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A Systematic Review of Potentially Effective Nonpharmacological Interventions for Reducing Fatigue among Iranian Patients Who Receive Hemodialysis
Complementary Medicine Research ( IF 1.8 ) Pub Date : 2021-09-09 , DOI: 10.1159/000518626
Mohammad Javad Ghazanfari 1 , Samad Karkhah 2, 3 , Amir Emami Zeydi 4 , Hamed Mortazavi 5 , Amir Tabatabaee 6 , Mohsen Adib-Hajbaghery 7
Affiliation  

Background and Purpose: Fatigue control in hemodialysis (HD) patients requires a multidisciplinary approach. This study aimed to comprehensively review the available research literature regarding the nonpharmacological interventions used for reducing fatigue among Iranian HD patients. Methods: In this systematic review, an extensive search of the literature was conducted on PubMed, Web of Science, and Scopus databases, using the keywords related to the purpose. Also, the Persian equivalent of these keywords was searched in Iranian databases, such as Iranmedex and Scientific Information Database (SID) from the inception to June 16, 2020. Results: Of 2,761 articles, 25 studies were included in the review. Among a total of 1,748 Iranian HD patients with a mean age of 54.17 (SD = 12.27) years, 61.38% were male. Interventions such as educational-based programs (n = 5), nutrition-based programs (n = 2), massage therapy (n = 3), exercise-based programs (n = 4), relaxation technique (n = 3), combination of relaxation technique and inhalation aromatherapy (n = 1), energy therapy (reflexology and acupressure) (n = 3), and mind-guided imagery (n = 1) were effective in reducing fatigue in Iranian HD patients. Discussion/Conclusion: These simple, low-cost, and practical interventions can be used for the reduction of fatigue among HD patients by nurses. However, future well-designed studies are recommended to confirm the efficacy of these and other potentially effective interventions for reducing fatigue in HD patients.
Complement Med Res


中文翻译:

对接受血液透析的伊朗患者减少疲劳的潜在有效非药物干预的系统评价

背景和目的:血液透析 (HD) 患者的疲劳控制需要多学科方法。本研究旨在全面回顾有关用于减轻伊朗 HD 患者疲劳的非药物干预措施的现有研究文献。方法:在本系统评价中,使用与目的相关的关键字,对 PubMed、Web of Science 和 Scopus 数据库进行了广泛的文献检索。此外,从开始到 2020 年 6 月 16 日,在伊朗数据库(例如 Iranmedex 和科学信息数据库 (SID))中搜索了这些关键词的波斯语等价词。结果:在 2,761 篇文章中,25 项研究被纳入综述。在总共 1,748 名平均年龄为 54.17 (SD = 12.27) 岁的伊朗 HD 患者中,61.38% 为男性。干预措施,例如基于教育的计划 ( n = 5)、基于营养的计划 ( n = 2)、按摩疗法 ( n = 3)、基于运动的计划 ( n = 4)、放松技巧 (n = 3)、组合放松技术和吸入芳香疗法 ( n = 1)、能量疗法 (反射疗法和穴位按摩) ( n = 3) 和意象引导 ( n = 1) 可有效减轻伊朗 HD 患者的疲劳。讨论/结论:这些简单、低成本、实用的干预措施可被护士用于减轻 HD 患者的疲劳。然而,建议未来进行精心设计的研究,以确认这些和其他可能有效的干预措施在减轻 HD 患者疲劳方面的功效。
补充医学资源
更新日期:2021-09-09
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