbodi F, Nikkhah A, Shorofi SA, Charati JY. The effects of lavender aromatherapy on pain following needle insertion into a fistula in hemodialysis patients. Complementary Therapies in Clinical Practice 2014;20(1):1-4.
  • 2. Luyckx VA, Tonelli M, Stanifer JW. The global burden of kidney disease and the sustainable development goals. Bulletin of the World Health Organization 2018;96(6):414-422D.
  • 3. Süleymanlar G, Ateş K, Seyahı̇ N. T.C. Sağlık Bakanlığı ve Türk Nefroloji Derneği Ortak Raporu. 2020;136. http://www.nefroloji.org.tr/folders/file/registry_2019.pdf Erişim Tarihi: 30.01.2021
  • 4. Ovayolu N, Ovayolu Ö, Güngörmüş Z, Karadağ G. Böbrek Yetmezliğinde Tamamlayıcı Tedaviler. Nefroloji Hemşireliği Dergisi 01 Mart 2015;10(1):40-6.
  • 5. Bouya S, Ahmadidarehsima S, Badakhsh M, Balouchi A, Koochakzai M. Effect of aromatherapy interventions on hemodialysis complications: A systematic review. Complementary Therapies in Clinical Practice 01 2018;32:130-8.
  • 6. Sabouhi F, Kalani L, Valiani M, Mortazavi M, Bemanian M. Effect of acupressure on fatigue in patients on hemodialysis. Iranian Journal of Nursing and Midwifery Research 2013;18(6):429-34.
  • 7. Özdemir G, Ovayolu N, Ovayolu O. The effect of reflexology applied on haemodialysis patients with fatigue, pain and cramps. International Journal of Nursing Practice 2013;19(3):265-73.
  • 8. Şentürk A, Tekinsoy Kartın P. The Effect of Lavender Oil Application via Inhalation Pathway on Hemodialysis Patients’ Anxiety Level and Sleep Quality. Holist Nurs Pract. 2018;32(6):324-35.
  • 9. Mohmadi K, Shahgholian N, Valiani M, Mardanparvar H. The effect of acupressure on muscle cramps in patients undergoing hemodialysis. Iranian Journal of Nursing and Midwifery Research 2016;21(6):557-61.
  • 10. Lin Y-J, Lu K-C, Chen C-M, Chang C-C. The effects of music as therapy on the overall well-being of elderly patients on maintenance hemodialysis. Biological Research For Nursing 2012;14(3):277-85.
  • 11. Aliasgharpour M, Abbaszadeh R, Mohammadi N, Kazemnejad A. Effect of lavender aromatherapy on the pain of arteriovenous fistula puncture in patients on hemodialysis. Nursing Practice Today. 2016;3(1):26-30.
  • 12. Reyes MCGM, Reyes MCGM, Ribay KGL, Paragas ED. Effects of sweet orange aromatherapy on pain and anxiety during needle insertion among patients undergoing hemodialysis: A quasi-experimental study. Nursing Forum (Auckl). 2020;55(3):425-32.
  • 13. Lee E-J, Kim B-S, Sa I-H, Moon K-E, Kim J-H. The Effects of Aromatherapy on Sleep Disorders, Satisfaction of Sleep and Fatigue in Hemodialysis Patients. Korean Journal of Adult Nursing. 2011;23(6):615-23.
  • 14. Dabirian A, Sadeghim M, Mojab F, Talebi A. The Effect of Lavender Aromatherapy on Sleep Quality in Hemodialysis Patients. Advances in Nursing & Midwifery 2013;22(79):8-16.
  • 15. Cürcani M, Tan M. The effect of aromatherapy on haemodialysis patients’ pruritus. Journal of Clinical Nursing 2014;23(23-24):3356-65.
  • 16. Bagheri-Nesami M, Shorofi SA, Nikkhah A, Espahbodi F, Koolaee FSG. The effects of aromatherapy with lavender essential oil on fatigue levels in haemodialysis patients: A randomized clinical trial. Complementary Therapies in Clinical Practice 10 2015;22:33-7.
  • 17. Ghods AA, Abforosh NH, Ghorbani R, Asgari MR. The effect of topical application of lavender essential oil on the intensity of pain caused by the insertion of dialysis needles in hemodialysis patients: A randomized clinical trial. Complementary Ttherapies in Medicine 2015;23(3):325-30.
  • 18. Hashemi SH, Hajbagheri A, Aghajani M. The Effect of Massage With Lavender Oil on Restless Leg Syndrome in Hemodialysis Patients: A Randomized Controlled Trial. Nursing and Midwifery Studies 2015;4(4):e29617.
  • 19. Barati F, Nasiri A, Akbari N, Sharifzadeh G. The Effect of Aromatherapy on Anxiety in Patients. Nephro- Nephro- Urology Monthly 2016;8(5):e38347.
  • 20. Bagheri-Nesami M, Shorofi SA, Nikkhah A, Espahbodi F. The effects of lavender essential oil aromatherapy on anxiety and depression in haemodialysis patients. Pharmaceutical and Biomedical Research 2017;3(1):8-13.
  • 21. Muz G, Taşcı S. Effect of aromatherapy via inhalation on the sleep quality and fatigue level in people undergoing hemodialysis. Applied Nursing Research:ANR. 2017;37:28-35.
  • 22. Hassanzadeh M, Kiani F, Bouya S, Zarei M. Comparing the effects of relaxation technique and inhalation aromatherapy on fatigue in patients undergoing hemodialysis. Complement Ther Clin Pract. 2018;31:210-4.
  • 23. Ahmady S, Rezaei M, Khatony A. Comparing effects of aromatherapy with lavender essential oil and orange essential oil on fatigue of hemodialysis patients: A randomized trial. Complementary Therapies in Clinical Practice 2019;36:64-8.
  • 24. Karadag E, Samancioglu Baglama S. The Effect of Aromatherapy on Fatigue and Anxiety in Patients Undergoing Hemodialysis Treatment: A Randomized Controlled Study. Holistic Nursing Practice 2019;33(4):222-9.
  • 25. Taşan E, Ovayolu O, Ovayolu N. The effect of diluted lavender oil inhalation on pain development during vascular access among patients undergoing haemodialysis. Complementary Therapies in Clinical Practice 2019;35:177-82.
  • 26. Efe Arslan D, Kılıç Akça N. The effect of aromatherapy hand massage on distress and sleep quality in hemodialysis patients: A randomized controlled trial. Complementary Therapies in Clinical Practice 2020;39:101136.
  • 27. Mohammadpourhodki R, Sadeghnezhad H, Ebrahimi H, Basirinezhad MH, Maleki M, et al. The Effect of Aromatherapy Massage With Lavender and Citrus Aurantium Essential Oil on Quality of Life of Patients on Chronic Hemodialysis: A Parallel Randomized Clinical Trial Study. Journal of Pain and Symptom Management 2020. doi: 10.1016/j.jpainsymman.2020.08.032
  • 28. Varaei S, Jalalian Z, Yekani Nejad MS, Shamsizadeh M. Comparison the effects of inhalation and massage aromatherapy with lavender and sweet orange on fatigue in hemodialysis patients: a randomized clinical trial. Journal of Complementary and Integrative Medicine 2020; Online ahead of print. doi: 10.1515/jcim-2018-0137
  • 29. Hadadian F, Sohrabi N, Farokhpayam M, Farokhpayam H, Towhidi F, et al. The Effects of Transcutaneous Electrical Acupoint Stimulation (TEAS) on Fatigue in Haemodialysis Patients. Journal of Clinical and Diagnostic Research:JCDR. 2016;10(9):YC01-4.
  • 30. Zou C, Yang L, Wu Y, Su G, Chen S, et al. Auricular acupressure on specific points for hemodialysis patients with insomnia: a pilot randomized controlled trial. PloS One. 2015;10(4):e0122724.
  • 31. Wu Y, Zou C, Liu X, Wu X, Lin Q. Auricular acupressure helps improve sleep quality for severe insomnia in maintenance hemodialysis patients: a pilot study. J Altern Complement Med N Y N. 2014;20(5):356-63.
  • 32. Yu J-S, Ho C-H, Wang H-Y, Chen Y-H, Hsieh C-L. Acupuncture on Renal Function in Patients with Chronic Kidney Disease: A Single-Blinded, Randomized, Preliminary Controlled Study. Alternative and Complementary Medicine 2017;23(8):624-31.
  • 33. Eğlence R, Karataş N, Taşci S. The effect of acupressure on the level of fatigue in hemodialysis patients. Alternative Therapies in Health and Medicine 2013;19(6):23-31.
  • 34. Shariati A, Jahani S, Hooshmand M, Khalili N. The effect of acupressure on sleep quality in hemodialysis patients. Complementary Therapies in Medicine 2012;20(6):417-23.
  • 35. Kılıç Akça N, Taşçi S, Karataş N. Effect of acupressure on patients in Turkey receiving hemodialysis treatment for uremic pruritus. Alternative Therapies in Health and Medicine 2013;19(5):12-8.
  • 36. Hmwe NTT, Subramanian P, Tan LP, Chong WK. The effects of acupressure on depression, anxiety and stress in patients with hemodialysis: a randomized controlled trial. International Journal of Nursing Studies 2015;52(2):509-18.
  • 37. Arab Z, Shariati AR, Asayesh H, Vakili MA, Bahrami-Taghanaki H, Azizi H. A Sham-Controlled Trial of Acupressure on the Quality of Sleep and Life in Haemodialysis Patients. Acupuncture in Medicine 2016;34(1):2-6.
  • 38. Shen K, Cho Y, Pascoe EM, Hawley CM, Oliver V, et al. The SIESTA Trial: A Randomized Study Investigating the Efficacy, Safety, and Tolerability of Acupressure versus Sham Therapy for Improving Sleep Quality in Patients with End-Stage Kidney Disease on Hemodialysis, Evidence-Based Complementary and Alternative Medicine. Hindawi; 2017 s. e7570352. doi: 10.1155/2017/7570352
  • 39. Nahidi Y, Badiee S, Torabi S, Shaye ZA, Nazemian F, et al. Acupuncture effect on pruritus in hemodialysis patients: A randomized clinical trial. Iranian Red Crescent Medical Journal 2018;20(10).
  • 40. Abbasi P, Mojalli M, Kianmehr M, Zamani S. Effect of acupressure on constipation in patients undergoing hemodialysis: A randomized double-blind controlled clinical trial. Avicenna Journal of Phytomedicine 2019;9(1):84-91.
  • 41. Karjalian F, Momennasab M, Yoosefinejad AK, Jahromi SE. The Effect of Acupressure on the Severity of Pruritus and Laboratory Parameters in Patients Undergoing Hemodialysis: A Randomized Clinical Trial. J Journal of Acupuncture and Meridian Studies 2020;13(4):117-23.
  • 42. Wang X, Gu J, Liu J, Hong H. Clinical evidence for acupressure with the improvement of sleep disorders in hemodialysis patients: A systematic review and meta-analysis. Complementary Therapies in Clinical Practice 2020;39:101151.
  • 43. Mirbagher Ajorpaz N, Rahemi Z, Aghajani M, Hashemi SH. Effects of glycerin oil and lavender oil massages on hemodialysis patients’ restless legs syndrome. Journal of Bodywork and Movement Therapies 2020;24(1):88-92.
  • 44. Shahdadi H, Hodki RM, Aliabadi A, Sheikh A, Moghadasi A. The effect of slow stroke back massage on fatigue in patients undergoing hemodialysis: A randomized clinical trial. International Journal of Pharmacy & Technology 2016;8:16016-23.
  • 45. Aghajani M, Kheirkhah D. The effect of massage with glycerin oil on restless leg syndrome in hemodyalysis patients. Complementary Medicine Journal 2016;6(2):1500-10.
  • 46. Ghavami H, Shamsi SA, Abdollahpoor B, Radfar M, Khalkhali HR. Impact of hot stone massage therapy on sleep quality in patients on maintenance hemodialysis: A randomized controlled trial. Journal of Research in Medical Sciences : The Official Journal of Isfahan University of Medical Sciences 2019;24:71.
  • 47. Khorsand A, Salari R, Noras MR, Saki A, Jamali J, et al. The effect of massage and topical violet oil on the severity of pruritus and dry skin in hemodialysis patients: A randomized controlled trial. Complementary Therapies in Medicine 2019;45:248-53.
  • 48. Habibzadeh H, Wosoi Dalavan O, Alilu L, Wardle J, Khalkhali H, et al. Effects of Foot Massage on Severity of Fatigue and Quality of Life in Hemodialysis Patients: A Randomized Controlled Trial. International Journal of Community Based Nursing and Midwifery 2020;8(2):92-102.
  • 49. Ahmadidarrehsima S, Mohammadpourhodki R, Ebrahimi H, Keramati M, Dianatinasab M. Effect of foot reflexology and slow stroke back massage on the severity of fatigue in patients undergoing hemodialysis: A semi-experimental study. Journal of Complementary & Integrative Medicine 2018;15(4). doi: 10.1515/jcim-2017-0183
  • 50. Unal KS, Balci Akpinar R. The effect of foot reflexology and back massage on hemodialysis patients’ fatigue and sleep quality. Complementary Therapies in Clinical Practice 2016;24:139-44.
  • 51. Ghasemi M, Rejeh N, Heravi-Karimooi M, Tadrisi SD, Samady Kia P. The Effectiveness of Foot Reflexology in the Severity of Restless Legs Syndrome in Female Patients Undergoing Dialysis: A Randomized Controlled Trial. Critical Care Nursing 2018;11(2).
  • 52. Naseri-Salahshour V, Sajadi M, Abedi A, Fournier A, Saeidi N. Reflexology as an adjunctive nursing intervention for management of nausea in hemodialysis patients: A randomized clinical trial. Complementary Therapies in Clinical Practice 2019;36:29-33.
  • 53. Burrai F, Micheluzzi V, Zito MP, Pietro G, Sisti D. Effects of live saxophone music on physiological parameters, pain, mood and itching levels in patients undergoing haemodialysis. Journal of Renal Care 2014;40(4):249-56.
  • 54. Cantekin I, Tan M. The influence of music therapy on perceived stressors and anxiety levels of hemodialysis patients. Renal Failure 2013;35(1):105-9.
  • 55. Karadağ E, Karadakovan A. The Effect of Music on the Sleep Quality and Vital Signs of the Chronic Renal Failure Patients Who are Getting Hemodialysis Treatment. Turkiye Klinikleri Journal of Nursing Sciences 2015;7(2):79-89.
  • 56. Melo GAA, Rodrigues AB, Firmeza MA, Grangeiro AS de M, Oliveira PP de, et al. Musical intervention on anxiety and vital parameters of chronic renal patients: a randomized clinical trial. Revista Latino-Americana de Enfermagem 2018;26:e2978.
  • 57. Koca Kutlu A, Eren AG. Effects of music on complications during hemodialysis for chronic renal failure patients. Hemodialysis international 2014;18(4):777-84.
  • 58. Kim Y, Evangelista LS, Park Y-G. Anxiolytic Effects of Music Interventions in Patients Receiving Incenter Hemodialysis: A Systematic Review and Meta-Analysis. Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association 2015;42(4):339-47; 348.
  • 59. Shabandokht-Zarmi H, Bagheri-Nesami M, Shorofi SA, Mousavinasab SN. The effect of self-selected soothing music on fistula puncture-related pain in hemodialysis patients. Complementary Therapies in Clinical Practice 2017;29:53-7.
  • 60. Kishida M, Yamada Y, Inayama E, Kitamura M, Nishino T, et al. Effectiveness of music therapy for alleviating pain during haemodialysis access cannulation for patients undergoing haemodialysis: a multi-facility, single-blind, randomised controlled trial. Trials 2019;20(1):631.