]>
IRCT20240602061989N1 IRCT 2024-06-21 Bandare-abbas University of Medical Sciences The Effect of Reflexology and Acupressure on Fatigue and its Consequences in Hemodialysis Patients The Effect of Reflexology and Acupressure on Fatigue and its Consequences in Hemodialysis Patients in the Healthcare Centers of Hormozgan University of Medical Sciences, Bandar Abbas, 1402 – 1403 2024-07-05 anticipated 96 Complete https://irct.ir/trial/77272 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: In this study, simple randomization will be done using random sequence generation software. The randomization unit is individual, and sequentially numbered, sealed, opaque envelopes will be used for concealment, Blinding description: One person as an outcome evaluator, without knowing the allocation of patients in groups, will perform all the evaluations in the waiting room before and after hemodialysis and immediately leave the hemodialysis department after doing it. He will not face patients during hemodialysis during intervention or non-intervention. In the continuation of blinding, he codes the data of the evaluation sheet and uploads it to the statistical software. The data analyst will also analyze the data without knowing the allocation of patients in the groups. N/A Fatigue, anxiety and depression in hemodialysis patients. Intervention 1: Intervention group: Intervention group: Reflexology group: in this group, in addition to the usual care in the hemodialysis department, foot reflexology massage is performed. After one hour of the start of hemodialysis, the researcher holds the heel of the patient's left foot with his left hand at the room temperature and bends and straightens it from the wrist by pressing on the sole of the foot, then with the thumb of the right hand (thumb pulp) on The solar plexus point (right below the sole of the foot at the junction of the anterior 1 / 3 and the posterior 2 / 3 of the sole in the midline) will apply direct pressure for 4 minutes, in a circular manner at the rate of 3 - 4 kg. Released pressure for 2 minutes, applied again for 4 minutes. In the same way, the massage is repeated for the right foot. Three massage sessions will be performed per week, for four weeks (12 sessions). Intervention 2: Intervention group: Acupressure group: in this group, in addition to the usual care in the hemodialysis department, acupressure is performed. After one hourof the start of hemodialysis, the researcher determines three acupressure points (K1, ST36 and SP6) in each leg at the room temperature. When the sole of the foot is bent, the K1 point is located in the depression of the sole between the second and third toes and approximately 1 / 3 of the distance between the base of the second toe and the heel. The SP6 point is located four toes above the inner ankle, just behind the tibia. The ST36 point is located four fingers below the kneecap and on the outside of the tibia. The researcher applied pressure at each point with the thumb of the hand at a speed of two rotations per second for 3 minutes so that the patient felt vague pain, tingling and warmth in the point. At this moment, the acupuncture point is stimulated to induce "Chi". In the same way, acupressure is repeated for the right leg (9 minutes for each leg, 18 minutes in total).Three acupressure sessions will be performed per week, for four weeks (12 sessions). Intervention 3: Control group: Only the routine care of the hemodialysis department is performed. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information.
public Zahra Bakhshizadeh
Shahid Chamran Blvd., Bandar Abbas.
Bandar Abbas Iran (Islamic Republic of) 7916613885 +98 76 3333 3280 zahra.bakhshizade94@gmail.com Bandare-abbas University of Medical Sciences scientific Zahra Bakhshizadeh
Shahid Chamran Blvd., Bandar Abbas.
Bandar Abbas Iran (Islamic Republic of) 7916613885 +98 76 3333 3280 zahra.bakhshizade94@gmail.com Bandare-abbas University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) At least 18 years old At least 3 months history of hemodialysis Perform hemodialysis three times per week Having full consciousness and the ability to listen and speak 18 years no limit Both Unwillingness to participate in the study Severe mental disorder and the use of sedatives Occurrence of stressful events such as death of first-degree relatives, divorce and conflict in legal issues in the last six months Suffering from chronic and debilitating diseases (cancer, chronic respiratory failure, heart failure, rheumatoid arthritis, systemic lupus erythematosus) Having amputations, wounds, swelling, burns, and fractures at the intervention site Rehabilitation Rehabilitation Rehabilitation Intervention group: Intervention group: Reflexology group: in this group, in addition to the usual care in the hemodialysis department, foot reflexology massage is performed. After one hour of the start of hemodialysis, the researcher holds the heel of the patient's left foot with his left hand at the room temperature and bends and straightens it from the wrist by pressing on the sole of the foot, then with the thumb of the right hand (thumb pulp) on The solar plexus point (right below the sole of the foot at the junction of the anterior 1 / 3 and the posterior 2 / 3 of the sole in the midline) will apply direct pressure for 4 minutes, in a circular manner at the rate of 3 - 4 kg. Released pressure for 2 minutes, applied again for 4 minutes. In the same way, the massage is repeated for the right foot. Three massage sessions will be performed per week, for four weeks (12 sessions). Intervention group: Acupressure group: in this group, in addition to the usual care in the hemodialysis department, acupressure is performed. After one hourof the start of hemodialysis, the researcher determines three acupressure points (K1, ST36 and SP6) in each leg at the room temperature. When the sole of the foot is bent, the K1 point is located in the depression of the sole between the second and third toes and approximately 1 / 3 of the distance between the base of the second toe and the heel. The SP6 point is located four toes above the inner ankle, just behind the tibia. The ST36 point is located four fingers below the kneecap and on the outside of the tibia. The researcher applied pressure at each point with the thumb of the hand at a speed of two rotations per second for 3 minutes so that the patient felt vague pain, tingling and warmth in the point. At this moment, the acupuncture point is stimulated to induce "Chi". In the same way, acupressure is repeated for the right leg (9 minutes for each leg, 18 minutes in total).Three acupressure sessions will be performed per week, for four weeks (12 sessions). Control group: Only the routine care of the hemodialysis department is performed. Fatigue score of hemodialysis patients. Timepoint: At the beginning of the study (before the start of the intervention), one hour after the start of each hemodialysis session, at the end of each hemodialysis session. Method of measurement: Visual Fatiue Scale. Fatigue score of hemodialysis patients. Timepoint: At the beginning of the study (before the start of the intervention), at the end of sessions 3, 6, 9 and 12 of the intervention. Method of measurement: Piper Fatigue Scale. The anxiety score of hemodialysis patients. Timepoint: At the beginning of the study (before the start of the intervention), at the end of sessions 3, 6, 9 and 12 of the intervention. Method of measurement: Hospital Anxiety and Depression Scale. The depression score of hemodialysis patients. Timepoint: At the beginning of the study (before the start of the intervention), at the end of sessions 3, 6, 9 and 12 of the intervention. Method of measurement: Hospital Anxiety and Depression Scale. Hormozgan University of Medical Sciences Approved 2024-05-27 Ethics Committee of Hormozgan University of Medical Sciences Hormozgan University of Medical Sciences, Faculty of Nursing and MidwiferyShahid Chamran Blvd., Bandar Abbas. Bandar Abbas Hormozgan Iran (Islamic Republic of)