To determine the effect of foot massage on reducing blood pressure in patients with intradialytic hypertension. Method: This study is a randomized controlled trial (RCT). Subjects were 32 hemodialyses (HD) patients randomly allocated into two groups: the control group and the intervention group. Foot massage was performed three times in intradialytic phase for 5-10 min in the first, second, and third HD hours. Measurement of blood pressure (BP) used portable sphygmomanometer. The measurement was conducted every hour. Results: There is a different effect of foot massage on systolic and diastole blood pressure between the control group and intervention group with p < 0.05. The difference in median value for systolic blood pressure between the two groups was 25 mmHg, and diastole was 10 mmHg. Conclusion: The foot massage is beneficial in controlling intradialytic hypertension and can be applied in the management of hemodialysis patients by nurses.
Background : Nursing intervention is very important for care providers to achieve adequacy in hemodialysis (HD) process. Nurses as the front line in services need to know precisely the nursing interventions that can reduce the mortality rate of HD patients. Objective: to identify what kind of nursing interventions can be done during hemodialysis. Methods: Pubmed, Science Direct, Wiley Online, Proquest, and Google Scholar are databases used in collecting articles with relevant keywords and PRISMA guidelines. Results: obtained six randomized controlled trial articles according to the inclusion criteria. The research article presents nursing interventions such as inhalation therapy, training programs, foot massage, acupressure, cold dialysate use, and music therapy. The intervention can reduce complications that often occur in HD patients and have appropriate duration to be applied during intradialytic phase. Conclusion: nursing intervention can be witnessed to overcome complaints of nausea, vomiting, pain, pruritus, physical weakness, cramps, and psychological disorders. But it needs to be adjusted to the patient's condition and coordination with other medical officers in improving the quality of nursing care.
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