Volume 27, Issue 1 (4-2021)
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Raiesifar Z, Molavynejad S, Raiesifar A, Maraghi E, Vaismoradi M, Helalat A. The effect of slow-stroke back massage on fatigue and sleep quality in hemodialysis patients: A clinical trial study. Journal of Hayat 2021; 27 (1) :59-71
URL: http://hayat.tums.ac.ir/article-1-3978-en.html
URL: http://hayat.tums.ac.ir/article-1-3978-en.html
Zeinab Raiesifar1 
, Shahram Molavynejad * 2, Afsaneh Raiesifar3 , Elham Maraghi4 , Mojtaba Vaismoradi5 , Aliraeza Helalat6
, Shahram Molavynejad * 2, Afsaneh Raiesifar3 , Elham Maraghi4 , Mojtaba Vaismoradi5 , Aliraeza Helalat6
1- Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran; Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2- Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran; Nursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran , shahrambaraz@ajums.ac.ir
3- Dept. of Nursing, School of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran
4- Dept. of Biostatistics and Epidemiology, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
5- School of Nursing and Health Sciences, Nord University, Bodo, Norway
6- Dept. of Pharmacology, School of Pharmacy, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2- Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran; Nursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran , shahrambaraz@ajums.ac.ir
3- Dept. of Nursing, School of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran
4- Dept. of Biostatistics and Epidemiology, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
5- School of Nursing and Health Sciences, Nord University, Bodo, Norway
6- Dept. of Pharmacology, School of Pharmacy, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Abstract: (2456 Views)
Background & Aim: Fatigue and sleep disorders are the most common physical complaints in hemodialysis patients. It seems necessary to find effective, low-complication and cost-effective treatments to alleviate these problems. The aim of this study was to examine the effect of slow-stroke back massage on the level of fatigue and sleep quality in hemodialysis patients.
Methods & Materials: In this randomized controlled trial, 82 hemodialysis patients hospitalized in Shahid Beheshti hospital in Abadan in 2018, were selected based on the inclusion criteria and were allocated to either the intervention or control group using permuted block randomization (4 blocks). The intervention group underwent massage therapy for 12 sessions. The numerical rating scale for measuring fatigue and the Pittsburgh Sleep Quality Questionnaire were completed 14 times and three times respectively, by both groups. Data were analyzed through the SPSS software version 22 using descriptive statistical tests, independent t-test and repeated measures analysis of variance.
Results: The results showed that before the intervention, there was no statistically significant difference in demographic variables between the intervention and control groups (P>0.05). Significance of group and time interactions for fatigue score showed that the trend of changes in mean fatigue scores was different in the two groups and over the study time period (P<0.001). Also, there was a statistically significant difference between the two groups in the total score of sleep quality and all sleep components except two components (mental quality of sleep and sleep disorders) (P<0.05).
Conclusion: This study showed that slow-stroke back massage improves fatigue and sleep quality in hemodialysis patients. Therefore, it is recommended as an inexpensive, effective and uncomplicated method in hemodialysis patients.
Clinical trial registry: IRCT20181119041702N1
Methods & Materials: In this randomized controlled trial, 82 hemodialysis patients hospitalized in Shahid Beheshti hospital in Abadan in 2018, were selected based on the inclusion criteria and were allocated to either the intervention or control group using permuted block randomization (4 blocks). The intervention group underwent massage therapy for 12 sessions. The numerical rating scale for measuring fatigue and the Pittsburgh Sleep Quality Questionnaire were completed 14 times and three times respectively, by both groups. Data were analyzed through the SPSS software version 22 using descriptive statistical tests, independent t-test and repeated measures analysis of variance.
Results: The results showed that before the intervention, there was no statistically significant difference in demographic variables between the intervention and control groups (P>0.05). Significance of group and time interactions for fatigue score showed that the trend of changes in mean fatigue scores was different in the two groups and over the study time period (P<0.001). Also, there was a statistically significant difference between the two groups in the total score of sleep quality and all sleep components except two components (mental quality of sleep and sleep disorders) (P<0.05).
Conclusion: This study showed that slow-stroke back massage improves fatigue and sleep quality in hemodialysis patients. Therefore, it is recommended as an inexpensive, effective and uncomplicated method in hemodialysis patients.
Clinical trial registry: IRCT20181119041702N1
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