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Effects of a Pruritus Intervention Program on Pruritus and Sleep Satisfaction for Hemodialysis Patients  

So, Hyang-Sook (College of Nursing, Chonnam National University and Chonnam Research Institute of Nursing Science)
Kim, Ae-Yeong (Kidney Center, Chonnam National University Hospital)
Kim, Eun-A (Kidney Center, Chonnam National University Hospital)
Publication Information
Journal of Korean Academy of Nursing / v.37, no.4, 2007 , pp. 467-477 More about this Journal
Abstract
Purpose: The purpose of this study was to analyze the effects of a pruritus intervention program on pruritus and sleep satisfaction in patients undergoing hemodialysis. Method: This study was designed for a nonequivalent control group repeated measures quasi-experimental study. Hemodialysis patients were recruited from a kidney center at a university hospital located in G city, Korea. The subjects consisted of 43 patients 21 for the experimental group and 22 for the control group. The 2-week pruritus intervention program was given to the experimental group only. An analytical survey was done before and after the pruritus intervention program. Result: There was a significant decrease in pruritus and increase in sleep satisfaction in the experimental group compared to the control group. There was significant improvement in clinical symptoms and sleep satisfaction after completing the pruritus intervention program in the experimental group. Conclusion: Pruritus intervention program in hemodialysis patients decreased pruritus severity and increased sleep satisfaction, which can be used as an efficient nursing intervention for hemodialysis patients.
Keywords
Pruritus; Sleep; Hemodialysis;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Galassi, G., Ferrari, S., Cobelli, M., & Rizzuto, N. (1998). Neuromuscular complications of kidney disease. Nephrol Dial Transplant, 13, 41-47   PUBMED
2 Lee, Y. H. (2005). Effects of auricular acupressure therapy on sleep in hemodialysis patients with insomnia. Unpublished master's thesis, College of Medicine, Pochon Cha University, Pochon
3 Min, H. S., & Lee, E. J. (2006). A study of the relationship between compliance with therapeutic regimens and physiological parameters of homedialysis patients. J Korean Acad Nurs, 36(1), 64-73   과학기술학회마을   DOI
4 Min, Y. S., & Yong, J. S. (2003). Relationship among burden, social support and quality of life for the family caregiver of homedialysis patients. J Korean Acad Psych Mental Health Nurs, 12(3), 358-366
5 Oh, P. J. (1998). Comparison of effects between tepid sponge bath and vinegar sponge bath in reducing uremic pruritus among maintenance hemodialysis patients. Unpublished master's thesis, Seoul National University, Seoul
6 The Korean Society of Nephrology. (2006). Renal replacement therapy in Korea -Insan memorial dialysis registry 2005. The Korean Society of Nephrology Autumn Symposium, 25(2), 367-395. Seoul: The Korean Society of Nephrology
7 Wingard, R. (2005). Patient education and the nursing process: meeting the patient's needs. Nephrol Nurs J, 32(2), 211-214
8 Hopkins K. (2005). Facilitating sleep for patients with end stage renal disease. Nephrol Nurs J, 32(2), 189-190
9 Lee, Y. K., & Noh, J. W. (2005). Uremic pruritus. Korean J Nephrol, 24(2), 465-468
10 Lee, E. O., Lim, N. Y., & Park, H. A. (1998). Nursing medical research and statistical analysis. Seoul: Soomoonsa
11 Murphy, M., & Carmichael, A. J. (2000). Renal itch. Clin Exp Dermatol, 25(2), 103-106   DOI   ScienceOn
12 Kang, J. Y. (1992). The effect of preparatory audiovisual information with videotape influencing on sleep and anxiety of abdominal sugical patients. Unpublished master's thesis, Seoul National University, Seoul
13 Lee, S. Y. (2000). The effect of structured education on knowledge and behavior about self-care in peritoneal dialysis patients. Unpublished master's thesis, Kyung Hee University, Seoul
14 Song, M. S. (2004). Effects of empowerment program on the hemodialysis patients. Unpublished doctoral dissertation, Kosin University, Busan
15 Snyder-Halpern, R., & Verran, J. A. (1987). Instrumentation to describe subjective sleep characteristics in healthy subjects. Res Nurs Health, 10(3), 155-163   DOI   ScienceOn
16 Narita, I., Alchi, B., Omori, K., Sato, F., Ajiro, J., Saga, D., Kondo, D., Skatsume, M., Maruyama, S., Kazama, J. J., Akazawa, K., & Gejyo, F. (2006). Etiology and prognostic significance of severe uremic pruritus III chronic hemodialysis patients. Kidney Int, 69(9), 1626-1632   DOI   ScienceOn
17 Ha, H. C. (1999). Effect of aromatherapy on skin xerosis and pruritus in patients undergoing maintenance hemodialysis. Unpublished doctoral dissertation, The Catholic University of Korea, Seoul
18 Kim, A. Y. (2006). The effect of education program on early hemodialysis patients' knowledge, self-care practice and physiologic index. Unpublished master's thesis, Chonnam University, Gwangju
19 Wilson, D., & Nix, D. (2005). Evaluation of a once-daily moisturizer used to treat xerosis in long-term care patients. Ostomy Wound Manage, 51(11), 52-60   PUBMED
20 Lugon, J. R. (2005). Uremic pruritus: a review. Hemodial Int, 9(2), 180-188   DOI   ScienceOn
21 Kim, H. B., Baek, K. S., & Choi, K. S. (2003). The coping experience of hemodialysis patients with a grounded theory approach. Chung-Ang J Nurs, 7(2), 39-46
22 Kim, Y. S. (2004). Effects of preoperative education on postoperative recovery of pulmonary function, quality of sleep and level of satisfaction in nursing care. Unpublished master's thesis, Kangwon University, Gangneung
23 Nozaki, C., Oka, M., & Chaboyer, W. (2005). The effects of a cognitive behavioural therapy programme for self-care on haemodialysis patients. Int J Nurs Pract, 11(5), 228-236   DOI   ScienceOn
24 Duo, L. J. (1987). Electrical needle therapy of uremic pruritus. Nephron, 47(3), 179-183   DOI
25 Kim, J. H. (2005). The effects of pre-operational education using audio-visual medium on the state anxiety, sleeping satisfaction, momentum and amount of residual urine of hysterectomy patients. Unpublished master's thesis, Yonsei University, Seoul
26 Tsay, S. L. (2004). Acupressure and fatigue in patients with end-stage renal disease-a randomized controlled trial. Int J Nurs Stud, 41(1), 99-106   DOI   ScienceOn
27 Kang, H. S., Kim, W.O., Hyun, K. S., Cho, H. S., Kim, J. H., Wang, M. J., Paik, S. N., Won, J. S., Jeong, H., Sok, S. H., Lee, E. M., & Jang, J. M. (1998). An analyses of research trend and proposition related to self-care. J Korean Acad Nurs, 28(4), 1013-1026   과학기술학회마을   DOI
28 Min, K. A. (2004). Comparison of quality of life among hemodialysis & peritoneal dialysis patients. Unpublished master's thesis, Chungnam National University, Daejon
29 Cork, M. J., Britton, J., Butler, L., Young, S., Murphy, R., & Keohane, S. G. (2003). Comparison of parent knowledge, therapy utilization and severity of atopic eczema before and after explanation and demonstration of topical therapies by a specialist dermatology nurse. Br J Dermatol, 149(3), 582-589   DOI   ScienceOn
30 Yngman-Uhlin, P., & Edell-Gustafsson, U. (2006). Self-reported subjective sleep quality and fatigue in patients with peritoneal dialysis treatment at home. Int J Nurs Pract, 12(3), 143-152   DOI   ScienceOn