Shahgholian Nahid, Dehghan Mahlagha, Mortazavi Mojgan, Gholami Farzaneh, Valiani Mahboobeh
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2010 Fall;15(4):240-4.
Pruritus is one of the commonest problems in patients with end-stage renal failure undergoing hemodialysis. Pruritus is an irritating symptom which can directly affect the life quality of patients with chronic renal failure. However, available treatments have failed to relieve the symptom and kidney transplant remains the definite treatment of the problem. A recently proposed treatment for pruritus is the use of complementary medicine. Thus, the aim of this research is to study the effect of aromatherapy on pruritus relief in hemodialysis patients.
The study is a pre- and post-clinical trial, carried out in dialysis centers of Isfahan University of Medical Sciences in 2009. Sample was performed using convenient sampling method and the participants were selected from among the patient who received hemodialysis three times a week for 3-5 hours and had pruritus scores above 3. All the participants received seven minutes of hand massage in the non-fistulated hand with 3-5 ml of lavender, mint, and tea tree oils at 5% concentration for six sessions (two weeks). The data of the study were analyzed using descriptive and inferential statistics by SPSS software, version 16.
Twenty patients with end-stage renal failure who had pruritus fulfilled the course of the study. Data analysis indicated that aromatherapy significantly relieved pruritus (p < 0.05).
Aromatherapy can significantly relieve pruritus in hemodialysis patients.
瘙痒是接受血液透析的终末期肾衰竭患者最常见的问题之一。瘙痒是一种刺激性症状，可直接影响慢性肾衰竭患者的生活质量。然而，现有的治疗方法未能缓解该症状，肾移植仍然是解决该问题的明确治疗方法。最近提出的一种治疗瘙痒的方法是使用补充医学。因此，本研究的目的是探讨芳香疗法对血液透析患者瘙痒缓解的效果。
该研究是一项临床前后试验，于2009年在伊斯法罕医科大学的透析中心进行。采用便利抽样法进行抽样，参与者从每周接受3次血液透析、每次3 - 5小时且瘙痒评分高于3分的患者中选取。所有参与者均接受了为期六周（两周）的手部按摩，在非造瘘手进行七分钟的按摩，使用浓度为5%的3 - 5毫升薰衣草、薄荷和茶树油。研究数据使用SPSS 16.0软件进行描述性和推断性统计分析。
20例患有瘙痒的终末期肾衰竭患者完成了研究过程。数据分析表明，芳香疗法能显著缓解瘙痒（p < 0.05）。
芳香疗法可显著缓解血液透析患者的瘙痒症状。
