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Hemodiyaliz Hastalarında Semptom Yönetiminde Tamamlayıcı ve İntegratif Yaklaşımlar: Sistematik Bir Derleme

Yıl 2021, Cilt: 8 Sayı: 3, 252 - 268, 31.12.2021
https://doi.org/10.31125/hunhemsire.1050308

Öz

Amaç: Bu sistematik derleme, tamamlayıcı ve integratif yaklaşımların hemodiyaliz hastalarının semptomlarına etkilerini değerlendirmek amacıyla yapılmıştır.
Gereç ve Yöntem: Bu derleme, Cochrane Sistematik Derleme Rehberi temel alınarak yapılandırılmıştır. Konuyla ilgili tam metinler Cochrane, PubMed, ScienceDirect, Türk Medline ve ULAKBİM Tıp’ı içeren beş veri tabanı üzerinden 01.01.2010-01.08.2020 tarihleri arasında yapılan çalışmalar taranmıştır. Kriterleri karşılayan otuz bir çalışma dahil edilmiştir.
Bulgular: Derleme kapsamına alınan, hemodiyaliz hastalarında yürütülen çalışma bulgularına göre, hastaların semptom yönetiminde akupunktur (n=3), aromaterapi masajı (n=4), Benson gevşeme tekniği (n=9), masaj (n=5), meditasyon (n=1), progresif gevşeme egzersizi (n=3) ve refleksoloji (n=6) gibi yaklaşımların uygulandığı görülmüştür. Çalışmaların çoğunun (n=21) İran’da yürütüldüğü, randomize kontrollü (n=27) ve yarı-deneysel (n=4) tasarıma sahip olduğu görülmüştür. Araştırmaların yorgunluk (n=15), stres, anksiyete, depresyon (n=9), uyku sorunları (n=5) ve ağrı (n=5) gibi semptomlara yoğunlaştığı belirlenmiştir. Araştırmaların çoğunda (n=30, %96,8) hemodiyaliz hastalarının semptom puanlarında anlamlı düzeyde azalma olduğu bildirilmiştir.
Sonuç: Bu çalışmada tamamlayıcı ve integratif yaklaşımların etkilerini doğrulayan yeni randomize kontrollü araştırmaların yapılması ve elde edilen sonuçlar doğrultusunda bu yaklaşımların hemodiyaliz semptomlarını hafifletmede yaygınlaştırılması önerilmiştir.

Kaynakça

  • 1. Akyol Güner T, Erdoğan Z, Özdemir B, Çoban G, Aksu N. Kronik böbrek yetmezliği hastalarının bakım vericilerinin yaşam kalitesi. Nefroloji Hemşireliği Dergisi. 2018;13(2):91-7.
  • 2. Lukela JR, Harrison RV, Jimbo M, Mahallati A, Saran R, Sy AZ. UMHS Chronic Kidney Disease Guidelines. Michigan: 2019. Management of chronic kidney disease; p. 21-34.
  • 3. Varol E, Karaca Sivrikaya S. Kronik böbrek yetmezliğinde yaşam kalitesi ve hemşirelik. DÜ Sağlık Bil Enst Derg. 2018;8(2):89-96.
  • 4. Süleymanlar G, Altıparmak M, Seyahi N. Türkiye’de nefroloji, diyaliz ve transplantasyon. Ankara: Miki Matbaacılık; 2019. Hemodiyaliz; s. 7-28.
  • 5. Himmelfarb J, Ikizler TA. Hemodialysis. N Engl J Med. 2010;363(19):1833-45.
  • 6. Tuna D, Ovayolu N, Kes D. Hemodiyaliz hastalarında sık karşılaşılan problemler ve çözüm önerileri. Nefroloji Hemşireği Dergisi. 2018;13(1):17-25.
  • 7. Flythe JE, Powell JD, Poulton CJ, Westreich KD, Handler L, Reeve BB, et al. Patient-reported outcome ınstruments for physical symptoms among patients receiving maintenance dialysis: A systematic review. Am J Kidney Dis.2015;66:1033–46.
  • 8. Flythe JE, Hilliard T, Lumby E, Castillo G, Orazi J, Abdel-Rahman EM, et al. Fostering ınnovation in symptom management among hemodialysis patients. Clin J Am Soc.Nephrol.2019;14:150-60.
  • 9. Flythe JE, Hilliard T, Castillo G, Ikeler K, Orazi, J, Abdel-Rahman EM, et al. Symptom prioritization among adults receiving in-center hemodialysis. Clin J Am Soc Nephrol. 2018;13:735–45.
  • 10. Ovayolu N, Ovayolu Ö, Güngörmüş Z, Karadağ G. Böbrek yetmezliğinde tamamlayıcı tedaviler. Nefroloji Hemşireliği Dergisi. 2015;10(1):40-6.
  • 11. Rao A, Phaneendra D, Pavani CD, Soundararajan P, Rani NV, Thennarasu P, et al. Usage of complementary and alternative medicine among patients with chronic kidney disease on maintenance hemodialysis. J Pharm Bioallied Sci. 2016;8(1):52-7.
  • 12. Jeon HO, Kim BH, Kim O. Illness uncertainty and complementary and alternative medicine use in patients undergoing hemodialysis. Nurs Health Sci. 2019;21(3):375-81.
  • 13. Balouchi A, Masinaeinezhad N, Abdallahimohammad A, Firouzkouhi M, Sepehri Z. Comparison of effects of orange and lavender extract on fatigue in hemodialysis patients. Der Pharmacia Lettre. 2016;8(7):148-52.
  • 14. Bouya S, Ahmadidarehsima S, Badakhsh M, Balouchi A. Effect of aromatherapy interventions on hemodialysis complications: A systematic review. Complementary Therapies in Clinical Practice. 2018;32:130-8.
  • 15. Higgins J, Altman D, Sterne J. Cochrane handbook for systematic reviews of interventions version 5.1.0. Higgins JPT, Green S, editors. Assessing risk of bias in included studies. The Cochrane Collaboration; 2011.
  • 16. Hadadian F, Sohrabi N, Farokhpayam M, Farokhpayam H, Towhidi F, Fayazi S, et al. The effects of transcutaneous electrical acupoint stimulation (TEAS) on fatigue in haemodialysis patients. J Clin Diagn Res. 2016;10(9):1-4.
  • 17. Kılıç Akça N, Taşcı S. Acupressure and transcutaneous electrical acupoint stimulation for improving uremic pruritus: A randomized, controlled trial. Alternative Therapies. 2016;22(3):18-24.
  • 18. Tsai MY, Wu CH, Huang YC, Chen SY, Ng HY, Su YJ, et al. Treatment of intradialytic hypotension with an herbal acupoint therapy in hemodialysis patients: A randomized pilot study. Complementary Therapies in Medicine. 2018;38(2018):67-73.
  • 19. Shahgholian N, Dehghan M, Mortazavi M, Gholami F, Valiani M. Effect of aromatherapy on pruritus relief in hemodialysis patients. Iran J Nurs Midwifery Res. 2010;15(4):240-44.
  • 20. Biçer S, Ünsal A, Demir G. The effect of aromatherapy massage applied to facial area upon headache severity among patients who suffered from headache during hemodialysis. International Journal of Caring Sciences. 2015;8(3):722-28.
  • 21. 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(2020):101-36.
  • 22. Varaei S, Jalalian Z, Nejad MSY, 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 Integrative Medicine. (in press). 2020. https://doi.org/10.1515/jcim-2018-0137
  • 23. Mahdavi A, Gorji MAH, Gorji AMH, Yazdani J, Ardebil MD. Implementing Benson's relaxation training in hemodialysis patients: Changes in perceived stress, anxiety, and depression. N Am J Med Sci. 2013;5(9):536-40.
  • 24. Gorji MAH, Davanloo AA, Heidarigorji AM. The efficacy of relaxation training on stress, anxiety, and pain perception in hemodialysis patients. Indian J Nephrol. 2014;24(6):356-61.
  • 25. 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. Complementary Therapies in Medicine. 2013;21(6):577-84.
  • 26. 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 hemodialysis patients: A randomized controlled trial. International Journal of Nursing Studies. 2014;51(7):964-73.
  • 27. Koushan M, Rakhshani MH, Mohsenpour M, Heshmatifar N. The effect of Benson relaxation response hemodialysis patients’ fatigue. JSUMS. 2014;20(5):757-65.
  • 28. Heshmatifar N, Sadeghi H, Mahdavi A, Nakhaie MRS, Rakhshani MH. The effect of Benson relaxation technique on depression in patients undergoing hemodialysis. JBUMS. 2015;17(8):34-40.
  • 29. 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.
  • 30. 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(2018):210-4.
  • 31. Meawad Elsayed EB. The effect of Benson's relaxation technique on anxiety, depression and sleep quality of elderly patients undergoing hemodialysis. International Journal of Nursing Didactics. 2019;09(02):23-31.
  • 32. Hasankhani H, Ghaderi F, Lakdizaji S, Nahamin M. The effect of the slow-stroke back massage on fatigue of dialyzed patients. Intl. Res. J. Appl. Basic. Sci. 2013;4(10);3004-8.
  • 33. Mortazavi H, Arian M, Ebrahimi H, Tabatabaeichehr M, Binesh M, Varvani FA. Effects of effleurage massage on intensity of physiological stress associated with the treatment in hemodialysis patients. Repository of Research and Investigative Information. 2016;11(1);24-31.
  • 34. Mastnardo D, Lewis JM, Hall K, Sullivan CM, Cain K, Theurer J, et al. Intradialytic massage for leg cramps among hemodialysis patients: A pilot randomized controlled trial. Int J Ther Massage Bodywork. 2016;9(2):3-8.
  • 35. Ünal KS, Balcı Akpınar R. The effect of foot reflexology and back massage on hemodialysis patients' fatigue and sleep quality. Complementary Therapies in Clinical Practice. 2016;24(2016):139-44.
  • 36. 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):1-6.
  • 37. Thomas Z, Novak M, Platas SGT, Gautier M, Holgin AP, Fox R, et al. Brief mindfulness meditation for depression and anxiety symptoms in patients undergoing hemodialysis: A pilot feasibility study. CJASN. 2017;12 (12):2008-15.
  • 38. Bassirimoghadam M, Madadkardehkordi S, Mohammadpour A. Effect of progressive muscle relaxation technique on fatigue inpatients undergoing hemodialysis. Preventive Care in Nursing Midwifery Journal. 2014;3(2):24-32.
  • 39. Amini E, Goudarzi I, Masoudi R, Ahmadi A, Momeni A. Effect of progressive muscle relaxation and aerobic exercise on anxiety, sleep quality, and fatigue in patients with chronic renal failure undergoing hemodialysis. IJPCR. 2016;8(12):1634-39.
  • 40. Kaplan Serin E, Ovayolu N, Ovayolu Ö. The effect of progressive relaxation exercises on pain, fatigue, and quality of life in dialysis patients. Holistic Nursing Practice. 2020;34(2):121-8.
  • 41. Özdemir G, Ovayolu N, Ovayolu Ö. The effect of reflexology applied on haemodialysis patients with fatigue, pain and cramps. International Journal of Nursing Practice. 2013;19(3):265-73.
  • 42. Aliasgharpour M, Nejati S, Hasani SA, Saatchi K, Kazemnejad A. Comparison of foot and hand reflexology on fatigue in patients undergoing hemodialysis. Health Breeze. 2014;3(2):9-15.
  • 43. Roshanravan M, Jouybari L, Bahrami TH, Vakili M, Sanagoo A, Amini Z. Effect of foot reflexology on fatigue in patients undergoing hemodialysis: A sham-controlled randomized trial. J Mazandaran Univ Med Sci. 2016;26(137):32-41.
  • 44. Izadpanah AM, Hadavi M, Bahrami THR. The effect of foot reflexology on severity of fatigue in hemodialysis patients. Journal of Sabzevar University of Medical Sciences. 2018;25(4):581-90.
  • 45. Emamverdi M, Mohammadpour A, Badiee AS, Sajjadi M. Comparing the effects of reflexology massage and acupressure on the quality of sleep in hemodialysis patients: A randomized clinical trial. Journal of Mazandaran University of Medical Sciences. 2019;29(176):34-46.
  • 46. Naseri SV, 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(2019):29-33.
  • 47. Kurt B, Kapucu S. Meme kanserli hastalarda progresif gevşeme egzersizlerinin kemoterapi semptomlarına etkisi: Literatür derlemesi. Mersin Univ Saglık Bilim Derg. 2018;11(2):235-49.
  • 48. Bagheri Nesami M, Mohseni Bandpei AM, Masoud Shayesteh A. The effect of Benson relaxation technique on rheumatoid arthritis patients: Extended report. Int J Nurs Pract. 2006;12(4):214-9.
  • 49. Fayazi S, Shariati AAA, Momeni M. The efficacy of Benson’s relaxation technique on postoperative pain in coronary artery bypasses graft. Jundishapur Scientific Medical Journal. 2010;8(4):479-89.
  • 50. Ngo TH. Review of the effects of mindfulness meditation on mental and physical health and its mechanisms of action. Sante Ment Que. 2013;38(2):19-34.
  • 51. Liao IC, Wang MY, Chung YC, Tsai PS. Effects of Swedish massage on blood pressure lowering in patients with pre-hypertension and stage-I hypertension: A preliminary study. Airiti Library. 2016;18(2):11-23.
  • 52. Metin ZG, Ozdemir L. Using aromatherapy and reflexology for pain and fatigue management in rheumatoid arthritis. Journal of Education and Research in Nursing. 2016;13(1):276-82.

Complementary and Integrative Approaches to Symptom Management in Patients Undergoing Hemodialysis: A Systematic Review

Yıl 2021, Cilt: 8 Sayı: 3, 252 - 268, 31.12.2021
https://doi.org/10.31125/hunhemsire.1050308

Öz

Aim: This systematic review aimed to evaluate the effects of complementary and integrative approaches on symptoms of patients undergoing hemodialysis.
Material and Methods: The review was structured on the basis of the Cochrane Systematic Review Guide. Five databases, including Cochrane, PubMed, Science Direct, Turk Medline, and ULAKBIM, were searched for relevant full-text articles between 01.01.2010 and 01.08.2020. Thirty-one studies meeting the criteria were included.
Results: According to the study findings included in the review; acupuncture (n=3), aromatherapy massage (n=4), Benson relaxation technique (n=9), massage (n=5), meditation (n=1), progressive relaxation exercises (n=3), and reflexology (n=6) were used in symptom management of patients undergoing hemodialysis. It was determined that most of the studies (n=21) were conducted in Iran and had a randomized controlled (n=27) and quasi-experimental design (n=4). The studies focused on symptoms including fatigue (n=15), stress, anxiety, and depression (n=9), sleep problems (n=5), and pain (n=5). Most of the studies (n=30, 96.8%) reported that a significant decrease in symptom scores of patients undergoing hemodialysis.
Conclusion: This review recommends conducting new randomized controlled studies to confirm the effects of complementary and integrative approaches and expand these approaches to alleviate hemodialysis symptoms in line with the results obtained.

Kaynakça

  • 1. Akyol Güner T, Erdoğan Z, Özdemir B, Çoban G, Aksu N. Kronik böbrek yetmezliği hastalarının bakım vericilerinin yaşam kalitesi. Nefroloji Hemşireliği Dergisi. 2018;13(2):91-7.
  • 2. Lukela JR, Harrison RV, Jimbo M, Mahallati A, Saran R, Sy AZ. UMHS Chronic Kidney Disease Guidelines. Michigan: 2019. Management of chronic kidney disease; p. 21-34.
  • 3. Varol E, Karaca Sivrikaya S. Kronik böbrek yetmezliğinde yaşam kalitesi ve hemşirelik. DÜ Sağlık Bil Enst Derg. 2018;8(2):89-96.
  • 4. Süleymanlar G, Altıparmak M, Seyahi N. Türkiye’de nefroloji, diyaliz ve transplantasyon. Ankara: Miki Matbaacılık; 2019. Hemodiyaliz; s. 7-28.
  • 5. Himmelfarb J, Ikizler TA. Hemodialysis. N Engl J Med. 2010;363(19):1833-45.
  • 6. Tuna D, Ovayolu N, Kes D. Hemodiyaliz hastalarında sık karşılaşılan problemler ve çözüm önerileri. Nefroloji Hemşireği Dergisi. 2018;13(1):17-25.
  • 7. Flythe JE, Powell JD, Poulton CJ, Westreich KD, Handler L, Reeve BB, et al. Patient-reported outcome ınstruments for physical symptoms among patients receiving maintenance dialysis: A systematic review. Am J Kidney Dis.2015;66:1033–46.
  • 8. Flythe JE, Hilliard T, Lumby E, Castillo G, Orazi J, Abdel-Rahman EM, et al. Fostering ınnovation in symptom management among hemodialysis patients. Clin J Am Soc.Nephrol.2019;14:150-60.
  • 9. Flythe JE, Hilliard T, Castillo G, Ikeler K, Orazi, J, Abdel-Rahman EM, et al. Symptom prioritization among adults receiving in-center hemodialysis. Clin J Am Soc Nephrol. 2018;13:735–45.
  • 10. Ovayolu N, Ovayolu Ö, Güngörmüş Z, Karadağ G. Böbrek yetmezliğinde tamamlayıcı tedaviler. Nefroloji Hemşireliği Dergisi. 2015;10(1):40-6.
  • 11. Rao A, Phaneendra D, Pavani CD, Soundararajan P, Rani NV, Thennarasu P, et al. Usage of complementary and alternative medicine among patients with chronic kidney disease on maintenance hemodialysis. J Pharm Bioallied Sci. 2016;8(1):52-7.
  • 12. Jeon HO, Kim BH, Kim O. Illness uncertainty and complementary and alternative medicine use in patients undergoing hemodialysis. Nurs Health Sci. 2019;21(3):375-81.
  • 13. Balouchi A, Masinaeinezhad N, Abdallahimohammad A, Firouzkouhi M, Sepehri Z. Comparison of effects of orange and lavender extract on fatigue in hemodialysis patients. Der Pharmacia Lettre. 2016;8(7):148-52.
  • 14. Bouya S, Ahmadidarehsima S, Badakhsh M, Balouchi A. Effect of aromatherapy interventions on hemodialysis complications: A systematic review. Complementary Therapies in Clinical Practice. 2018;32:130-8.
  • 15. Higgins J, Altman D, Sterne J. Cochrane handbook for systematic reviews of interventions version 5.1.0. Higgins JPT, Green S, editors. Assessing risk of bias in included studies. The Cochrane Collaboration; 2011.
  • 16. Hadadian F, Sohrabi N, Farokhpayam M, Farokhpayam H, Towhidi F, Fayazi S, et al. The effects of transcutaneous electrical acupoint stimulation (TEAS) on fatigue in haemodialysis patients. J Clin Diagn Res. 2016;10(9):1-4.
  • 17. Kılıç Akça N, Taşcı S. Acupressure and transcutaneous electrical acupoint stimulation for improving uremic pruritus: A randomized, controlled trial. Alternative Therapies. 2016;22(3):18-24.
  • 18. Tsai MY, Wu CH, Huang YC, Chen SY, Ng HY, Su YJ, et al. Treatment of intradialytic hypotension with an herbal acupoint therapy in hemodialysis patients: A randomized pilot study. Complementary Therapies in Medicine. 2018;38(2018):67-73.
  • 19. Shahgholian N, Dehghan M, Mortazavi M, Gholami F, Valiani M. Effect of aromatherapy on pruritus relief in hemodialysis patients. Iran J Nurs Midwifery Res. 2010;15(4):240-44.
  • 20. Biçer S, Ünsal A, Demir G. The effect of aromatherapy massage applied to facial area upon headache severity among patients who suffered from headache during hemodialysis. International Journal of Caring Sciences. 2015;8(3):722-28.
  • 21. 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(2020):101-36.
  • 22. Varaei S, Jalalian Z, Nejad MSY, 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 Integrative Medicine. (in press). 2020. https://doi.org/10.1515/jcim-2018-0137
  • 23. Mahdavi A, Gorji MAH, Gorji AMH, Yazdani J, Ardebil MD. Implementing Benson's relaxation training in hemodialysis patients: Changes in perceived stress, anxiety, and depression. N Am J Med Sci. 2013;5(9):536-40.
  • 24. Gorji MAH, Davanloo AA, Heidarigorji AM. The efficacy of relaxation training on stress, anxiety, and pain perception in hemodialysis patients. Indian J Nephrol. 2014;24(6):356-61.
  • 25. 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. Complementary Therapies in Medicine. 2013;21(6):577-84.
  • 26. 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 hemodialysis patients: A randomized controlled trial. International Journal of Nursing Studies. 2014;51(7):964-73.
  • 27. Koushan M, Rakhshani MH, Mohsenpour M, Heshmatifar N. The effect of Benson relaxation response hemodialysis patients’ fatigue. JSUMS. 2014;20(5):757-65.
  • 28. Heshmatifar N, Sadeghi H, Mahdavi A, Nakhaie MRS, Rakhshani MH. The effect of Benson relaxation technique on depression in patients undergoing hemodialysis. JBUMS. 2015;17(8):34-40.
  • 29. 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.
  • 30. 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(2018):210-4.
  • 31. Meawad Elsayed EB. The effect of Benson's relaxation technique on anxiety, depression and sleep quality of elderly patients undergoing hemodialysis. International Journal of Nursing Didactics. 2019;09(02):23-31.
  • 32. Hasankhani H, Ghaderi F, Lakdizaji S, Nahamin M. The effect of the slow-stroke back massage on fatigue of dialyzed patients. Intl. Res. J. Appl. Basic. Sci. 2013;4(10);3004-8.
  • 33. Mortazavi H, Arian M, Ebrahimi H, Tabatabaeichehr M, Binesh M, Varvani FA. Effects of effleurage massage on intensity of physiological stress associated with the treatment in hemodialysis patients. Repository of Research and Investigative Information. 2016;11(1);24-31.
  • 34. Mastnardo D, Lewis JM, Hall K, Sullivan CM, Cain K, Theurer J, et al. Intradialytic massage for leg cramps among hemodialysis patients: A pilot randomized controlled trial. Int J Ther Massage Bodywork. 2016;9(2):3-8.
  • 35. Ünal KS, Balcı Akpınar R. The effect of foot reflexology and back massage on hemodialysis patients' fatigue and sleep quality. Complementary Therapies in Clinical Practice. 2016;24(2016):139-44.
  • 36. 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):1-6.
  • 37. Thomas Z, Novak M, Platas SGT, Gautier M, Holgin AP, Fox R, et al. Brief mindfulness meditation for depression and anxiety symptoms in patients undergoing hemodialysis: A pilot feasibility study. CJASN. 2017;12 (12):2008-15.
  • 38. Bassirimoghadam M, Madadkardehkordi S, Mohammadpour A. Effect of progressive muscle relaxation technique on fatigue inpatients undergoing hemodialysis. Preventive Care in Nursing Midwifery Journal. 2014;3(2):24-32.
  • 39. Amini E, Goudarzi I, Masoudi R, Ahmadi A, Momeni A. Effect of progressive muscle relaxation and aerobic exercise on anxiety, sleep quality, and fatigue in patients with chronic renal failure undergoing hemodialysis. IJPCR. 2016;8(12):1634-39.
  • 40. Kaplan Serin E, Ovayolu N, Ovayolu Ö. The effect of progressive relaxation exercises on pain, fatigue, and quality of life in dialysis patients. Holistic Nursing Practice. 2020;34(2):121-8.
  • 41. Özdemir G, Ovayolu N, Ovayolu Ö. The effect of reflexology applied on haemodialysis patients with fatigue, pain and cramps. International Journal of Nursing Practice. 2013;19(3):265-73.
  • 42. Aliasgharpour M, Nejati S, Hasani SA, Saatchi K, Kazemnejad A. Comparison of foot and hand reflexology on fatigue in patients undergoing hemodialysis. Health Breeze. 2014;3(2):9-15.
  • 43. Roshanravan M, Jouybari L, Bahrami TH, Vakili M, Sanagoo A, Amini Z. Effect of foot reflexology on fatigue in patients undergoing hemodialysis: A sham-controlled randomized trial. J Mazandaran Univ Med Sci. 2016;26(137):32-41.
  • 44. Izadpanah AM, Hadavi M, Bahrami THR. The effect of foot reflexology on severity of fatigue in hemodialysis patients. Journal of Sabzevar University of Medical Sciences. 2018;25(4):581-90.
  • 45. Emamverdi M, Mohammadpour A, Badiee AS, Sajjadi M. Comparing the effects of reflexology massage and acupressure on the quality of sleep in hemodialysis patients: A randomized clinical trial. Journal of Mazandaran University of Medical Sciences. 2019;29(176):34-46.
  • 46. Naseri SV, 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(2019):29-33.
  • 47. Kurt B, Kapucu S. Meme kanserli hastalarda progresif gevşeme egzersizlerinin kemoterapi semptomlarına etkisi: Literatür derlemesi. Mersin Univ Saglık Bilim Derg. 2018;11(2):235-49.
  • 48. Bagheri Nesami M, Mohseni Bandpei AM, Masoud Shayesteh A. The effect of Benson relaxation technique on rheumatoid arthritis patients: Extended report. Int J Nurs Pract. 2006;12(4):214-9.
  • 49. Fayazi S, Shariati AAA, Momeni M. The efficacy of Benson’s relaxation technique on postoperative pain in coronary artery bypasses graft. Jundishapur Scientific Medical Journal. 2010;8(4):479-89.
  • 50. Ngo TH. Review of the effects of mindfulness meditation on mental and physical health and its mechanisms of action. Sante Ment Que. 2013;38(2):19-34.
  • 51. Liao IC, Wang MY, Chung YC, Tsai PS. Effects of Swedish massage on blood pressure lowering in patients with pre-hypertension and stage-I hypertension: A preliminary study. Airiti Library. 2016;18(2):11-23.
  • 52. Metin ZG, Ozdemir L. Using aromatherapy and reflexology for pain and fatigue management in rheumatoid arthritis. Journal of Education and Research in Nursing. 2016;13(1):276-82.
Toplam 52 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Hacer Eroğlu Bu kişi benim 0000-0002-4708-8447

Zehra Gök Metin Bu kişi benim 0000-0003-0311-9982

Yayımlanma Tarihi 31 Aralık 2021
Gönderilme Tarihi 8 Kasım 2020
Yayımlandığı Sayı Yıl 2021 Cilt: 8 Sayı: 3

Kaynak Göster

Vancouver Eroğlu H, Gök Metin Z. Hemodiyaliz Hastalarında Semptom Yönetiminde Tamamlayıcı ve İntegratif Yaklaşımlar: Sistematik Bir Derleme. HUHEMFAD. 2021;8(3):252-68.