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Hemodiyalizle İlişkili Komplikasyonların Yönetiminde Benson Relaksasyon Yönteminin Etkisi: Randomize Kontrollü Çalışmaların Sistematik Derlemesi

Year 2020, Volume: 6 Issue: 1, 7 - 15, 01.01.2020

Abstract

Amaç: Hemodiyaliz ile ilişkili komplikasyonların yönetiminde Benson relaksasyon yönteminin etkisini değerlendirmektir. Gereç ve Yöntemler: Literatür taraması yıl sınırlaması olmaksızın Science Direct, Web of Science, Springer Link, The Networked Digital Library of Theses & Dissertations, Ovid, CINAHL, Pubmed, Cochrane library, Proquest, Yükseköğretim Kurulu Ulusal Tez Merkezi, ULAKBIM veri tabanlarında yapılmıştır. Derleme Cochrane sistematik derleme kılavuzu doğrultusunda gerçekleştirilmiştir. Çalışmaya randomize kontrollü yedi çalışma dahil edilmiştir. Bulgular: Dahil edilen çalışmalarda Benson relaksasyon yönteminin ağrı, yorgunluk, stres, anksiyete, depresyon, uyku ve yaşam kalitesi üzerine etkisi değerlendirilmiştir. Tüm çalışmalarda Benson relaksasyon yöntemi ile ilgili hastalara eğitim verilmiştir. Uygulama prosedürü altı çalışmada da aynı şekilde uygulanmış ve bir çalışmada ise belirtilmemiştir. Çalışmalarda relaksasyon yöntemi 56-112 seans, 15-20 dakika ve günde iki kez uygulanmıştır. Derlemeye dahil edilen tüm çalışmalarda semptom değerlendirmede geçerli ve güvenilir ölçme araçları kullanılmıştır. Sonuç: Benson relaksasyon yönteminin yorgunluk, stres, anksiyete, uyku bozuklukları, yaşam kalitesinin iyileştirilmesinde etkili olduğu, depresyon üzerinde etkili olmadığı görülmüştür. Benson relaksasyon yönteminin etkilerine ilişkin kanıta dayalı çalışmaların planlanması, holistik bir hemşirelik girişimi olarak hasta bakımına yansıtılması önerilmektedir

References

  • 1. 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):414-22.
  • 2. Seyahi N, Ateş K, Süleymanlar G. Türkiye’de renal replasman tedavilerinin güncel durumu: Türk Nefroloji Derneği kayıt sistemi 2016 yılı özet raporu. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi 2016; 27(2):133-9.
  • 3. Daugirdas JT, Blake PG, Ing TS. Handbook of Dialysis. 5 ed. Philadelphia: Lippincott Williams & Wilkins, 2015.
  • 4. Murtagh FE, Addington-Hall J, Higginson IJ. The prevalence of symptoms in end-stage renal disease: A systematic review. Advances in Chronic Kidney Disease 2007; 14(1):82-99.
  • 5. Heidari Gorji MA, Davanloo AA, Heidarigorji AM. The efficacy of relaxation training on stress, anxiety, and pain perception in hemodialysis patients. Indian Journal of Nephrology 2014; 24(6):356-61.
  • 6. Kiani F, Zadeh MAH, Shahrakipour M. The effect of Benson’s relaxation method on hemodialysis patients’ anxiety. Biomedical Research 2017; 28(3):1075-80.
  • 7. Koushan M, Rakhshanı MH, Mohsenpour M, Heshmatıfar N. The effect of benson relaxation response on hemodialysis patients’fatigue. 2014.
  • 8. Rambod M, Sharif F, Pourali-Mohammadi N, Pasyar N, Rafii F. Evaluation of the effect of Benson’s relaxation technique on pain and quality of life of haemodialysis patients: A randomized controlled trial. Int J Nurs Stud 2014; 51(7):964-73.
  • 9. Davison SN, Koncicki H, Brennan F. Pain in chronic kidney disease: A scoping review. Seminars in dialysis 2014; 27(2):188-204.
  • 10. Czarapata B. Nursing Assesment Urinary System. In: Lewis SL, Bucher L, Heitkemper M, Dirksen SR, Harding M, eds. Medical-Surgical Nursing: Assessment and Management of Clinical Problems 9th ed. Philadelphia: Elsevier Health Sciences, 2013:1046-11.
  • 11. Joshwa B, Khakha DC, Mahajan S. Fatigue and depression and sleep problems among hemodialysis patients in a tertiary care center. Saudi Journal of Kidney Diseases and Transplantation 2012; 23(4):729-35.
  • 12. Spahbodi F, Hosseini S-H, Makhloogh A, Sadeghie O, Taghipoor M. The suicide ideations rate and its risk factors among patients under hemodialysis. Journal of Mazandaran University of Medical Sciences 2014; 23(110):110-6.
  • 13. Maung SC, El Sara A, Chapman C, Cohen D, Cukor D. Sleep disorders and chronic kidney disease. World Journal of Nephrology 2016; 5(3):224-32.
  • 14. Sabry AA, Abo-Zenah H, Wafa E, Mahmoud K, ElDahshan K, Hassan A, Abbas TM, Saleh Ael-B, Okasha K. Sleep disorders in hemodialysis patients. Saudi Journal of Kidney Diseases and Transplantation 2010; 21(2):300-5.
  • 15. Ghonemy TA, Allam HM, Elokely AM, Kadry YA, Omar HM. Chronic pain in hemodialysis patients: Role of bone mineral metabolism. Alexandria Journal of Medicine 2016; 52(4):337-42.
  • 16. Taylor R. Professional guide to signs and symptoms. 6 ed. Pennsylvania: Lippincott Williams & Wilkins; 2010.
  • 17. Bossola M, Vulpio C, Tazza L. Fatigue in chronic dialysis patients. Seminars in Dialysis 2011; 24(5):550-5.
  • 18. Jhamb M, Pike F, Ramer S, Argyropoulos C, Steel J, Dew MA, Weisbord SD, Weissfeld L, Unruh M. Impact of fatigue on outcomes in the hemodialysis (HEMO) study. American Journal of Nephrology 2011; 33(6):515-23.
  • 19. Benson H.M, Klipper MZ. The relaxation response: New York; Harper Collins, 1992.
  • 20. Molaıe E, Gharı S, Moujerloo M, Behnampour N, Sharıatı A, Aghakhanı MJ ea. The impact of sodium and ultrafiltration profiling on hemodialysis-related complications. Journal of Research Development in Nursing & Midwifery 2012; 9(2):11-9.
  • 21. Saeedi M, Ashktorab T, Saatchi K, Zayeri F, Amir Ali Akbari S. The effect of progressive muscle relaxation on sleep quality of patients undergoing hemodialysis. Iranian Journal of Critical Care Nursing 2012; 5(1):23-8.
  • 22. Yazdani J, Setareh J. Effect of benson relaxation response on stress among in hemodialysis patients. Journal of Mazandaran University of Medical Sciences 2012; 22(91):61- 8.
  • 23. Higgins JP, Green S. Cochrane Handbook for Systematic Reviews of Interventions. Chichester: John Wiley & Sons; 2011.
  • 24. Higgins JP, Altman DG, Sterne J. Assessing risk of bias in included studies. Cochrane Handbook for Systematic Reviews of Interventions. Chichester: John Wiley & Sons; 2017.
  • 25. Hassanzadeh M, Kiani F, Bouya S, Zarei M. Comparing the effects of relaxation technique and inhalation aromatherapy on fatigue in patients undergoing hemodialysis. Complementary Therapies in Clinical Practice 2018; 31:210-4.
  • 26. Otaghi M, Borji M, Bastami S, Solymanian L. The effect of Benson’s relaxation on depression, anxiety and stress in patients undergoing hemodialysis. Int J Med Res Health Sci 2016; 5(12):76-83.
  • 27. Rambod M, Pourali-Mohammadi N, Pasyar N, Rafii F, Sharif F. The effect of Benson’s relaxation technique on the quality of sleep of Iranian hemodialysis patients: A randomized trial. Complement Ther Med 2013; 21(6):577-84.
  • 28. Otaghi M, Borji M, Bastami S, Solymanian L. The Effect of Benson’s Relaxation on depression, anxiety and stress in patients undergoing hemodialysis. International Journal of Medical Research & Health Sciences 2016; 5(12):76-83.
  • 29. Mollahadi M, Tayyebi A, Ebadi A, Daneshmandi M. Comparison between anxiety, depression and stress in hemodialysis and kidney transplantation patients. Journal of Critical Care Nursing 2010; 2(4):9-10.
  • 30. Mahdavi A, Gorji MA, Gorji AM, Yazdani J, Ardebil MD. Implementing Benson’s Relaxation training in hemodialysis patients: Changes in perceived stress, anxiety, and depression. North American Journal of Medical Sciences 2018; 5(9):536-40

The Effect of the Benson Relaxation Method in the Management of Hemodialysis-Related Complications: Systematic Review of Randomized Controlled Trial

Year 2020, Volume: 6 Issue: 1, 7 - 15, 01.01.2020

Abstract

Objective: To evaluate the effect of Benson’s relaxation technique in the management of hemodialysis-related complications. Material and Methods: Systematic searches were conducted in Science Direct, Web of Science, Springer Link, the Networked Digital Library of Theses & Dissertations, Ovid, CINAHL, Pubmed, Cochrane library, Proquest, Council of Higher Education National Thesis Center, and ULAKBIM databases. Cochrane systematic review handbook was used in the review.Results: The effects of the Benson relaxation on pain, fatigue, stress, anxiety, depression, and quality of sleep and life were evaluated in the included studies. Patients were trained related to Benson’s relaxation. The procedure of the relaxation was same in six studies and there was no information in one study. Intervention was applied 56-112 sessions, 15-20 minutes and twice a day in the studies. Valid and reliable instruments were used in symptom assessment in the included studies.Conclusion: As a result of this review, it has been shown that Benson’s relaxation technique has positive effects on pain, fatigue, sleep disturbances, anxiety, stress, and the quality of life and no effect on depression. It is recommended that evidence-based studies on the effects of Benson relaxation method be planned and it reflected in patient care as a holistic nursing intervention

References

  • 1. 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):414-22.
  • 2. Seyahi N, Ateş K, Süleymanlar G. Türkiye’de renal replasman tedavilerinin güncel durumu: Türk Nefroloji Derneği kayıt sistemi 2016 yılı özet raporu. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi 2016; 27(2):133-9.
  • 3. Daugirdas JT, Blake PG, Ing TS. Handbook of Dialysis. 5 ed. Philadelphia: Lippincott Williams & Wilkins, 2015.
  • 4. Murtagh FE, Addington-Hall J, Higginson IJ. The prevalence of symptoms in end-stage renal disease: A systematic review. Advances in Chronic Kidney Disease 2007; 14(1):82-99.
  • 5. Heidari Gorji MA, Davanloo AA, Heidarigorji AM. The efficacy of relaxation training on stress, anxiety, and pain perception in hemodialysis patients. Indian Journal of Nephrology 2014; 24(6):356-61.
  • 6. Kiani F, Zadeh MAH, Shahrakipour M. The effect of Benson’s relaxation method on hemodialysis patients’ anxiety. Biomedical Research 2017; 28(3):1075-80.
  • 7. Koushan M, Rakhshanı MH, Mohsenpour M, Heshmatıfar N. The effect of benson relaxation response on hemodialysis patients’fatigue. 2014.
  • 8. Rambod M, Sharif F, Pourali-Mohammadi N, Pasyar N, Rafii F. Evaluation of the effect of Benson’s relaxation technique on pain and quality of life of haemodialysis patients: A randomized controlled trial. Int J Nurs Stud 2014; 51(7):964-73.
  • 9. Davison SN, Koncicki H, Brennan F. Pain in chronic kidney disease: A scoping review. Seminars in dialysis 2014; 27(2):188-204.
  • 10. Czarapata B. Nursing Assesment Urinary System. In: Lewis SL, Bucher L, Heitkemper M, Dirksen SR, Harding M, eds. Medical-Surgical Nursing: Assessment and Management of Clinical Problems 9th ed. Philadelphia: Elsevier Health Sciences, 2013:1046-11.
  • 11. Joshwa B, Khakha DC, Mahajan S. Fatigue and depression and sleep problems among hemodialysis patients in a tertiary care center. Saudi Journal of Kidney Diseases and Transplantation 2012; 23(4):729-35.
  • 12. Spahbodi F, Hosseini S-H, Makhloogh A, Sadeghie O, Taghipoor M. The suicide ideations rate and its risk factors among patients under hemodialysis. Journal of Mazandaran University of Medical Sciences 2014; 23(110):110-6.
  • 13. Maung SC, El Sara A, Chapman C, Cohen D, Cukor D. Sleep disorders and chronic kidney disease. World Journal of Nephrology 2016; 5(3):224-32.
  • 14. Sabry AA, Abo-Zenah H, Wafa E, Mahmoud K, ElDahshan K, Hassan A, Abbas TM, Saleh Ael-B, Okasha K. Sleep disorders in hemodialysis patients. Saudi Journal of Kidney Diseases and Transplantation 2010; 21(2):300-5.
  • 15. Ghonemy TA, Allam HM, Elokely AM, Kadry YA, Omar HM. Chronic pain in hemodialysis patients: Role of bone mineral metabolism. Alexandria Journal of Medicine 2016; 52(4):337-42.
  • 16. Taylor R. Professional guide to signs and symptoms. 6 ed. Pennsylvania: Lippincott Williams & Wilkins; 2010.
  • 17. Bossola M, Vulpio C, Tazza L. Fatigue in chronic dialysis patients. Seminars in Dialysis 2011; 24(5):550-5.
  • 18. Jhamb M, Pike F, Ramer S, Argyropoulos C, Steel J, Dew MA, Weisbord SD, Weissfeld L, Unruh M. Impact of fatigue on outcomes in the hemodialysis (HEMO) study. American Journal of Nephrology 2011; 33(6):515-23.
  • 19. Benson H.M, Klipper MZ. The relaxation response: New York; Harper Collins, 1992.
  • 20. Molaıe E, Gharı S, Moujerloo M, Behnampour N, Sharıatı A, Aghakhanı MJ ea. The impact of sodium and ultrafiltration profiling on hemodialysis-related complications. Journal of Research Development in Nursing & Midwifery 2012; 9(2):11-9.
  • 21. Saeedi M, Ashktorab T, Saatchi K, Zayeri F, Amir Ali Akbari S. The effect of progressive muscle relaxation on sleep quality of patients undergoing hemodialysis. Iranian Journal of Critical Care Nursing 2012; 5(1):23-8.
  • 22. Yazdani J, Setareh J. Effect of benson relaxation response on stress among in hemodialysis patients. Journal of Mazandaran University of Medical Sciences 2012; 22(91):61- 8.
  • 23. Higgins JP, Green S. Cochrane Handbook for Systematic Reviews of Interventions. Chichester: John Wiley & Sons; 2011.
  • 24. Higgins JP, Altman DG, Sterne J. Assessing risk of bias in included studies. Cochrane Handbook for Systematic Reviews of Interventions. Chichester: John Wiley & Sons; 2017.
  • 25. Hassanzadeh M, Kiani F, Bouya S, Zarei M. Comparing the effects of relaxation technique and inhalation aromatherapy on fatigue in patients undergoing hemodialysis. Complementary Therapies in Clinical Practice 2018; 31:210-4.
  • 26. Otaghi M, Borji M, Bastami S, Solymanian L. The effect of Benson’s relaxation on depression, anxiety and stress in patients undergoing hemodialysis. Int J Med Res Health Sci 2016; 5(12):76-83.
  • 27. Rambod M, Pourali-Mohammadi N, Pasyar N, Rafii F, Sharif F. The effect of Benson’s relaxation technique on the quality of sleep of Iranian hemodialysis patients: A randomized trial. Complement Ther Med 2013; 21(6):577-84.
  • 28. Otaghi M, Borji M, Bastami S, Solymanian L. The Effect of Benson’s Relaxation on depression, anxiety and stress in patients undergoing hemodialysis. International Journal of Medical Research & Health Sciences 2016; 5(12):76-83.
  • 29. Mollahadi M, Tayyebi A, Ebadi A, Daneshmandi M. Comparison between anxiety, depression and stress in hemodialysis and kidney transplantation patients. Journal of Critical Care Nursing 2010; 2(4):9-10.
  • 30. Mahdavi A, Gorji MA, Gorji AM, Yazdani J, Ardebil MD. Implementing Benson’s Relaxation training in hemodialysis patients: Changes in perceived stress, anxiety, and depression. North American Journal of Medical Sciences 2018; 5(9):536-40
There are 30 citations in total.

Details

Primary Language Turkish
Journal Section Collection
Authors

Şefika Tuğba Yangöz This is me

Zeynep Karakuş Er This is me

Zeynep Özer This is me

Publication Date January 1, 2020
Published in Issue Year 2020 Volume: 6 Issue: 1

Cite

Vancouver Yangöz ŞT, Karakuş Er Z, Özer Z. Hemodiyalizle İlişkili Komplikasyonların Yönetiminde Benson Relaksasyon Yönteminin Etkisi: Randomize Kontrollü Çalışmaların Sistematik Derlemesi. Akd Med J. 2020;6(1):7-15.