Insights into effective fatigue reducing interventions in kidney transplant candidates: a scoping review.

IF 3.6 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Annals of Behavioral Medicine Pub Date : 2025-01-04 DOI:10.1093/abm/kaaf017

Avril J Haanstra, Heleen Maring, Yvonne van der Veen, Evelien E Quint, Maya J Schroevers, Adelita V Ranchor, Stefan P Berger, Evelyn J Finnema, Coby Annema

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引用次数: 0

Abstract

Background: Fatigue is a prevalent and debilitating symptom among kidney transplant candidates (KTCs), significantly affecting their quality of life and overall well-being. Its complexity necessitates a comprehensive approach to manage fatigue in this population.

Purpose: To explore the effectiveness of nonpharmacological interventions in reducing fatigue in KTCs.

Methods: Nonpharmacological interventions targeting fatigue in participants aged ≥18 years, who were either on the kidney transplantation waitlist or eligible candidates, were considered. A database search was conducted in PubMed, Embase, PsycINFO, CINAHL, and Web of Science. Results were reported in accordance with the guidelines provided by the Preferred Reporting Items for Systematic Reviews and Meta-analyses Protocols extension for Scoping Reviews Checklist.

Results: In total, 67 studies were included. Interventions were divided into manipulative and body-based practices, exercise, mind-body therapies, energy healing, and combined interventions. Thirty-eight studies (76%) demonstrated a significant effect on fatigue, with effect sizes ranging from 0.43 to 4.85. Reflexology, massage therapy, progressive muscle relaxation, and acupressure combined with massage therapy showed the strongest significant intervention effects on fatigue and had the strongest study quality. However, the overall study quality was weak, particularly concerning confounding control, blinding procedures, and withdrawals and dropouts.

Conclusions: Manipulative and body-based interventions showed the strongest significant effects on fatigue with the highest study quality. These interventions underscore the multifactorial nature of fatigue by targeting both its physical and psychological dimensions. Future high-quality research is needed to determine the optimal strategy for managing fatigue in KTCs.

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对肾移植候选人有效减少疲劳干预的见解：范围综述。

背景：疲劳是肾移植候选者（ktc）普遍存在的衰弱症状，显著影响他们的生活质量和整体幸福感。它的复杂性需要一个全面的方法来管理这个人群的疲劳。目的：探讨非药物干预对缓解ktc患者疲劳的效果。方法：考虑针对年龄≥18岁、在肾移植等待名单上或符合条件的参与者的疲劳的非药物干预措施。在PubMed、Embase、PsycINFO、CINAHL和Web of Science进行数据库检索。结果按照系统评价首选报告项目和荟萃分析方案扩展范围评价清单提供的指南进行报告。结果：共纳入67项研究。干预措施分为操纵和基于身体的实践、锻炼、身心疗法、能量治疗和综合干预。38项研究（76%）证明了对疲劳的显著影响，效应量从0.43到4.85不等。反射疗法、按摩疗法、渐进式肌肉放松疗法和指压联合按摩疗法对疲劳的显著干预效果最强，研究质量最强。然而，整体研究质量较差，特别是在混淆控制、盲法程序、退出和退出方面。结论：手法干预和以身体为基础的干预对疲劳的影响最显著，研究质量最高。这些干预措施强调了疲劳的多因素性质，针对其生理和心理层面。未来需要高质量的研究来确定管理ktc疲劳的最佳策略。

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

Annals of Behavioral Medicine PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

7.00

自引率

5.30%

发文量

期刊介绍： Annals of Behavioral Medicine aims to foster the exchange of knowledge derived from the disciplines involved in the field of behavioral medicine, and the integration of biological, psychosocial, and behavioral factors and principles as they relate to such areas as health promotion, disease prevention, risk factor modification, disease progression, adjustment and adaptation to physical disorders, and rehabilitation. To achieve these goals, much of the journal is devoted to the publication of original empirical articles including reports of randomized controlled trials, observational studies, or other basic and clinical investigations. Integrative reviews of the evidence for the application of behavioral interventions in health care will also be provided. .