The effect of massage on cramp frequency, cramp severity, and sleep quality of hemodialysis patients: A randomized controlled trial

IF 1.2 4区医学 Q3 UROLOGY & NEPHROLOGY

Hemodialysis International Pub Date : 2024-07-16 DOI:10.1111/hdi.13169

Ayşe Gül Parlak, Zümrüt Akgün Şahin

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引用次数: 0

Abstract

Introduction

Leg muscle cramps and compromised sleep patterns are prevalent issues experienced by individuals undergoing hemodialysis treatment. The aim of this study was to assess the impact of massage therapy on hemodialysis patients experiencing cramping, specifically focusing on the frequency and severity of cramps, as well as the quality of sleep.

Methods

This research involved 36 hemodialysis patients. The intervention group received intradialytic massage targeting the lower extremities, administered three times a week for a total of six sessions over a 2-week period. Data collection utilized a Patient Information Form, the Pittsburgh Sleep Quality Index, the Visual Analog Scale, and a Patient Follow-Up Form.

Findings

The study revealed a significant reduction in both the frequency and severity of cramps experienced by patients in the intervention group during hemodialysis sessions and at home, from the end of one session to the beginning of the next, compared to the control group (p < 0.05). This effect was observed over the course of six dialysis sessions. Additionally, there was a notable decrease in the mean total score of the Pittsburgh Sleep Quality Index (PSQI) among participants in the intervention group, declining from 9.00 ± 3.79 prior to massage therapy to 5.94 ± 2.84 post-massage (p < 0.001). Conversely, no significant change was observed in the control group, highlighting a notable disparity between the intervention and control groups in terms of sleep quality improvement.

Discussion

The investigation revealed that employing intradialytic massage on the lower extremities led to a reduction in both the frequency and severity of cramps, while also eliciting a positive impact on the sleep quality of patients undergoing hemodialysis.

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按摩对血液透析患者抽筋频率、抽筋严重程度和睡眠质量的影响：随机对照试验。

导言：腿部肌肉抽筋和睡眠质量下降是接受血液透析治疗的患者普遍面临的问题。本研究旨在评估按摩疗法对血液透析患者抽筋的影响，特别关注抽筋的频率和严重程度以及睡眠质量：本研究涉及 36 名血液透析患者。干预组接受针对下肢的透析内按摩，每周三次，共六次，为期两周。数据收集采用了患者信息表、匹兹堡睡眠质量指数、视觉模拟量表和患者随访表：研究结果表明，与对照组相比，干预组患者在血液透析过程中和在家时，从一个疗程结束到下一个疗程开始，抽筋的频率和严重程度都明显降低（P 讨论）：调查显示，对下肢进行血液透析内按摩可减少抽筋的频率和严重程度，同时还对血液透析患者的睡眠质量产生积极影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hemodialysis International UROLOGY & NEPHROLOGY-

CiteScore

2.50

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Hemodialysis International was originally an annual publication containing the Proceedings of the International Symposium on Hemodialysis held in conjunction with the Annual Dialysis Conference. Since 2003, Hemodialysis International is published quarterly and contains original papers on clinical and experimental topics related to dialysis in addition to the Annual Dialysis Conference supplement. This journal is a must-have for nephrologists, nurses, and technicians worldwide. Quarterly issues of Hemodialysis International are included with your membership to the International Society for Hemodialysis. The journal contains original articles, review articles, and commentary to keep readers completely updated in the field of hemodialysis. Edited by international and multidisciplinary experts, Hemodialysis International disseminates critical information in the field.