The Effect of Acupressure on Uremic Pruritus in Hemodialysis Patients: A Meta-Analysis Study

Yıl 2023, Cilt: 3 Sayı: 2, 229 - 236, 11.08.2023

Seda Şahan , Sevil Güler

https://doi.org/10.58252/artukluder.1230723

Öz

Introduction: The purpose of this study was to conduct a meta-analysis to investigate the efficacy of acupressure on uremic pruritus in hemodialysis patients.
Methods: The literature was searched between September and December 2022. A literature search was carried out in the PubMed, Cochrane Library, Google Scholar, Scopus, ScienceDirect, Ovid and EBSCO databases using the keywords "Hemodialysis”, "acupressure”, "pruritus", and their combinations. The Joanna Briggs Institute’s (JBI) quality assessment scale was employed in the study. Statistical package program for meta-analysis, Comprehensive Meta-Analysis was used. The standardized mean difference (SMD) with a 95% confidence interval (CI) was calculated. The I2 value(I2=84.7) was utilized to determine the heterogeneity between the studies. The random effects model was adopted in the study due to the significant level of heterogeneity.
Results: Accordıng to the meta-analysis results, acupressure intervention to prevent pruritus in hemodialysis patients was significantly higher in the experimental group than in the control group (SMD=1.400, 95%CI:0.829-1.984, p=0.00). The meta-analysis findings based on the session revealed a very large mean effect size (Q between) of 1.152(95%CI=0.894–1.411, p=0.000).
Conclusion: Acupressure was found to be effective in reducing pruritus in hemodialysis patients.

Anahtar Kelimeler

Hemodialysis, Acupressure, Pruritus, Meta-analysis

Hemodiyaliz Hastalarında Akupresürün Kaşıntı Üzerine Etkisi: Bir Meta Analiz Çalışması

Öz

Giriş: Hemodiyaliz hastalarında akupresürün üremik kaşıntı üzerine etkisini belirlemek amacıyla bir meta analiz çalışması yapılmıştır.
Yöntem: Literatür taraması Ekim-Aralık 2022 tarihleri arasında yapılmıştır. PubMed, Cochrane Library, Google Scholar, Scopus, ScienceDirect, Ovid ve EBSCO veri tabanlarında "Hemodiyaliz", "akupresür" ve "üremik kaşıntı’’ anahtar kelimeleri ve bunların kombinasyonları kullanılarak literatür taraması yapılmıştır. Araştırmada Joanna Briggs Enstitüsü (JBI) tarafından hazırlanan kalite değerlendirme ölçeği kullanılmıştır. Meta-analiz için istatistiksel paket program Comprehensive Meta-Analysis kullanıldı. %95 güven aralığı (CI) ile standartlaştırılmış ortalama fark (SMD) hesaplanmıştır. Çalışmalar arasındaki heterojenliği belirlemek için I2 değeri kullanılmıştır (I2=84.7). Araştırmada yüksek düzeyde heterojenite nedeniyle rastgele etkiler modeli kullanılmıştır.
Bulgular: Meta-analiz sonuçlarına göre hemodiyaliz tedavisi gören hastalarda kaşıntıyı önlemek için akupresür müdahale grubunda kontrol grubuna göre anlamlı bulunmuştur (SMD=1.407, 95% CI:0.829-1.984, p=0.00). Akupresür seansına göre yapılan alt grup meta-analizin sonucunun çok güçlü ve 1,152 (%95 CI=0.894 – 1.411, p=0.000) olduğu saptanmıştır.
Sonuç: Hemodiyaliz hastalarında, akupresür üremik kaşıntıyı azaltmaktadır.

Anahtar Kelimeler

Hemodiyaliz, Akupresür, Kaşıntı, Metaanaliz

Kaynakça

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