نوع مقاله : مقاله پژوهشی
نویسندگان
1 گروه آموزشی پرستاری،دانشکده پرستاری مامایی،دانشگاه علوم پزشکی بیرجند،ایران
2 کارشناس ارشد پرستاری داخلی جراجی،عضو هیات علمی دانشکده پرستاری،مامایی، دانشگاه علوم پزشکی بیرجند، بیرجند،ایران
3 کارشناس ارشد پرستاری داخلی جراجی،عضو هیات علمی دانشکده پرستاری ،مامایی، دانشگاه علوم پزشکی بیرجند، بیرجند،ایران
چکیده
زمینه وهدف :تهوع یکی از عوارض شایع همودیالیز است تهوع، اثرات نامطلوبی بر سطح کفایت همودیالیز که شاخص مهم مرگ ومیر در این بیماران به شمار میرود، دارد. در بیماران همودیالیزی یکی از عللی که بیماران دیالیزی تهوع را تجربه می کنند سطح کفایت دیالیز انجام شده برای آنان است. لذا این مطالعه با هدف بررسی تأثیر تکنیک آرام سازی عضلانی بر تهوع و کفایت دیالیز بیماران تحت درمان با همودیالیز انجام شد.
روش: این مطالعه یک مطالعه تجربی که45 بیمار همودیالیزی درگروه کنترل و 44 بیمار درگروه مداخله از بیمارستان های گناباد و زاهدان در سال های 94-1393درآن شرکت داشتند. نمونه ها به صورت تخصیص تصادفی در دو گروه کنترل و مداخله قرار گرفتند.تکنیک آرام سازی عضلانی به گروه آزمون آموزش داده واجرا شد. نتایج حاصل با نرم افزار SPSS نسخه 21 و با استفاده از آزمون های آماری کای اسکوئر، تی مستقل و من ویتنی در سطح معنی داری کمتر از 05/0 مورد تجزیه و تحلیل قرار گرفت.
یافته ها: اختلاف میانگین بین کفایت دیالیز بعداز مداخله در گروه آزمون،با توجه به آزمون آماری تی زوجی معناداربود(009/0=p).:سطح کفایت دیالیز در گروه آزمون قبل مداخله 39/0±35/1 و بعدمداخله0 و 43/0±50/1 بود. وامانتیجه آزمون آماری ویلکاکسون درخصوص مقایسه شدت تهوع قبل(04/1±22/0)و بعد از مداخله در گروه آزمون تفاوت)15/0±02/( آماری معناداری نشان نداد (65/0=p)،
نتیجه گیری:
با توجه به نتایج این مطالعه، میتوان بیان کرد که آموزش و اجرای تکنیک آرامسازی عضلانی بنسون باعث کاهش میزان تهوع و افزایش کفایت دیالیز بیماران تحت درمان با همودیالیز میشود.
کلیدواژه‌ها
موضوعات
عنوان مقاله [English]
The effect of muscle relaxation on nausea and dialysis adequacy in hemodialysis patient
نویسندگان [English]
- fateme biabani 1
- Manijeh Moghrrab 2
- Marzieh Nasirizadeh 3
1 MSc in nursing, facualty member of nursing department, , Birjand University of Medical Sciences, Birjand, Iran.
2 MSc in nursing, facualty member of nursing department, , Birjand University of Medical Sciences, Birjand, Iran.
3 MSc in nursing, facualty member of nursing department, Birjand University of Medical Sciences, Birjand, Iran.
چکیده [English]
Aims:Hemodialysis patients experience in during the hemodialysis levels of nausea it’s affected on adequacy dialysis. This study performed with the aim assessing the effect of muscle relaxation on nausea and dialysis adequacy in hemodialysis patients.
Methods:This two grouped experimental controlled trial was conducted on 90 hemodialysis patients as the control case group from Gonabad and zahedan hospitals in 2015. For whom Benson muscle relaxation performed in their home after the initial training by the researcher, for 15-20 minutes, twice a day during one month. Nausea and dialysis adequacy evaluated before and after the intervention in both groups. The collected data were analyzed using independent t-test, chi-square and Mann-Whitney U tests through SPSS software version 21. The p-value was considered significant at 0.05 levels.
Results: The mean scores of nausea and adequacy dialysis in case group, before the intervention, were 0.22±1.04 and 1.35±0.39 which nausea received to 0.02±0.15 and adequacy dialysis1.50±0.43 after the intervention. Wilcoxon test showed This difference was not significant in nausea (p=0.65), but result t paired showed it was significant in adequacy dialysis (p=0.003).
Conclusion: Muscle Benson relaxation can be considered as a cost effective, simple and secure way to increase adequacy dialysis in the hemodialysis patients.
کلیدواژه‌ها [English]
- "Muscle relaxation"
- "nausea"
- "KT/V"
2- Parvan K, AbdollahZadeh F, Ghojazadeh M, Ahangar R. Stressors and Methods of Coping with Stress in Peritoneal Dialysis Patients. Nurs Midwifery Journal 2010; 5(17): 34-41. )Persian(
3- Monfared A, Safaei A, Panahandeh Z, Nemati L. Incidence of end-stage renal disease in Guilan Province, Iran, 2005 to 2007. Iran J Kidney Dis. 2009; 3(4): 239-41. )Persian(
4. Singh AK, Brenner BM. Dialysis in the treatment of renal failure. In: Stone RM, Harrison TR,editors. Harrison's principles of internal medicine.16thed. New York: McGraw-Hill Professional;2004. P. 1664-5.
5.Smeltzer SC, Bare GB. Brunner and Suddarth’s textbook of medical surgical nursing. 11 th ed. Philadelphia:Lippincott; 2008; 1326-34.
6. Chong VH, Tan J. Prevalence of gastrointestinal and psychosomatic symptoms among Asian patients undergoing regular hemodialysis. Nephrology. 2013;18:97–103.
7. Mirzaei DR, Azimian M. Neurological complications of hemodialysis in hemodialysis patients. Iran J Neurosurg. 2009;8:458–464.
8. Discovering Dialysis a manual for kidney and dialysis patients. Renal Failure and Dialysis. http://www.kidneyfoundation.com. Accessed September 4, 2011.
9. Abbasi M. Dialysis and kidney transplantation.Tehran. Heidari publishers; 2010. (Persian)
10 Claudia B, Walter B, Daneiela G, ThamasK,Wolfagang R, Ralf S. Characteristics ofhypotension-pron hemodialysis patient: iscritical relative blood volume. Nefrol Dial Transplant 2003; 18(1): 1353-1360
11.Hojjat, M., Hemodialysis adequacy in patients with chronic renal failure. Nursing critical carejournal, 1388. 2(2): p. 61-62
12. Aghili, M., et al., Dialysis in Iran Iranian Journal of kidney disease January 2008. 2(1): p. 11-15
13. Borzou SR, Gholiaf M, Amini R, Zandieh M, Torkman B. The effect of increasing blood flow rate on dialysis adequacy in hemodialysis patients. Shahrekord University of Medical SciencesJournal 2006; 8(2): 60-66. (Persian)
14. AbediSamakoosh M, Aghaie N. Gholami F, Shirzad M, Yosefi E, TeymoorzadehBaboli M. Assesment Dialysis Adequacy in Hemodialysis Patients of QaemsharRazi Hospital in 2012. J MazandUniv Med Sci 2013; 23(107): 20-27 (Persian).
15. Kim YO, Song WJ, Yoon SA, Shin MJ, Song GC, Kim YS.The effect of increasing blood flow rate ondialysis adequacy in hemodialysis patients whit low Kt/v. Hemodialysis Int. 2004; 18: 85(10): 194-204.
16. JavadianSaraf N, Emami T. Methods of aerobic exercise and yoga on the physical components of his female students describe. J Mental Health Principles 2009;10(3): 221-30. (Persian)
17. Shafipour V, Jafari H, Shafipour L. The relationship between stress intensity and life quality in Hemodialysis patients hospitalized in sari Iran (2008). J SabzevarUnivsci 2009; 16(3): 155-160 (Persian).
18.Hayes J, Cox C. Immediate effects of a five-minute foot massage on patients in critical care. ComplementaryTherapies in Nursing & Midwifery 2000;6(1):9-13.
19.Monahan F, Sands J, Nighbors M, Marek J, Green C. complementary and Alternative Therapies, Text book of Phipps medical- surgical nursing. 8thed. Elsevier: Mosby; 2007. p. 55-57.
20. Mohamadi FA, Ahmadi F, Nemati- Pour A, Faghih- Zadeh S. Relaxation on the vital signs of patients with myocardial infarction. Journal of Semnan Medical Sciences. 2006; 7 (3, 4): 189-95. (Persian) .
21.Smeltzer S, Bare B, Hinkle J, Cheever K. Biophysical and pychological concepts in nursing practice, Brunner &suddarths text book of medical surgical nursing. 13th
edPhiladelphia: Woltres; 2014. p. 94-97.
22.Benson H, Kotch JB, Crass KD. The relaxation response: A bridge between psychiatry and medicine. MC NA1997; 61(4):929-39.
23.Hamidizade S, Ahmadi F, Asghari M, Study effect of relaxation technique on anxiety and stress in elders with hypertension. J ShahrekordUniv Med Sci 2006; 8(2): 45-51 (Persian).
24. MolaieE.etal. The Impact of Sodium and Ultrafiltration Profiling on Hemodialysis Related Complications nursing and midwife advanced research journal 2012;9(2). (Persian)
25.Asadi F, Ebrahimi H, Mazluom R, Jangjou A, M SN. The effect of early ambulation on nausea in patients undergoing Appendectomy. Journal of Evidence Based Care. 2013; 3(6): 49-58.
26. Mohseni R , Ilali E Assessment of Adequacy of Dialysis in Patients Undergoing dialysis with Bicarbonate Solution.j HAYAT 2011;17(4):63-72.(Persian)
27.AlexandrinaLizica D, Liliana G, Olga G. Anxiety, Stress, Depression, Oral Health Status and Behaviours in Romanian Hemodialysis Patients. Rom J Intern Med 2009; 47(2): 161-168
28. Carvalho E, Martins FT, dos Santos CB. A pilot study of a relaxation technique for management of nausea and vomiting in patients receiving cancer chemotherapy.Cancer Nurs 2007; 30(2): 163-7.
29. Arakawa S. Relaxation to reduce nausea, vomiting and anxiety induced by chemotherapy in Japanese patients. Cancer Nursing Journal 1997; 20: 343-348.
30.Elali E ,Mahdavi A, Jannati Y, YazdaniCherati J, Setareh J ,Effects of Benson Relaxation Response on Stress Among Hemodialysis Patients. Mazandaran University of Medical Sciences, 2012; 22(91): 61-68. (Persian).
31. BasiriMoghadam M, MadadkarShDehkordi, Mohammadpour A, Vaezi A. A .The effect of progressive muscle relaxation technique on blood pressure and dialysis adequacy in patients undergoing hemodialysis.j.birjand University of Medical Sciences 2013;11(3):63-72
32. Rafiee. H. Effect of exercise movements during hemodialysis selected hospitals in Tehran. [MS Dissertation]. Tehran:Tehran University of Medical Sciences, School of Nursing and Midwifery; 2009. (In Persian)
)