Impact of hot stone massage therapy on sleep quality in patients on maintenance hemodialysis: A randomized controlled trial

Abstract

Background:Many patients on maintenance hemodialysis experience sleep disorders. This problem is related to depression, anxiety, hospitalizations, chronic medical conditions, decreased quality of life, and increasing mortality rate in patients on maintenance hemodialysis. The objective of this research is to determine the impact of massage therapy by hot stone on quality of sleep in patients on maintenance hemodialysis.Materials and Methods:This was a randomized controlled trial conducted on 60 patients on maintenance hemodialysis. They were assigned via random allocation process into two groups of study: intervention group (n = 30), or control group (n = 30). Patients in the experimental group received massage therapy by hot basalt stone for 12 séances. During the massage therapy, each of five basalt stones were placed at the sites of the fifth, fourth, third, second, and first chakra. Control group received their treatment as usual without any massage therapy. Using Pittsburgh Sleep Quality Index (PSQI), the global score and its components were computed in both groups of study, two times (before the intervention and 1 month after the intervention).Results:Although there were not any baseline differences between the two groups of study for the mean of global PSQI score (P = 0.92) before the study, the mean of global PSQI score in the intervention group, after the intervention decreased to 5.7 ± 3.06, but in the control group sleep quality increased to 10.7 ± 3.6. The difference between the mean of global score of PSQI among two groups of study after the massage therapy was statistically significant (P < 0.001).Conclusion:Applying massage therapy by hot stone in hemodialysis patients may contribute in enhancing their quality of sleep.

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

“…An increase in the score indicates a higher comfort level. 19,20 Cronbach's alpha value reported by Orak et al was 0.87, and the validity coefficient was 0.72. 16 In this study, Cronbach's alpha value of the scale was estimated to be 0.94.…”

“…The mechanism of the effect of warm therapy might be via reduction of muscle tension or vasodilation. 19,20,28,29 Another recommended intervention to prevent cramps is the administration of a cold compress. 21 Cold therapies can relieve muscle problems by slowing down tissue metabolism and reducing the inflammation process, edema, and pain.…”

“…[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. 21 Application of cold compresses to the legs during dialysis would be expected to slow down local tissue metabolism and should create vasoconstriction.…”

Hemodiyaliz Hastalarının Semptom Yönetiminde Kullanılan İntegratif Yöntemler

“…Masaj, kan dolaşımını arttırarak bölgede biriken metabolitlerin uzaklaştırılmasında, kasların gevşemesinin sağlanmasında, damarsal, sinirsel, hormonal yapıların uyarılmasında ve hücresel faaliyetlerin hızlandırılmasında etkilidir (11,18,45). HD hastalarına yönelik yapılan çalışmalarda; masajın ağrı, yorgunluk, kaşıntı, huzursuz bacak sendromu (HBS) ve yaşam kalitesi üzerinde faydalı etkileri olduğu saptanmıştır (11,18,46,48). Hemodiyaliz hastalarında masaj ile ilgili yapılan çalışmalara ilişkin sonuçlar Tablo 3'te gösterilmektedir.…”

Relation between Health Locus of Control and Foot Self-Care for Elderly with Type II Diabetes Mellitus

“…Additionally, lifestyle behavior changes are required, including physical activity, optimizing metabolic control, monitoring blood glucose levels, monitoring of blood pressure, eliminating smoking, and adherence to medication to prevent DFU in the long run (11) .…”