Fatigue In Hemodialysis Patients Research Articles

Comparing the effects of relaxation technique and inhalation aromatherapy on fatigue in patients undergoing hemodialysis

This study aimed to compare the effects of relaxation techniques on fatigue in hemodialysis patients. This clinical trial study was conducted on 105 hemodialysis patients. The subjects were categorized into three groups as: relaxation, aromatherapy and control. In the relaxation group, Benson muscle relaxation techniques were employed; in the aromatherapy group, the inhalation of two drops of 5% lavender essential oil used and the control group only received regular healthcare actions. Data collected by using brief fatigue inventory, before and after the intervention. Results of the current study indicated significant differences in the mean of changes in fatigue scores before and after the intervention between the relaxation and aromatherapy groups, but the difference was insignificant in the control group. Aromatherapy with lavender essential oil can decrease the level of fatigue in the patients undergoing hemodialysis compared to Benson relaxation techniques.

The Prevalence of Fatigue in Hemodialysis Patients in Iran: A Literature Review

Background: Fatigue is now an important priority in order to minimize, reduce mortality rate, shorten the length of stay in hospitals, and dramatically decrease the medical expenses in hemodialysis patients.Method: This review aimed to determine the incidence of fatigue in hemodialysis patients in Iran. The studies conducted from 1997 to 2016 were reviewed and analyzed by the keywords namely fatigue, hemodialysis patient’s and systematic review in Pub Med, Science Direct, Scopus, and Google Scholar, Iran medex, SID, and Magiran databases.Result: The results indicated the prevalence of fatigue is different from 47 to 97.7 % considering the important role of nurses, it is essential to train nurses concerning fatigue in order to enhance their knowledge and practice about specific symptoms of fatigue in hemodialysis patients.

Studying the effect of progressive muscle relaxation technique on fatigue in hemodialysis patients – Kermanshah- Iran

Background: Renal chronic disease is a major challenge to public health all around the world. Despite the development of sundry renal replacement therapies, the patients usually complaint about disabling symptoms and low quality of life. In fact, fatigue is one of the most annoying and disabling symptoms in dialysis patients. Therefore, the present study is an attempt to determine the effect of progressive muscle relaxation technique on fatigue in hemodialysis patients. Methods: A clinical trial study to measure the effect of progressive muscle relaxation technique on fatigue in 65 hemodialysis patients in Imam Reza Hospital (Kermanshah) was carried out in 2011. The participants were grouped in experiment and control groups. The brief fatigue inventory was used for data gathering, and the data were analyzed in SPSS-16. Results: There was no significant difference between the mean changes of fatigue before and after progressive muscle relaxation in control and experiment groups (P ≥ 0.05). However, the difference between scores of fatigue before and after the intervention in the experiment group was significant (P ≤ 0.05). Conclusion: Although progressive muscle relaxation improved fatigue in the patients in the experiment group, the difference between the control and experiment groups was not significant. Failure to control some of the effective factors might be the reason for the result.

The effect of cool dialysis on pruritus and fatigue in hemodialysis patients

Background/Objectives: This study examines the effects of the cool dialysis on pruritus and fatigue in hemodialysis patients. Methods/Statistical analysis: The crossover design was used to evaluate the difference of the effects between the regular hemodialysis with 36.5°C and the cool dialysis with 35.5°Con relieving pruritus and fatigue. 37 participants received total 4 week hemodialysis consisted of the cool hemodialysis for 2 weeks after 2 week the regular hemodialysis. Findings: The results showed that the scores of pruritus were lower than those after the regular hemodialysis. Improvements/Applications: This study indicates that the cool hemodialysis is more effective on relieving pruritus and fatigue than the regular hemodialysis in hemodialysis patients.

Comparing palm Reflexology and Slow-stroke Massage on Fatigue in Hemodialysis Patients

Objective: Fatigue is one of the most disturbing and the most common symptoms reported by patients dialyzed. The aim of this study is comparing Reflexology and stroke massage on fatigue in hemodialysis patients. Methods: This study is quasi-experimental intervention. The subjects included 52 hemodialysis patients who were divided into two groups randomly. The first group received hand reflexology massage and the second group received light stroke back. The before and after of each intervention fatigue were assessed through questionnaires. Data were analyzed with independent t test, chi square test, Fisher's exact test, two-way ANOVA with repeated measures and Bonferroni test. Results: Before the intervention, there was no statistically significant differences between the two groups [p=0.878] but after the intervention fatigue in the group receiving Stroke massage was reduced significantly compared to Reflexology group (P<0.0001). Conclusion: This study showed that the use of Stroke as a nursing intervention to reduce fatigue in dialysis patients is safe, effective and affordable use.

The Prevalence of Fatigue in Hemodialysis Patients in Iran: A Literature Review

The Prevalence of Fatigue in Hemodialysis Patients in Iran: A Literature Review

PENGARUH EIGHT-FORMS OF MOVING MEDITATION TERHADAP PENURUNAN FATIQUE PADA PASIEN POST-HAEMODIALYSIS

Chronic renal failure is a major health problem in the world. The prevalence of chronic renal failure aged &gt; 15 years in West Sumatra was 0.2% for patients with hemodialysis therapy where Bukittinggi and surrounding areas were in regional Public Hospitals Dr. Achmad Mochtar. Fatigue has a high prevalence in the population of dialysis patients to overcome the fatigue is one of them is eight- forms of moving meditation relaxation technique. The aim of research to see average pre, post and decline as well as decrease fatigue of eight- forms of moving meditation to patients post-hemodialysis at Outpatient Unit Regional Public Hospital Dr. Achmad Mochtar Bukittinggi 2016. This research was conducted on July 11- 24th, 2016. The study design using Quasi-Experimental Design, in the form of Pre-Post Test One Group Design carried out for 20-30 minutes. Samples in this study were 18 people with sampling techniques is accidental sampling. Collecting data using FAS sheet, statistical tests using test formula Paired T-Test. Collecting data using FAS sheet, statistical tests using test formula Paired T-Test. This study showed that the average pre 29.917, post 25.333 and decrease of fatigue 4.5833 in post-hemodialysis patients with p value &lt;α (0.000 &lt;0.05).Conclusion that giving eight-forms of moving meditation can reduce fatigue in post-hemodialysis patients. Suggested to care institution as an input in order to make the exercise of eight-forms of moving meditation as an alternative therapy for symptoms of fatigue in hemodialysis patients.

Correction to: Psychosocial and Clinical Correlates of Fatigue in Haemodialysis Patients: the Importance of Patients' Illness Cognitions and Behaviours.

We wish to highlight a discrepancy with regards to the reported mean fatigue severity score (mean=28.3, standard deviation=6.5). Since publication we have followed this sample up over time and are currently evaluating the longitudinal trajectories of fatigue severity.

Association of Erythropoietin Resistance with Fatigue in Hemodialysis Patients: A Cross-Sectional Study

Background/Aims: Fatigue is a common symptom in patients receiving hemodialysis (HD) and is generally associated with anemia. However, it can be difficult to resolve, even when anemia has been treated using erythropoiesis-stimulating agents and iron replacement therapy. In the present study, we examined the associations of anemia, the erythropoietin resistance index (ERI) and iron deficiency with fatigue during HD. Methods: In this cross-sectional study, fatigue score was calculated on the basis of questionnaire responses in HD patients. Participants were divided into 3 groups according to their hemoglobin (Hb) levels (low, normal and high). Iron deficiency was assessed as a transferrin saturation (TSAT) of <20%. Results: We included 571 HD patients (men/women 368/203; mean age 62.2 ± 10.8 years). Among the 3 groups, fatigue scores increased significantly with decreasing Hb levels. HD patients with low Hb levels (<90 g/l) had significantly higher fatigue scores than those with higher Hb levels (≥120 g/l). In the multiple regression analysis, we showed that a high ERI (β = 0.208) and a low TSAT (β = -0.155), but not the Hb level, were significantly associated with increased fatigue score. Moreover, this was independent of age, gender and modifiable confounders linked to anemia. Even after restricting patients to those without iron deficiency (TSAT ≥20%), the ERI (β = 0.258) retained a significant and independent association with the fatigue score. Conclusion: Iron deficiency and a high ERI despite iron sufficiency may cause fatigue in HD patients.

Evaluation of Fatigue in Hemodialysis Patients in AJA Selected Hospitals

Background: Hemodialysis patients differ by the levels of negative effects on all their aspects of lives; their health care costs are high and physical, mental and social problems and fatigue, despite advances in treatment, still cause stress in these patients.

Factors related to fatigue in Chinese patients with end-stage renal disease receiving maintenance hemodialysis: a multi-center cross-sectional study

Backgroud Fatigue is considered as a common symptom in patients with end-stage renal disease (ESRD) and can significantly decrease patients’ quality of life. This study aimed to assess fatigue in hemodialysis patients and to investigate risk factors of fatigue in Chinese patients receiving maintenance hemodialysis (MHD) in China. Methods Eligible patients completed questionnaires including demographic information, a Chinese version of the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue), the Family APGAR Index (APGAR), the medical outcomes study health status-Social Functioning subscale (SF-36,SocF), and the Pittsburgh sleep quality index (PSQI). Laboratory parameters were abstracted by medical records review. The multiple linear regression model was used to relate parameters with the FACIT-Fatigue score. Results A total of 345 MHD patients (216 men and 129 women, age 55.6 ± 12.8) were recruited in this study. The score of FACIT-Fatigue was 39 (Interquartile Range, 31-44). Fatigue was correlated with PSQI scores (p < 0.001), SocF scores (p < 0.001), comorbidity (p = 0.006), exercise time <1 hour per day (p = 0.003), adequacy of dialysis (Kt/V) < 1.2 (p = 0.016), APGAR scores (p = 0.014), and high Scr (p = 0.043). Conclusions Fatigue is related to sleep disturbance, social and family functioning, taking physical exercise time, comorbidity condition, Kt/V and serum creatinine level in Chinese MHD patients. Future studies and interventions should focus on developing strategies and improving the quality of life in patients by addressing these significant contributing factors.

The Effect of Dialysate Flow Rate on Dialysis Adequacy and Fatigue in Hemodialysis Patients

In this single repeated measures study, an examination was done on the effects of dialysate flow rate on dialysis adequacy and fatigue in patients receiving hemodialysis. This study was a prospective single center study in which repeated measures analysis of variance were used to compare Kt/V urea (Kt/V) and urea reduction ratio (URR) as dialysis adequacy measures and level of fatigue at different dialysate flow rates: twice as fast as the participant's own blood flow, 500 mL/min, and 700 mL/min. Thirty-seven hemodialysis patients received all three dialysate flow rates using counterbalancing. The Kt/V (M±SD) was 1.40±0.25 at twice the blood flow rate, 1.41±0.23 at 500 mL/min, and 1.46±0.24 at 700 mL/min. The URR (M±SD) was 68.20±5.90 at twice the blood flow rate, 68.67±5.22 at 500 mL/min, and 70.11±5.13 at 700 mL/min. When dialysate flow rate was increased from twice the blood flow rate to 700 mL/min and from 500 mL/min to 700 mL/min, Kt/V and URR showed relative gains. There was no difference in fatigue according to dialysate flow rate. Increasing the dialysate flow rate to 700 mL/min is associated with a significant nicrease in dialysis adequacy. Hemodialysis with a dialysate flow rate of 700 mL/min should be considered in selected patients not achieving adequacy despite extended treatment times and optimized blood flow rate.

Effects of the Auricular Acupressure on Pruritus and Fatigue in Hemodialysis Patients

Effects of the Auricular Acupressure on Pruritus and Fatigue in Hemodialysis Patients

The effects of aromatherapy with lavender essential oil on fatigue levels in haemodialysis patients: A randomized clinical trial

ObjectiveThis study was intended to examine the efficacy of lavender essential oil for the alleviation of fatigue in haemodialysis patients. Methods and materialsThis randomized clinical trial was conducted on 59 haemodialysis patients in two groups. The routine care group received the routine care, but the experimental group inhaled lavender essence 5% for 10 min, three times a week for 4 consecutive weeks. The Fatigue Severity Scale was used to assess fatigue before the intervention and after the last intervention in the second and fourth weeks. ResultsNo statistically significant differences were observed between the two groups in terms of the fatigue scores before, and after the last intervention in the second and fourth weeks. ConclusionOur result does not support other studies suggesting that lavender essential oil is effective on fatigue in haemodialysis patients. This conflicting result can mostly be ascribed to a variety of factors such as duration of aromatherapy and differences in concentrations of lavender essential oil.

Psychosocial and Clinical Correlates of Fatigue in Haemodialysis Patients: the Importance of Patients' Illness Cognitions and Behaviours.

Fatigue is commonly experienced in end-stage kidney disease (ESKD) and is associated with poor outcomes. Currently, little research has examined the psychosocial correlates of fatigue severity and its impact on renal disease patients. We predicted that psychological factors (distress, cognitions and behaviours) would be associated with fatigue severity and impairment in ESKD patients even when controlling for clinical and disease factors. One hundred seventy-four haemodialysis patients completed the Chalder Fatigue Questionnaire (fatigue severity) and the Work and Social Adjustment Scale (fatigue-related impairment) in addition to measures evaluating distress, fatigue perceptions, symptom beliefs and behaviours. Demographic and clinical data were also collected. Fatigue severity was not related to haemoglobin levels, serum albumin or dialysis vintage. In hierarchical regression models, demographic and clinical factors explained 20% of the variance in fatigue (ethnicity, body mass index, exercise, log C-reactive protein and multimorbidity). Psychological distress (beta = 0.21, p < 0.01), negative beliefs about fatigue (beta = 0.10, p = 0.01) and unhelpful behaviours (all-or-nothing behaviour [beta = 0.28, p < 0.01] and avoidance [beta = 0.16, p < 0.01]) explained an additional 36.4% of the variance. Fatigue-related impairment was associated with psychological distress, perceptions that symptoms indicate damage, avoidance behaviour and the level of fatigue severity. Patients' mood, beliefs and behaviours are associated with fatigue in dialysis patients. Psychological interventions to alter these factors may reduce fatigue severity and fatigue-related disability in ESKD patients.

Effect of qigong training on fatigue in haemodialysis patients: A non-randomized controlled trial

Fatigue is a debilitating symptom in haemodialysis patients. Qigong presents a potentially safe modality of treatment for chronic fatigue patients but has not yet been evaluated in haemodialysis patients. The aim of this study is to investigate whether qigong exercise affects fatigue in haemodialysis patients. A 6-month non-randomized control trial with six measurement periods was conducted. The qigong group was taught to practice qigong three times per week for six months. The control group received usual routine care. Main outcome measure Fatigue, as measured by the "Haemodialysis Patients Fatigue Scale". A total of 172 patients participated in this study, with 71 patients in the qigong group and 101 patients in the control group. The results indicated that all patients experienced mild to moderate fatigue. There was no difference between the qigong and control groups in fatigue at baseline. However, fatigue was lower in the qigong group than in the control group at 8 weeks (43.5 vs. 53.9), 12 weeks (44.7 vs. 53.6), 16 weeks (43.2 vs. 50.8), 20 weeks (42 vs. 50.2), and 24 weeks (41.4 vs. 48.4). The results, based on the generalized estimating equation method, showed that fatigue was significantly lower in the qigong group than in the control group (odds ratio=0.004, p=0.005). Fatigue in the qigong group showed a continuous decrease, which was maintained until the end of data collection at 24 weeks. Thus, qigong presents a potentially effective and safe method to reduce fatigue in haemodialysis patients.

The effect of a virtual reality exercise program on physical fitness, body composition, and fatigue in hemodialysis patients.

[Purpose] The aim of the present study was to investigate the effects of a virtual reality exercise program (VREP) on physical fitness, body composition, and fatigue in hemodialysis (HD) patients with end-stage renal failure. [Subjects and Methods] A nonequivalent control group pretest-posttest design was used. Forty-six HD patients were divided into exercise (n=23) and control groups (n=23); while waiting for their dialyses, the exercise group followed a VREP, and the control group received only their usual care. The VREP was accomplished using Nintendo’s Wii Fit Plus for 40 minutes, 3 times a week for 8 weeks during the period of May 27 to July 19, 2013. Physical fitness (muscle strength, balance, flexibility), body composition (skeletal muscle mass, body fat rate, arm and leg muscle mass), and fatigue were measured at baseline and after the intervention. [Results] After the VREP, physical fitness and body composition significantly increased, and the level of fatigue significantly decreased in the exercise group. [Conclusion] These results suggest that a VREP improves physical fitness, body composition, and fatigue in HD patients. Based on the findings, VREPs should be used as a health promotion programs for HD patients.

The Effectiveness of an Educational Intervention on Fatigue in Hemodialysis Patients: A Randomized Controlled Trial

Background: Fatigue is considered as a major problem in hemodialysis patients and can impair their quality of life. The purpose of this study was to investigate the effectiveness of educational nursing intervention on fatigue in hemodialysis patients. Materials and Methods: Quasi-experimental research design was conducted in the Hemodialysis Unit at Public Fayoum Hospital. The data were collected from eighteen hemodialysis patients of both sex randomized selected who corresponded to inclusion criteria and divided into two groups: Experimental and control group (40 subjects fulfilling the inclusion criteria assigned to each group). The measures included the form of sociodemographic characteristics, and Piper Fatigue Scale. Patients in the experimental group received early intervention, while patients in the control group received routine hospital care. Results: The results of the research showed that significant differences in the total mean score of fatigue in the experimental and control groups after participation in the program (P < 0.001). Also there are significantly statistically between age, gender, duration of disease and frequency of dialysis and level of fatigue (p<0.05). Conclusion: Early intervention protocol leads to improve knowledge related to side effect of hemodialysis e.g. fatigue and reduce fatigue in hemodialysis patients. Therefore, use of this non-pharmacologic technique for hemodialysis nurses is suggested.

Relationship between fatigue and social support in hemodialysis patients

The aim of this study was to evaluate the relationship between fatigue and social support in hemodialysis patients in Turkey. This study was conducted on 73 patients receiving hemodialysis treatment in a hemodialysis unit in the province of Malatya between July and November 2011. A questionnaire consisting of 16 questions for sociodemographic and disease data was used together with the Multidimensional Scale of Perceived Social Support (MSPSS) and the Fatigue Severity Scale (FSS). In statistical evaluation, the Mann-Whitney U-test, independent t-test, Kruskal-Wallis test, and Pearson's correlation analysis were used. Correlation analysis between severity of fatigue in hemodialysis patients and social support revealed a significant relationship in the negative direction between fatigue severity and support from family (r = -0.404, P < 0.05), support from friends (r = -0.635, P < 0.05), support from a special person (r = -0.638, P < 0.05) and overall support (r = -0.643, P < 0.05). Patients with severe fatigue had low mean scores for support from family, friends, a special person and overall, whereas a high level of social support decreased the level of fatigue. When giving care to patients on hemodialysis, nurses should consider the effect of social support on fatigue and approach their patients from this perspective.

단전호흡이 혈액투석환자의 우울, 불안 및 피로에 미치는 효과

본 연구는 J도에 소재한 2개 의료기관에서 주 1회 이상 혈액투석을 받고 있는 환자로서 1회 60분씩, 주 2회, 12주간 단전호흡 프로그램을 적용한 실험군 18명과 대조군 19명을 대상으로 비동등성 대조군 전-후 설계의 유사실험연구(Quasi-experimental design)이다. 단전호흡 프로그램이 혈액투석환자의 우울과 불안 및 피로에 미치는 효과를 규명하고자 우울(Zung, 1965)과 불안(Spielberger, 1975) 그리고 피로(Lee, Hick and Nino-Murcia, 1991)도구를 사용하여 종속변수를 측정하였으며, 간호중재로서의 가능성을 검증하였다. 연구결과, 단전호흡 프로그램을 실험처치한 실험군에서는 대조군보다 우울과 불안 정도의 감소는 통계적으로 유의하였으나 피로 정도 감소에는 유의하지 않았다. 따라서 단전호흡 프로그램은 만성질환자인 혈액투석환자의 우울과 불안을 감소시킬 수 있는 간호중재로 활용할 수 있을 것으로 사료된다. This study was performed to examine the effects of Dan Jeon Breathing on depression, anxiety and fatigue of hemodialysis patients. This study used the nonequivalent control group pretest-posttest design. Before applying the Dan Jeon Breathing program, the patients were divided into the experimental group and the control group, respectively, and were requested to report their self-ratings to measure their depression, anxiety and fatigue. The Dan Jeon Breathing program was given to both groups for 60 minutes a day and 2 times a week for 12 weeks. The data collected from the program were analysed by means of <TEX>${\chi}^2$</TEX> test, Fisher's exact probability test, Shapiro-Wilk, t-test and Mann-Whitney U test. The analyses revealed that the depression (t=-2.459, <TEX>${\rho}$</TEX>=.019) and anxiety (t=-2.541, <TEX>${\rho}$</TEX>=.016) levels of the experimental group decreased after Dan Jeon Breathing compared to those of the control group. The difference in fatigue level was statistically insignificant (Z=-1.871, <TEX>${\rho}$</TEX>=.061), though. From the above results, it was verified that Dan Jeon Breathing could be used as nursing intervention for hemodialysis patients to mitigate their depression and anxiety.