The effect of baby oil applied to pruritus areas on pruritus, fatigue and anxiety in cirrhosis patients with pruritus

Year 2022, , 27 - 36, 23.04.2022

Ezgi Karadağ , Yaren Tokyürek Mesut Akarsu

https://doi.org/10.30569/adiyamansaglik.995781

Cited By: 1

Abstract

Aim: The aim of this study was to investigate the effects of baby oil on pruritus, anxiety and fatigue levels of patients with liver cirrhosis.
Materials and Methods: This randomized controlled study was conducted with 60 patients hospitalized in the internal medicine clinic of a University hospital in the western part of Turkey. Patients in both groups; Patient Information Form, 5-D Itch Scale, Visual Analog Scale, Fatigue Severity Scale and Beck Anxiety Inventory were applied. In the intervention group, cooled baby oil was applied to the itching area 15 minutes at a time for a duration of 15 days. In the control group, no baby oil was applied. After 15 days’ period, the same questionnaires were re-applied to the both groups. 5-D Itch Scale, Visual Analog Scale, Fatigue Severity Scale and Beck Anxiety Inventory scores of the patients in the control and intervention groups were compared before and after the baby oil application.
Results: Following the intervention, 5-D Itch Scale (19.016, p<0.001), Visual Analog Scale (20.544, p<0.001), Fatigue Severity Scale (6.292, p<0.001) and Beck Anxiety Inventory (4.705, p<0.001) scores were found to be significantly lower compared to the pretest assessment in the intervention group (p<0.001).
Conclusion: It was concluded that baby oil may be used as an effective nursing method in reducing pruritus, anxiety and fatigue in patients with liver cirrhosis.

Keywords

Anxiety baby oil, Nursing, Liver cirrhosis, Pruritus, Fatigue

Kaşıntısı olan siroz hastalarında kaşıntı bölgelerine uygulanan bebe yağının kaşıntı, yorgunluk ve anksiyete üzerine etkisi

Abstract

Amaç: Bu çalışmada, karaciğer sirozu olan hastalarda uygulanan bebe yağının kaşıntı, yorgunluk ve anksiyete düzeyine etkisinin incelenmesi amaçlanmıştır.
Gereç ve Yöntem: Randomize kontrollü olarak yapılan bu çalışma, Türkiye’nin batısında yer alan bir ildeki Üniversite hastanesinde dahiliye kliniğinde yatmakta olan 60 hasta ile yapılmıştır. Her iki gruptaki hastalara; Hasta Tanıtım Formu, 5-D Kaşıntı Ölçeği, Vizüel Analog Skala, yorgunluk şiddet ölçeği ve Beck Anksiyete Ölçeği uygulanmıştır. Müdahale grubundaki hastalara 15 gün süresince kaşıntı olan bölgelere soğutulmuş bebe yağı 15 dk. uygulandıktan sonra kaşıntı, yorgunluk ve anksiyeteyi değerlendirmek için, aynı skalalar 15. günün sonunda tekrar uygulanmıştır. Kontrol gurubuna ise bebe yağı uygulanmaksızın 15. günün sorasında aynı skalalar tekrar uygulanmıştır.
Bulgular: Müdahale ve kontrol gruplarında yer alan hastaların müdahale öncesi ve sonrası 5-D (19,016, p<0,001), Vizüel Analog Skala (20,544, p<0,001), Yorgunluk Şiddet Ölçeği (6,292, p<0,001) ve Beck Anksiyete Ölçeği (4,705, p<0,001) skorları karşılaştırıldığında, müdahale grubunda istatistiksel olarak anlamlı azalma olduğu bulunmuştur (p<0,001).
Sonuç: Bebe yağı, karaciğer sirozu tanılı hastalarda kaşıntı, yorgunluk ve anksiyeteyi azaltmada etkili bir hemşirelik girişimi olarak uygulanabilir. 

Keywords

Anksiyete, Bebe yağı, Hemşirelik, Karaciğer sirozu, Kaşıntı, Yorgunluk

References

• Gimenes FRE, Motta APG, Silva PCS, Gobbo AFF, Atila E, Carvalho EC. Identifying nursing interventions associated with the accuracy used nursing diagnoses for patients with liver cirrhosis. Rev. Latino-Am. Enfermagem. 2017; 25: e2933.
• Fowler C. Management of patients with complications of cirrhosis. The Nurse Practitioner. 2013; 38 (4):14-20.
• Health Statistics Yearbook 2020 Newsletter.https://sbsgm.saglik.gov.tr/Eklenti/41611/0/haber-bulteni-2020pdf.pdf.Published March 2020. Accessed September 6, 2020.
• Erdenen F, Müderrisoğlu C. Approach to the Patient with Itching. İstanbul Medical Journal. 2018; 19: 1-6.
• Elsaie, LT, Mohsen AME, Ibrahim IM Mohey-Eddin, MH, Elsaie ML. Effectiveness of topical peppermint oil on symptomatic treatment of chronic pruritus. Clinical, Cosmetic and Investigational Dermatology. 2016; 9; 333-338.
• Yoshikawa, S., Asano, T., Morino, M. et al. Pruritus is common in patients with chronic liver disease and is improved by nalfurafine hydrochloride. Scientific Reports.2021; 11: 3015.doi.org/10.1038/s41598-021-82566-w.
• Oeda S, Takahashi H, Yoshida H, et al. Prevalence of pruritus in patients with chronic liver disease: A multicenter study. Hepatol Res. 2018; 48 (3): E252-E262.
• Taha SH, Mohamed WY, Bukhary FAS, Teleb S-M, Gamal L-M. Impact of a Designed Nursing Intervention Protocol on quality of life for liver cirrhosis patients in Minia University Hospital. IOSR J of Nurs and Health Sci (IOSR-JNHS). 2015; 4 (4): 07-15.
• Bhalerao A, Mannu GS. Management of pruritus in chronic liver disease. Dermatol Res Pract. 2015; P.1-5.
• Trivedi HD, Lizaola B, Tapper EB, Bonder A. Management of pruritus in primary biliary cholangitis: A Narrative Review. The American J of Med. 2017; 130 (6): 744.e1-744.e7.
• Kremer AE, Elferink RPJ, Beuers U. Pathophysiology and current management of pruritus in liver disease. Clin and Res in Hepatol and Gastroenterol. 2011; 35: 89-97.
• Jones EA. Pruritus and fatigue associated with liver disease: is there a role for ondansetron? Expert Opinion on Pharmacotherapy. 2008;9: 4, 645-651, DOI: 10.1517/14656566.9.4.645
• Tajiri K, Shimizu Y. Recent advances in the management of pruritus in chronic liver diseases. World J Gastroenterol. 2017; 23 (19): 3418-3426 doi: http://dx.doi. org/10.3748/wjg.v23.i19.3418.
• Karadag E, Kilic SP, Karatay G,Metin O. Effect of baby oil on pruritus, sleep quality and quality of life in hemodialysis patients: Pretest-Posttest Model with Control Groups, Japan Journal of Nursing Science.2014; 11 (3): 180-189.
• Afrasiabifar A, Mehri Z, Hosseini N. Efficacy of topical application of sweet almond oil on reducing uremic pruritus in hemodialysis patients: a randomized clinical trial study. Iranian Red Crescent Medical Journal. 2016; 19 (2): 1-10.
• Kennet J, Hardaker N, Hobbs S, Selfe J. Cooling efficiency of 4 common cryotherapeutic agents. Journal of Athletic Training. 2007; 42: 343–348.
• Mokhtarabadi S, Shahabinejad M, Sadeghi T, Kazemi M. The Effect of administration of baby oil on the severity of pruritus in hemodialysis patients. Medical-Surgical Nursing Journal. 2017; 6 (1): 8-13.
• Abdelghfar SZ, Elsebae HA, Elhadry SM, Hassan AA. Effect of aromatherapy on uremic pruritus among patients undergoing hemodialysis. IOSR J of Nurs and Health Sci. 2017; 6 (2): 22-30.
• Kılıç Akça N, Taşcı S. Hemodiyaliz hastalarında üremik kaşıntı ve akupresör uygulaması [Uremic pruritis in hemodialysis patients and acupressure practice]. Maltepe Üniversitesi Hemşirelik Bilim ve Sanat Dergisi. 2011;(4): 190-196.
• Kiliç Akça, N, Taşçi S, Karataş N. Effect of acupressure on patients in Turkey receiving hemodialysis treatment for uremic pruritus. Altern Ther Health Med. 2013; 19 (5): 12-8.
• Shahgholian N, Dehghan M, Mortazev M, Gholami F, Valiani M. Effect of massage with aromatic oils on pruritus relief in hemodialysis patients. Complementary Med J of Faculty of Nurs & Midwifery. 2013; 2 (4): 291-302.
• Shahgholian N, Dehghan M, Mortazavi M, Farzaneh G,Valiani M. Effect of aromatherapy on pruritus relief in hemodialysis patients. Iran J Nurs Midwifery Res. 2010; 15 (4): 240–244.
• Lin TC, Lai YH, Guo SE, et al. Baby oil therapy for uremic pruritus in haemodialysis patients. Journal of Clinical Nursing. 2012; 21(1‐2): 139-48.
• Wewers ME, Lowe NK. A critical review of visual analogue scales in the measurement of clinical phenomena. Res in Nurs & Health. 1990;(13): 227-236.
• Elman S, Hynan LS, Gabriel V, Mayo MJ. Br J Dermatol. 2010; 162 (3): 587–593. doi:10.1111/j.1365-2133.2009.09586.x.
• Ersoy NA, Akyar İ. Kronik böbrek yetmezliği olan hastalarda 5-D Kaşıntı Ölçeği’nin geçerlik-güvenirlik çalışması. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2018; 9(4):455-461.
• Krupp LB, Alvarez LA, LaRocca NG, et al. Fatigue in multiple sclerosis. Arch Neurol. 1988; 45: 435-7.
• Armutlu K, Korkmaz NC, Keser I, Sümbüloğlu V, Akbıyık DI, Güney Z, Karabudak R. The validity and reliability of the Fatigue Severity Scale in Turkish multiple sclerosis patients. Int J Rehabil Res. 2007; 30 (1): 81-85.
• Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J of Cons and Clin Psychology. 1998;(56): 893-897.
• Ulusoy M, Şahin NH, Erkmen H. Turkish version of the Beck anxiety inventory: Psychometric properties. J Cogn Psychother 1998; 12: 163-72.
• Bergasa NV, Mehlman JK, Jones EA. Pruritus and fatigue in primary biliary cirrhosis. Baillieres Best Pract Res Clin Gastroenterol. 2000;(14): 643-655.
• Cheung AC, Patel H, Meza-Cardona, J, Cino M, Sockalingam S, Hirschfield GM. Factors that influence health-related quality of life in patients with primary sclerosing cholangitis. Dig Dis Sci. 2016; (61): 1692–9.
• Wang WY, Tang YY, Chu PL, Chao CM, Wang KY. Physiology, pathology and clinical practice in uremic pruritis. Kidney and Dialysis. 2006;(18): 99-104.