Habibzadeh Hosein, Wosoi Dalavan Osman, Alilu Leyla, Wardle Jon, Khalkhali Hamidreza, Nozad Aisan
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran.
Department of Public Health, Australian Research Centre in Complementary and Integrative Medicine, School of Health, University of Technology Sydney, Sydney, Australia.
Int J Community Based Nurs Midwifery. 2020 Apr;8(2):92-102. doi: 10.30476/IJCBNM.2020.81662.0.
Despite the advances in treatment, fatigue is a common symptom experienced by many patients undergoing hemodialysis, and is associated with poor health-related quality of life. The aim of the present study was to explore the impact of foot massage with chamomile oil and almond oil on the severity of fatigue and quality of life of Hemodialysis patients.
In these four parallel groups controlled clinical trial, 120 male patients under hemodialysis were randomly assigned to foot massage groups and control (30 in each group) from June 2016 to April 2017 in Urmia, Iran. foot massage using either chamomile oil, almond oil or no oils was provided to patients undergoing hemodialysis for two months. The primary outcome measures were the Fatigue Severity Scale (FSS) and secondary outcomes included quality of life using the Short-Form Quality of Life for Renal Patients questionnaire (KDQOL-SF). Data were analyzed using ANOVA, Tukey's and paired t-test in SPSS the (Version 16) at the significance level P<0.05.
The mean FSS scores after the implementation of foot massage in all intervention groups were significantly lower than the control group (P=0.005). Mean KDQOL-SF scores after the intervention in all intervention groups increased compared to the control group, but this increase was not statistically significant (P=0.34).
Foot massage appears to be effective in reducing fatigue and improving quality of life in patients undergoing hemodialysis. Further studies are needed to confirm and extend these results. Furthermore, involvement of patients' companions as family caregivers in massage therapy can lead to continuation of this effective intervention at home. IRCT2016121731438N1.
尽管治疗取得了进展，但疲劳仍是许多接受血液透析的患者常见的症状，并且与健康相关生活质量差有关。本研究的目的是探讨用洋甘菊油和杏仁油进行足部按摩对血液透析患者疲劳严重程度和生活质量的影响。
在这项四组平行对照临床试验中，2016年6月至2017年4月在伊朗乌尔米耶，120名接受血液透析的男性患者被随机分配到足部按摩组和对照组（每组30人）。为接受血液透析的患者提供使用洋甘菊油、杏仁油或不使用油的足部按摩，为期两个月。主要结局指标是疲劳严重程度量表（FSS），次要结局包括使用肾病患者简短生活质量问卷（KDQOL-SF）评估的生活质量。在SPSS（版本16）中使用方差分析、Tukey检验和配对t检验对数据进行分析，显著性水平为P<0.05。
所有干预组实施足部按摩后的平均FSS评分均显著低于对照组（P = 0.005）。与对照组相比，所有干预组干预后的平均KDQOL-SF评分有所增加，但这种增加无统计学意义（P = 0.34）。
足部按摩似乎对减轻血液透析患者的疲劳和改善生活质量有效。需要进一步研究来证实和扩展这些结果。此外，让患者的同伴作为家庭照顾者参与按摩治疗可以使这种有效干预在家中持续进行。IRCT2016121731438N1。
