Keshavarzian Sekine, Shahgholian Nahid
Student Research Centre, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Isfahan Kidney Diseases Research Center, Department of Critical Care Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2017 Nov-Dec;22(6):436-441. doi: 10.4103/ijnmr.IJNMR_163_16.
Pain is the most common problem experienced by hemodialysis patients, especially musculoskeletal pain in lower extremities, which is usually not completely treated and adversely affects their quality of life. The present study was conducted with the aim to determine and compare the effects of topical application of menthol and rosemary for musculoskeletal pain in hemodialysis patients.
The present single-blind clinical trial recruited 105 eligible patients undergoing hemodialysis in selected hospitals affiliated to Isfahan University of Medical Sciences; patients were selected by convenient sampling. Participants' severity of pain was determined prior to intervention. They were then randomly divided into rosemary, menthol, and placebo groups. All three groups applied medication on the site of pain on their legs three times a day for three days and recorded the severity of pain four hours after morning and afternoon applications. The statistical analysis of data was performed using SPSS 18.
The mean score of severity of pain before the intervention was not significantly different among the three groups ( = 0.83), but it became significantly different after intervention ( = 0.001). Significant differences were observed in mean severity of pain before and after intervention in rosemary and menthol groups ( < 0.001), but not in the placebo group ( = 0.21).
Topical application of menthol and rosemary can alleviate severity and frequency of recurrence of musculoskeletal pain in hemodialysis patients; however, according to the results of the study, none had precedence over the other.
疼痛是血液透析患者最常见的问题,尤其是下肢肌肉骨骼疼痛,通常得不到彻底治疗,对他们的生活质量产生不利影响。本研究旨在确定并比较薄荷醇和迷迭香局部应用对血液透析患者肌肉骨骼疼痛的影响。
本单盲临床试验招募了105名在伊斯法罕医科大学附属选定医院接受血液透析的符合条件的患者;患者通过便利抽样选取。在干预前确定参与者的疼痛严重程度。然后将他们随机分为迷迭香组、薄荷醇组和安慰剂组。所有三组每天在腿部疼痛部位涂抹药物三次,持续三天,并在上午和下午涂抹后四小时记录疼痛严重程度。使用SPSS 18对数据进行统计分析。
干预前三组疼痛严重程度的平均得分无显著差异(=0.83),但干预后有显著差异(=0.001)。迷迭香组和薄荷醇组干预前后疼痛严重程度的平均得分有显著差异(<0.001),但安慰剂组无显著差异(=0.21)。
薄荷醇和迷迭香局部应用可减轻血液透析患者肌肉骨骼疼痛的严重程度和复发频率;然而,根据研究结果,两者效果相当。