The effect of a stress ball on stress, vital signs and patient comfort in hemodialysis patients: A randomized controlled trial

Kasar, Kadriye Sayın; Erzincanli, Saadet; Akbas, Nesat Tolga

doi:10.1016/j.ctcp.2020.101243

Cited by 8 publications

(12 citation statements)

References 26 publications

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“…13,14 It has been suggested that warm therapy might reduce the perception of fatigue by relaxing muscles and increasing blood circulation by vasodilation. 18,29,30 Shafeik et al (2018) evaluated the effects of foot baths with warm water on fatigue in hemodialysis patients and observed a significant decrease. 28 Rekhra (2017) also found that the application of a warm foot bath at the end of the hemodialysis session reduced fatigue.…”

Section: Discussionmentioning

confidence: 99%

“…Although comfort is defined as an important nursing care component that should not be ignored in hemodialysis patients, it is a new concept in terms of hemodialysis, and therefore, there are only a few associated studies. 17,18 Intradialytic complications, such as cramps and fatigue, negatively affect the comfort of hemodialysis patients. [16][17][18] Similarly, Moledina and Perry (2015) reported that hemodialysis-related symptoms affect patient comfort.…”

Section: Discussionmentioning

confidence: 99%

“…17,18 Intradialytic complications, such as cramps and fatigue, negatively affect the comfort of hemodialysis patients. [16][17][18] Similarly, Moledina and Perry (2015) reported that hemodialysis-related symptoms affect patient comfort. 11 In our study, the increase in hemodialysis comfort could be associated with a decrease in cramping and fatigue.…”

Section: Discussionmentioning

confidence: 99%

“…[15][16][17][18] Prevention of muscle cramps and fatigue may increase patient comfort scores. 17,18 An adequate level of comfort in hemodialysis patients is highly important in increasing their quality of life and improving compliance with treatment. [15][16][17][18] The potential beneficial effects of warm compress application during hemodialysis include vasodilation, increased capillary permeability, spasm reduction, and increased local tissue metabolism.…”

Section: Introductionmentioning

confidence: 99%

“…17,18 An adequate level of comfort in hemodialysis patients is highly important in increasing their quality of life and improving compliance with treatment. [15][16][17][18] The potential beneficial effects of warm compress application during hemodialysis include vasodilation, increased capillary permeability, spasm reduction, and increased local tissue metabolism. 19,20 Guidelines prepared by organizations such as BC Renal (British Columbia Renal Agency, 2017) support the use of local heat application to the legs during dialysis warm to help prevent cramps and cramp-related symptoms.…”

Section: Introductionmentioning

confidence: 99%

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Effects of warm or cold compresses applied to the legs during hemodialysis on cramps, fatigue, and patient comfort: A placebo‐controlled randomized trial

Kesik

Özdemir

Yıldırım

et al. 2023

Hemodialysis International

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Introduction Muscle cramps and fatigue are common complications in hemodialysis patients and have been associated with reduced patient comfort. Among the complementary therapies advocated for the management of these complications have been the application of warm or cold compresses to the extremities during a hemodialysis treatment. In this study, we compared the effects of warm or cold compresses application on cramping, fatigue, and patient comfort. Methods This placebo‐controlled randomized trial was done in 69 patients, who were stratified and randomly allocated to three treatment arms. Two of the three groups included an intervention; application of either warm (n = 23) or cold (n = 23) compresses to the extremities during dialysis. The third group served as a placebo control (n = 23). The study period comprised 12 hemodialysis sessions. One week after the completion of the intervention, a follow‐up dialysis session was also evaluated. Data were collected at baseline (t0), during each of 12 intervention sessions (t1—t12), and at the follow‐up session t13. Cramps, fatigue, and patient comfort were evaluated using the Cramp Episode Follow‐up Chart, Piper's Fatigue Scale, and the Hemodialysis Comfort Scale, respectively. Results In both the intervention and follow‐up sessions, cramping and fatigue were lower, and comfort was higher in each of the intervention groups compared to placebo controls Application of warm compresses was superior to use of cold compresses. Discussion Both warm and cold compress administration reduced muscle cramps, fatigue, and hemodialysis comfort in hemodialysis patients.

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