Öz
Introduction: The purpose of this study was to conduct a meta-analysis to investigate the efficacy of acupressure on uremic pruritus in hemodialysis patients.
Methods: The literature was searched between September and December 2022. A literature search was carried out in the PubMed, Cochrane Library, Google Scholar, Scopus, ScienceDirect, Ovid and EBSCO databases using the keywords "Hemodialysis”, "acupressure”, "pruritus", and their combinations. The Joanna Briggs Institute’s (JBI) quality assessment scale was employed in the study. Statistical package program for meta-analysis, Comprehensive Meta-Analysis was used. The standardized mean difference (SMD) with a 95% confidence interval (CI) was calculated. The I2 value(I2=84.7) was utilized to determine the heterogeneity between the studies. The random effects model was adopted in the study due to the significant level of heterogeneity.
Results: Accordıng to the meta-analysis results, acupressure intervention to prevent pruritus in hemodialysis patients was significantly higher in the experimental group than in the control group (SMD=1.400, 95%CI:0.829-1.984, p=0.00). The meta-analysis findings based on the session revealed a very large mean effect size (Q between) of 1.152(95%CI=0.894–1.411, p=0.000).
Conclusion: Acupressure was found to be effective in reducing pruritus in hemodialysis patients.
Anahtar Kelimeler
Kaynakça
- Sukul N, Speyer E, Tu C, Bieber A, Li Y, Lopes A, et al. Pruritus and patient-reported outcomes in non-dialysis CKD. Clin J Am Soc Nephrol. 2019;14(5):673-81. doi: 10.2215/CJN.09600818
- Yu C, Zhang P, Lv T, Li J, Li P, W, H, et al. Efficacy of acupuncture in itch: a systematic review and meta-analysis of clinical randomized controlled trials. Evid Based Complement Alternat Med. 2015;6(5). doi: 10.1155/2015/208690
- Karjalian F, Momennasab M, Yoosefinejad AK, Jahromi SE. The effect of acupressure on the severity of pruritus and laboratory parameters in patients undergoing hemodialysis: a randomized clinical trial. J Acupunct Meridian Stud. 2020;13(4):117-23. doi: 10.1016/j.jams.2020.05.002
- Rayner HC, Larkina M, Wang M. International comparisons of prevalence, awareness, and treatment of pruritus in people on hemodialysis. Clin J Am Soc Nephrol. 2017;12(12):2000-7. doi: 10.2215/CJN.03280317
- Kim D, Pollock C. Epidemiology and burden of chronic kidney disease-associated pruritus. Clin Kidney J. 2021;14(3):1-7. doi: 10.1093/ckj/sfab142
- Mettang T, Kremer AE. Uremic pruritus. Kidney int. 2015;87(4):685-91.doi: 10.1038/ki.2013.454
- Abdelghfar SZ, Elsebae HA, Elhadry SM, Hassan AA. Effect of aromatherapy on uremic pruritus among patients undergoing hemodialysis. IOSR J Nurs and Heal Sci. 2017;6(2):22-30.
- Khoirot RMr, Kusnanto K, Suprajitno S. Effect of Topical Aromatherapy Turmeric Oil to Pruritus Scale on Chronic Kidney Disease Patients. Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery). 2019;6(3):396-400. doi: 10.26699/jnk.v6i3.ART.p396-400
- Gordon L, McGrowder DA, Pena YT, Cabrera E, Lawrence-Wright MB. Effect of yoga exercise therapy on oxidative stress indicators with end-stage renal disease on hemodialysis. Int J Yoga. 2013;6(1):31.
- Nahidi Y, Badiee S, Torabi S, Shaye ZA, Nazemian F, Saki A. Acupuncture effect on pruritus in hemodialysis patients: A randomized clinical trial. Iranian Red Crescent Medical Journal. 2018;20(10).
- Akça NK, Tasci S. Acupressure and transcutaneous electrical acupoint stimulation for improving uremic pruritus: a randomized, controlled trial. Altern Ther Health Med.2016;22(3):18.
- Aval SB, Ravanshad Y, Azarfar A, Mehrad-Majd H, Torabi S, Ravanshad S. A systematic review and meta-analysis of using acupuncture and acupressure for uremic pruritus. Iran J Kidney Dis. 2018;12(2):78.
- Najafi SS, Nazaribin S, Momennasab M, Yoosefinejad AK. The effect of manual acupressure (Point BL32) on pain associated with intramuscular injections of magnesium sulfate. J Acupunct Meridian Stud. 2019;12(2):67-72. doi: 10.1016/j.jams.2018.07.002
- Chang E, Park H. Effects of auricular acupressure therapy on musculoskeletal pain, depression and sleep of the elderly in long-term care facilities. Journal of Korean Academy of Community Health Nursing. 2018;29(2):133-42. doi: 10.12799/jkachn.2018.29.2.133
- Yang G, Lin S, Wu Y. Auricular acupressure helps alleviate xerostomia in maintenance hemodialysis patients: A pilot study. J Altern Complement Med. 2017;23(4):278-84. doi: 10.1089/acm.2016.0283
- Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021;372:71.
- JBI. Joanna Briggs Institute 2022. Date: 20.10.2022. Available from: https://jbi.global/critical-appraisal-tools
- Yan N, Yao G, Bao Y J, Shi X J, Yu H, Yin P H, et al. Effect of auricular acupressure on uremic pruritus in patients receiving hemodialysis treatment: a randomized controlled trial. Evid Based Complement Alternat Med. 2015. doi: 10.1155/2015/593196
- Kılıç Akça N, Taşçı S, Karataş N. Effect of acupressure on patients in Turkey receiving hemodialysis treatment for uremic pruritus. Altern Ther Health Med. 2013;19(5).
- Panma Y, Yetti K, Sukmarini L. İntervention of Acupressure in Reducing Pruritus Scale in Hemodialysis Patients. KnE Life Sciences. 2021:371-82.
- Kang M, Kim YK. Effects of acupressure on pruritus and sleep in patients on hemodialysis. Journal of Korean Academy of Fundamentals of Nursing. 2017;24(1):9-17.
- Bang YY, Park H. Effect of auricular acupressure on sleep and pruritus in patients undergoing hemodialysis. Journal of Korean Academy of Fundamentals of Nursing. 2020;27(2):141-52. doi: 10.7739/jkafn.2020.27.2.141
- Cohen J. Statistical Power Analysis For the Behavioral Sciences, . New York: Routledge; 1988.
- Bornstein M, Hedges L, Higgins J, Rothstein H. Introduction to meta-analysis. West Sussex, England: John Wiley & Sons.
- Cohen L, Manion L, Morrison K. Experiments, Quasi-Experiments, Single-case Research and Meta-analysis: London: Routledge Falmer; 2007.
- Ried K. Interpreting and understanding meta-analysis graphs: a practical guide. Australian family physician. 2006;35(8).
Öz
Giriş: Hemodiyaliz hastalarında akupresürün üremik kaşıntı üzerine etkisini belirlemek amacıyla bir meta analiz çalışması yapılmıştır.
Yöntem: Literatür taraması Ekim-Aralık 2022 tarihleri arasında yapılmıştır. PubMed, Cochrane Library, Google Scholar, Scopus, ScienceDirect, Ovid ve EBSCO veri tabanlarında "Hemodiyaliz", "akupresür" ve "üremik kaşıntı’’ anahtar kelimeleri ve bunların kombinasyonları kullanılarak literatür taraması yapılmıştır. Araştırmada Joanna Briggs Enstitüsü (JBI) tarafından hazırlanan kalite değerlendirme ölçeği kullanılmıştır. Meta-analiz için istatistiksel paket program Comprehensive Meta-Analysis kullanıldı. %95 güven aralığı (CI) ile standartlaştırılmış ortalama fark (SMD) hesaplanmıştır. Çalışmalar arasındaki heterojenliği belirlemek için I2 değeri kullanılmıştır (I2=84.7). Araştırmada yüksek düzeyde heterojenite nedeniyle rastgele etkiler modeli kullanılmıştır.
Bulgular: Meta-analiz sonuçlarına göre hemodiyaliz tedavisi gören hastalarda kaşıntıyı önlemek için akupresür müdahale grubunda kontrol grubuna göre anlamlı bulunmuştur (SMD=1.407, 95% CI:0.829-1.984, p=0.00). Akupresür seansına göre yapılan alt grup meta-analizin sonucunun çok güçlü ve 1,152 (%95 CI=0.894 – 1.411, p=0.000) olduğu saptanmıştır.
Sonuç: Hemodiyaliz hastalarında, akupresür üremik kaşıntıyı azaltmaktadır.
Anahtar Kelimeler
Kaynakça
- Sukul N, Speyer E, Tu C, Bieber A, Li Y, Lopes A, et al. Pruritus and patient-reported outcomes in non-dialysis CKD. Clin J Am Soc Nephrol. 2019;14(5):673-81. doi: 10.2215/CJN.09600818
- Yu C, Zhang P, Lv T, Li J, Li P, W, H, et al. Efficacy of acupuncture in itch: a systematic review and meta-analysis of clinical randomized controlled trials. Evid Based Complement Alternat Med. 2015;6(5). doi: 10.1155/2015/208690
- Karjalian F, Momennasab M, Yoosefinejad AK, Jahromi SE. The effect of acupressure on the severity of pruritus and laboratory parameters in patients undergoing hemodialysis: a randomized clinical trial. J Acupunct Meridian Stud. 2020;13(4):117-23. doi: 10.1016/j.jams.2020.05.002
- Rayner HC, Larkina M, Wang M. International comparisons of prevalence, awareness, and treatment of pruritus in people on hemodialysis. Clin J Am Soc Nephrol. 2017;12(12):2000-7. doi: 10.2215/CJN.03280317
- Kim D, Pollock C. Epidemiology and burden of chronic kidney disease-associated pruritus. Clin Kidney J. 2021;14(3):1-7. doi: 10.1093/ckj/sfab142
- Mettang T, Kremer AE. Uremic pruritus. Kidney int. 2015;87(4):685-91.doi: 10.1038/ki.2013.454
- Abdelghfar SZ, Elsebae HA, Elhadry SM, Hassan AA. Effect of aromatherapy on uremic pruritus among patients undergoing hemodialysis. IOSR J Nurs and Heal Sci. 2017;6(2):22-30.
- Khoirot RMr, Kusnanto K, Suprajitno S. Effect of Topical Aromatherapy Turmeric Oil to Pruritus Scale on Chronic Kidney Disease Patients. Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery). 2019;6(3):396-400. doi: 10.26699/jnk.v6i3.ART.p396-400
- Gordon L, McGrowder DA, Pena YT, Cabrera E, Lawrence-Wright MB. Effect of yoga exercise therapy on oxidative stress indicators with end-stage renal disease on hemodialysis. Int J Yoga. 2013;6(1):31.
- Nahidi Y, Badiee S, Torabi S, Shaye ZA, Nazemian F, Saki A. Acupuncture effect on pruritus in hemodialysis patients: A randomized clinical trial. Iranian Red Crescent Medical Journal. 2018;20(10).
- Akça NK, Tasci S. Acupressure and transcutaneous electrical acupoint stimulation for improving uremic pruritus: a randomized, controlled trial. Altern Ther Health Med.2016;22(3):18.
- Aval SB, Ravanshad Y, Azarfar A, Mehrad-Majd H, Torabi S, Ravanshad S. A systematic review and meta-analysis of using acupuncture and acupressure for uremic pruritus. Iran J Kidney Dis. 2018;12(2):78.
- Najafi SS, Nazaribin S, Momennasab M, Yoosefinejad AK. The effect of manual acupressure (Point BL32) on pain associated with intramuscular injections of magnesium sulfate. J Acupunct Meridian Stud. 2019;12(2):67-72. doi: 10.1016/j.jams.2018.07.002
- Chang E, Park H. Effects of auricular acupressure therapy on musculoskeletal pain, depression and sleep of the elderly in long-term care facilities. Journal of Korean Academy of Community Health Nursing. 2018;29(2):133-42. doi: 10.12799/jkachn.2018.29.2.133
- Yang G, Lin S, Wu Y. Auricular acupressure helps alleviate xerostomia in maintenance hemodialysis patients: A pilot study. J Altern Complement Med. 2017;23(4):278-84. doi: 10.1089/acm.2016.0283
- Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021;372:71.
- JBI. Joanna Briggs Institute 2022. Date: 20.10.2022. Available from: https://jbi.global/critical-appraisal-tools
- Yan N, Yao G, Bao Y J, Shi X J, Yu H, Yin P H, et al. Effect of auricular acupressure on uremic pruritus in patients receiving hemodialysis treatment: a randomized controlled trial. Evid Based Complement Alternat Med. 2015. doi: 10.1155/2015/593196
- Kılıç Akça N, Taşçı S, Karataş N. Effect of acupressure on patients in Turkey receiving hemodialysis treatment for uremic pruritus. Altern Ther Health Med. 2013;19(5).
- Panma Y, Yetti K, Sukmarini L. İntervention of Acupressure in Reducing Pruritus Scale in Hemodialysis Patients. KnE Life Sciences. 2021:371-82.
- Kang M, Kim YK. Effects of acupressure on pruritus and sleep in patients on hemodialysis. Journal of Korean Academy of Fundamentals of Nursing. 2017;24(1):9-17.
- Bang YY, Park H. Effect of auricular acupressure on sleep and pruritus in patients undergoing hemodialysis. Journal of Korean Academy of Fundamentals of Nursing. 2020;27(2):141-52. doi: 10.7739/jkafn.2020.27.2.141
- Cohen J. Statistical Power Analysis For the Behavioral Sciences, . New York: Routledge; 1988.
- Bornstein M, Hedges L, Higgins J, Rothstein H. Introduction to meta-analysis. West Sussex, England: John Wiley & Sons.
- Cohen L, Manion L, Morrison K. Experiments, Quasi-Experiments, Single-case Research and Meta-analysis: London: Routledge Falmer; 2007.
- Ried K. Interpreting and understanding meta-analysis graphs: a practical guide. Australian family physician. 2006;35(8).
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Hemşirelik |
| Bölüm | Derlemeler |
| Yazarlar | |
| Yayımlanma Tarihi | 11 Ağustos 2023 |
| Gönderilme Tarihi | 6 Ocak 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 3 Sayı: 2 |
Kaynak Göster
AIJHS dergisi ve AIJHS'de yayımlanan tüm makaleler Creative Commons Atıf-Gayri Ticari 4.0 Uluslararası Lisansı ile lisanslanmıştır.