Mohammadi Mohammad Mehdi, Raygani Ali Akbar Vaisi, Ghobadi Akram, Samadzadeh Soheila, Salari Nader
School of Nursing and Midwifery, Students Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran. Email:
School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran. Email: ghobadi57.
Clin Med Res. 2018 Jun;16(1-2):1-8. doi: 10.3121/cmr.2018.1389. Epub 2018 May 18.
Restless legs syndrome (RLS) is a common disorder in hemodialysis patients. The present study was conducted to determine the effect of near-infrared (NIR) light therapy given to acupoints on the severity of RLS in patients undergoing hemodialysis.
This single-blind, randomized controlled trial was performed on 60 hemodialysis patients with RLS. Participants who met the inclusion criteria were randomly assigned to an intervention group (n = 30) or a control group (n = 30). Data were collected using the International Restless Legs Syndrome Rating Scale (IRLSRS) and demographic information questionnaire. The intervention group received 12 sessions of NIR light therapy (940 nm) to acupoints in the legs and feet during hemodialysis three times a week, while the control group received sham treatment. Data were analyzed using SPSS version 22 software.
The results indicated that there were statistically and clinically significant differences between the intervention and control groups at the end of the intervention sessions ( < 0.001, mean difference [MD] = 3.8). However, after the treatment was discontinued, the difference was not clinically significant (MD = 2.4). In the within-group compression, the mean RLS scores of the intervention group decreased significantly during the intervention sessions (MD = 3.2, < 0.001); however, after the treatment was discontinued, the difference was not clinically significant (MD = 1.67).
The present study showed that the application of NIR light to acupoints in the legs and feet was as an effective treatment for attenuating the symptoms of RLS in hemodialysis patients.
不安腿综合征(RLS)是血液透析患者中的一种常见病症。本研究旨在确定对穴位进行近红外(NIR)光疗对接受血液透析患者不安腿综合征严重程度的影响。
本单盲、随机对照试验对60例患有不安腿综合征的血液透析患者进行。符合纳入标准的参与者被随机分配到干预组(n = 30)或对照组(n = 30)。使用国际不安腿综合征评分量表(IRLSRS)和人口统计学信息问卷收集数据。干预组在血液透析期间每周三次接受12次针对腿部和足部穴位的近红外(940纳米)光疗,而对照组接受假治疗。使用SPSS 22版软件进行数据分析。
结果表明,在干预疗程结束时,干预组和对照组之间在统计学和临床上存在显著差异(<0.001,平均差值[MD]=3.8)。然而,在停止治疗后,差异在临床上不显著(MD = 2.4)。在组内对比中,干预组的不安腿综合征平均评分在干预疗程期间显著降低(MD = 3.2,<0.001);然而,在停止治疗后,差异在临床上不显著(MD = 1.67)。
本研究表明,对腿部和足部穴位应用近红外光可有效减轻血液透析患者不安腿综合征的症状。