The Effect of Cold Hemodialysis Fluid on the Uremia Pruritus in Hemodialysis Patients

Authors

  • Ali Imani1 1- Dept. of Critical Care Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.
  • Mohsen Soleimani2 2- Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran.
  • Mohammad Reza Asgari2
  • Fatemeh Moradi3* 3- Dept. of Nursing, School of Nursing and Midwifery, Zanjan University of Medical Siences, Zanjan, Iran.
  • Akbar Pourrahimi3
  • Mohammad Reza Tammadon4 4- School of Medicine, Semnan University of Medical Sciences, Semnan, Iran.

DOI:

https://doi.org/10.22100/jkh.v12i4.1802

Keywords:

Cool Hemodialysis, Standard Hemodialysis, Uremic Pruritus, Kidney Failure, Chronic

Abstract

Introduction: Uremic pruritus is one of the most common and debilitating complications of hemodialysis patients which affects 50 to 90 percent of them. Pruritus can lead to skin infections, scaling, anxiety, sleep disorders, social dysfunction and so on in patient. The aim of study was to evaluate the effect of hemodialysis with cold dialysis fluid on reducing the level of uremic pruritus in hemodialysis patients.

Methods: This study was a pre and post-test double-blind clinical trial performed in summer 2012 in hemodialysis department of Fatemieh hospital, Semnan. Of all patients in the hemodialysis department, 35 people were eligible. To collect data, demographic questionnaire, medical records and itching scale were used. Patients were hemodialized three times per week and each session was four hours, for one month with standard hemodialysis(37oc) and then in the second month with cold hemodialysis(35oc). Data were analyzed by Paired t-test and Wilcoxon tests at a significant level of 5%.

Results: The results showed that the mean and standard deviation of pruritus in standard and cool hemodialysis stage were 23.0±10.3 and 8.8±1.3, respectively. The data indicate that the patients' pruritus in the cold stage of hemodialysis was significantly reduced (P<0.001).

Conclusion: Cold hemodialysis can relieve uremic pruritus among hemodialysis patients.

Author Biographies

  • Ali Imani1, 1- Dept. of Critical Care Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.
    عضو هیئت علمی دانشگاه علوم پزشکی زنجان
  • Mohsen Soleimani2, 2- Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran.
    عضو هیئت علمی و دانشیار دانشگاه علوم پزشکی سمنان
  • Mohammad Reza Asgari2
    عضو هیئت علمی و دانشیار دانشگاه علوم پزشکی سمنان
  • Fatemeh Moradi3*, 3- Dept. of Nursing, School of Nursing and Midwifery, Zanjan University of Medical Siences, Zanjan, Iran.
    عضو هیئت علمی دانشگاه علوم پزشکی زنجان
  • Akbar Pourrahimi3
    عضو هیئت علمی دانشگاه علوم پزشکی زنجان
  • Mohammad Reza Tammadon4, 4- School of Medicine, Semnan University of Medical Sciences, Semnan, Iran.
    عضو هیئت علمی و استادیار دانشگاه علوم پزشکی سمنان

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Published

2018-03-17

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Section

Original Article(s)

How to Cite

The Effect of Cold Hemodialysis Fluid on the Uremia Pruritus in Hemodialysis Patients. (2018). Knowledge and Health in Basic Medical Sciences, 12(4), Page:33-39. https://doi.org/10.22100/jkh.v12i4.1802

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