Effectiveness of Olive Oil with Virgin Coconut Oil on Pruritus Grade Scores Among Hemodialysis Patients

Abstract

Hemodialysis is an action taken to treat various problems caused by Chronic Kidney Disease (CKD). Pruritus is a complication that often occurs due to hemodialysis, can cause injury to the skin, and interfere with patient comfort. Emollients are recommended to treat pruritus, where Virgin Coconut Oil (VCO) and Olive Oil (OO) are effective emollients to treat pruritus because they are easy to obtain, natural, and without side effects. The purpose of this study was to assess differences in the effectiveness of reducing pruritus grade scores in hemodialysis patients using VCO and OO. This study used a quasi-experiment with two groups pre-post test design. Samples were taken using the purposive sampling technique involving 72 patients undergoing hemodialysis which were divided into two groups (VCO and OO). The instrument used the score of the degree of pruritus and the data were analyzed by the Mann-Whitney test. The results of the study obtained a p-value of 0.008 (<0.05) which means that there is a difference in the effectiveness of giving VCO with OO on the score of the degree of pruritus in patients, VCO is more effective in reducing the score of the degree of pruritus in patients. So that the use of VCO can be used as an alternative nurse intervention in the treatment of pruritus in hemodialysis patients. KEYWORDS: Chronic Kidney Disease, Hemodialysis, Olive Oil, Pruritus, Virgin Coconut Oil

Pruritus and long-term hemodialysis among patients with chronic renal failure

“…Peppermint aromatherapy is a safe treatment that can lower the severity of pruritus. The study's implications are that complementary atopic therapy with peppermint essential oils, in addition to pharmacological treatment (antipruritis), can reduce the scale of uremic pruritus; that hand acupressure is an effective nursing intervention to improve sleep quality and decrease pruritis in hemodialysis patients [26]- [28]; and that giving lotions [29] such as olive oil and baby oil is a simple, safe, and inexpensive intervention [30]- [32]. The majority of patients who have kidney failure and receive hemodialysis experience worry; therefore, it's crucial to have family support, meet socioeconomic needs, and be aware of any accompanying conditions that can be of concern to patients receiving hemodialysis therapy for chronic renal failure [33].…”

Pengaruh Pemberian Massage Virgin Coconut Oil Terhadap Pruritus Pada Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisa

“…Hasil penelitian diatas sejalan dengan penelitian yang dilakukan oleh (Muliani, Vitniawati, et al, 2021) penelitian yang dilakukan dengan menggunakan metode quasi-experiment dengan desain two goups pre-posttest design. Pengambilan sampel menggunakan teknik purposive sampling dengan melibatkan 72 pasien yang menjalani hemodialisis yang dibagi menjadi dua kelompok (VCO dan OO) menunjukan hasil, menunjukan hasil p-value 0,008 (<0,05) yang berarti terdapat perbedaan efektivitas pemberian Virgine Coconut Oil (VCO) dengan Olive Oil (OO) terhadap skor d erajat pruritus pada pasien.…”