Comparison of the Effect of Cold Dialysate versus Stretching Exercises on Severity of Restless Legs Syndrome in Patients Undergoing Hemodialysis: A Randomized Controlled Trial

Q3 Medicine
Azam Zirak Aliabadi, Z. Mirhosseini, Sedighe Rastaghi, M. Rad
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引用次数: 1

Abstract

Background: Restless legs syndrome (RLS) is prevalent among patients undergoing hemodialysis. This research suggests that cold dialysis solution and stretching exercises are effective approaches reducing RLS; however, they should be adopted according to the patient’s condition. Aim: This study aimed to compare cold dialysate with stretching exercises on RLS severity in patients undergoing hemodialysis. Method: This two-group randomized clinical trial was conducted on 44 hemodialysis patients with RLS. One group received cold dialysis (35.5°C) and the other group performed stretching exercises in two hemodialysis centers in Sabzevar, Razavi Khorasan Province, Iran, in 2019. The severity of RLS was measured in both groups using the IRLS scale at the baseline and end of each week for 6 weeks. The data were analyzed in SPSS (version 21) using repeated measures ANOVA and Friedman’s test. Results: The mean age of participants in cold dialysis and stretching exercise groups were 54.5±13.6 and 54.5±10.8 years, respectively. The Friedman test results showed a significant reduction in the severity of RLS in both groups (P=0.001). Moreover, the repeated measures ANOVA results revealed that the time effect was significant (P=0.001). However, group effect (P=0.09) and interaction between time and group (P=0.25) were not significantly different. Implications for Practice: Both methods of cold dialysate and stretching exercises decreased RLS severity; therefore, they can be suggested to nurses as effective strategies. Due to the limited sample size, studies with larger sample sizes are recommended.
冷透析与伸展运动对血液透析患者不宁腿综合征严重程度影响的比较:一项随机对照试验
背景:不宁腿综合征(RLS)在接受血液透析的患者中很普遍。本研究提示冷透析液和伸展运动是减少RLS的有效方法;但是,应该根据病人的情况来采取。目的:本研究旨在比较冷透析和伸展运动对血液透析患者RLS严重程度的影响。方法:对44例血液透析伴RLS患者进行两组随机临床试验。一组接受冷透析(35.5°C),另一组于2019年在伊朗拉扎维呼罗珊省Sabzevar的两个血液透析中心进行伸展运动。两组在基线和每周结束时使用IRLS量表测量RLS的严重程度,持续6周。数据在SPSS (version 21)中使用重复测量方差分析和Friedman检验进行分析。结果:冷透析组和伸展运动组参与者的平均年龄分别为54.5±13.6岁和54.5±10.8岁。Friedman试验结果显示两组RLS的严重程度均显著降低(P=0.001)。重复测量方差分析结果显示时间效应显著(P=0.001)。组间效应(P=0.09)、时间与组间交互作用(P=0.25)差异无统计学意义。对实践的启示:冷透析和伸展运动两种方法都能降低RLS的严重程度;因此,它们可以作为有效的策略建议护士。由于样本量有限,建议进行样本量较大的研究。
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
Evidence Based Care Journal
Evidence Based Care Journal Medicine-Health Policy
CiteScore
2.00
自引率
0.00%
发文量
0
审稿时长
12 weeks
期刊介绍: The Evidence Based Care Journal (EBCJ) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of patient care. The primary aim is to promote a high standard of clinically related scholarship which advances and supports patient care in practice. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, EBCJ seeks to enrich insight into clinical needs and the implications for patient care intervention and models of service delivery. Emphasis is placed on clinical practicality of research findings and strength of study design. EBCJ is essential reading for anyone involved in healthcare professions, whether clinicians, researchers, educators, managers, policy makers, or students. Contributions are welcomed from other health professionals on issues that have a direct impact on patient care.
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