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

References

Weisshaar E. Epidemiology of uraemic itch: New data. Eur J Pain 2016;20:32-6. doi: 10.1002/ejp.761

da Silva GL, Thome EG. Complications of the hemodialysis procedure in acute renal failure patients: nursing interventions. Rev Gaucha Enferm 2009;30:33-9.

Nakhaee S, Nasiri A, Waghei Y, Morshedi J. Comparison of avena sativa, vinegar, and hydroxyzine for uremic pruritus of hemodialysis patients: a crossover randomized clinical trial. Iran J Kidney Dis 2015;9:316-22.

Asgari MR, Soleimani M. Comprehensive book critical care nursing in ICU, CCU and dialysis ward. 31th ed. Tehran: boshra-tohfeh pub;2017.[Persian].

Karimi S, Heidary Seraj M, Afshar R. Evaluation of uremic pruritus and its associated factors in hemodialysis patients. Daneshvar Medicine 2014;2:29-36.[Persian].

Soleimani M, Asgari MR, Imani A, Tammadon MR. Cold hemodialysis impact on sleep quality in hemodialysis patients. Journal of ZUMS 2017:111:128-38.[Persian].

Zakeri moghddam M, Ali asgharpoor M. Critical care nursing in ICU, CCU and dialysis ward. 6th ed. Tehran: Andisheh Rafi Pub;2016.[Persian].

Pisoni RL, Wikstrom B, Elder SJ, Akizawa T, Asano Y, Keen ML, et al. Pruritus in haemodialysis patients: international results from the dialysis outcomes and practice patterns study (DOPPS). Nephrol Dial Transplant 2006;21:3495-505. doi: 10.1093/ndt/gfl461

Mirnezami M, Rahimi H. Evaluation of effective factors on pruritus in patients with advanced renal failure treated with hemodialysis. Yafte 2011;12:23-8.[Persian].

Suzuki H, Omata H, Kumagai H. Recent advances in treatment for uremic pruritus. Open J Nephrol 2015;5:1-13. doi: 10.4236/ojneph.2015.51001

Suzuki H, Omata H, Kumagai H. Recent advances in treatment for uremic pruritus. Open J Nephrol 2015;5:1-13. doi: 10.4236/ojneph.2015.51001

Khalili H, Dashti S, Ahmad Poor P, Haji Babaii M, Abdollahi F. Comparison of effect anti pruritus drugs in chronic renel failure patient. Journal of TUMS 2007;64:36-42.[Persian].

Narita I, Iguchi S, Omori K, Gejyo F. Uremic pruritus in chronic haemodialysis patients. J Nephrol 2008;21:161-5.

Akhyani M, Ganji MR, Samadi N, Khamesan B, Daneshpazhooh M. Pruritus in hemodialysis patient. BMC Dermatol 2005;5:1-6. doi: 10.1186/1471-5945-5-7

Rad M, Jaghouri E, Sharifipour F, Rakhshani MH. The effects of cool dialysate on pruritus status during hemodialysis of patients with chronic renal failure: a controlled randomized clinical trial. Iran Red Crescent Med J 2017;19:1-7.

Lupi O, Rezende L, Zangrando M, Sessim M, Botelho Silveira C, Silva Sepulcri MA, et al. Cutaneous manifestations of end-stage renal disease. Dermatology 2000;43:975-90.

Kimata N, Fuller DS, Saito A, Akizawa T, Fukuhara S, Pisoni RL, et al. Pruritus in hemodialysis patients: results from the Japanese dialysis outcomes and practice patterns study (JDOPPS). Hemodial Int 2014;18:657-67. doi: 10.1111/hdi.12158

Layegh P, Mojahedin MJ, Malekshah PE, Pezeshkpour F, Vahedian M, Nazemian F, et al. The effect of oral granistron in uremic pruritus. Indian J Dermatol Venereol Leprol 2007;73:231-4.

Hsu MC, Chen HW, Hwu YJ, Chanc CM, Liu CF. Effects of thermal therapy on uremic pruritus and biochemical parameters in patients having hemodialysis. J Adv Nurs 2009;65:2397-408. doi: 10.1111/j.1365-2648.2009.05100.x

Keithi-Reddy SR, Patel T, Armstrong AW, Singh AK. Uremic pruritus. Kidney International 2007;72:373-7. doi: 10.1038/sj.ki.5002197

Sharma A, Chugh Y, Kastury N, Kapoor AK. Management of Itching. JIACM 2009;103:119-27.

Cavalcanti AM, Rocha LM, Carillo R, Lima LU, Lugon JR. Effects of homeopathic treatment on pruritus of haemodialysis patients: a randomized placebo-controlled double-blind trial. Homeopathy 2003; 92:177-81.

Ghaderi R, Mohammadi fard M. Comparison of the efficacy of emollient with heliotherapy for the relief pruritus in patient hemodialysis. Journal of Gonabad MSU 2007;12:42-9.[Persian].

Smeltzer SC, Bare GB, Hinkle JL, Cheever KH. Brunner & Suddars text book of Medical-Surgical Nursing. 13th ed. Philadelphia: Lippincott Williams & Wilkins;2014.

Ghasemi A, Shafii M, Rowghani K, Najafi Mehri S, Padyab M. Effect of cool dialysate temperature on stabilizing hemodynamic parameters in diabetic patients undergoing hemodialysis. IJEM 2007;9:216-66.[Persian].

Sabry A, Abo-Zenah H, Wafa E, Mahmoud K, El-Dahshan K, Hassan A, et al. Sleep disorders in hemodialysis patients. Saudi J Kidney Dis Transpl 2010;21:300-5.

Ayoub A, Finlyson M. Effect of cool temperature dialysate on the quality and patients perception of hemodialysis. Nephrol Dial Transplant 2004;19:190-4.

Azar AT. Effect of dialysis temperature on hemodynamic stability among hemodialysis patients. Saudi J Kidney Dis Transpl 2009;20:596-603.

Parker KP, Bailey JL, Rye DB, Bliwise DL, Van Someren EJ. Lowering dialysate temperature improves sleep and alters nocturnal skin temperature in patients on chronic hemodialysis. J Sleep Rese 2007;16:42-50. doi: 10.1111/j.1365-2869.2007.00568.x

Panahi y, Davari Saiid M, Nagizadeh MM. Quality of life associated with skin problems in chemical warfare victims of mustard gas. Journal of Behavioral Sciences 2008;2:237-44.[Persian].

Yosipovitch G, Zucker I, Boner G, Gafter U, Shapira Y, David M. A questionnaire for the assessment of pruritus: validation in uremic patients. Acta Derm Venereol 2001;81:108-11.

Yozipovitch G. Itching in the new millennium: highlights of the second international workshop for the study of itch, Toyoma, Japan. J Am Acad Dermatol 2004;51:625-7. doi: 10.1016/j.jaad.2004.02.018

Mathur VS, Lindberg J, Germain M, Block G, Tumlin J, Smith M, et al. A longitudinal study of uremic pruritus in hemodialysis patients. CJASN 2010;5:1410-9. doi:10.2215/CJN.00100110

Lin TC, Lai YH, Guo SE, Liu CF, Tsai JC, Guo HR, et al. Baby oil therapy for uremic pruritus in haemodialysis patients. J Clin Nurs 2012;21:139-48. doi: 10.1111/j.1365-2702.2011.03906.x

Clapham DE. TRP channels as cellular sensors. Nature 2003;426:517-24. doi: 10.1038/nature02196

Published

2018-03-17

Issue

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

Most read articles by the same author(s)

<< < 44 45 46 47 48 49 50 51 52 53 > >>