The effects of an olive-oil massage on hemodialysis patients suffering from fatigue at a hemodialysis unit in southern India – a randomized controlled trial
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Eilean Rathinasamy Lazarus
, Anandhi Deva Amirtharaj
Abstract
Objectives
To determine the effects that an olive oil massage has on fatigue among patients undergoing hemodialysis, and the associated sociodemographic factors that can reduce fatigue.
Methods
The study used true experimental pre- and post-test research design. A total of 200 patients were recruited in a selected hemodialysis unit in southern India and were allocated to either a study or control group by randomization, with 100 patients in each group. All the patients in the intervention group were given a lower back and lower leg massage using olive oil at the beginning, and after every hour, of their hemodialysis using olive oil for a period of eight weeks. In contrast, the control group continues to receive routine care. The level of fatigue was measured using the Fatigue Severity Scale both before and after massage therapy.
Results
Between 73 and 80% of patients were suffering from severe fatigue and the mean fatigue score was 5.53 (SD 1.82) and 5.56 (SD 1.57) for the study and control group, respectively. After eight weeks of massage therapy, the results showed that 53% of patients in the study group showed borderline fatigue, with a mean score of 4.39 (SD 2.37), whereas in the control group 73% patients showed severe fatigue, with a mean score of 5.17 (SD 2.00). The independent t-test between the study and the control group showed a statistically significant reduction in fatigue in the study group with a mean difference (MD) of 3.56 (t=−1.24; p=0.000). There were also statistically significant changes noted in gender and in the duration of the hemodialysis (χ2 = 6.043; p=0.049) and (χ2 = 6.611; p=0.046) respectively.
Conclusion
The study concluded that patients undergoing hemodialysis experienced moderate to severe levels of fatigue. In patients with no or mild anemia, massage has been shown to decrease fatigue and increase energy levels among patients undergoing hemodialysis for chronic kidney disease.
Acknowledgments
We acknowledge all the patients who participated in this study from XXX, Dialysis Unit, South India.
Research funding: This study was not funded by any local, national, or international organizations.
Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
Competing interests: Authors state no conflict of interest.
Informed consent: Informed consent was obtained from all individuals included in this study.
Ethical approval: The study obtained ethical approval from the local Research Ethics Committee.
References
1. Zuo, M, Tang, J, Xiang, M, Long, Q, Dai, J, Hu, X. Relationship between fatigue symptoms and subjective and objective indicators in hemodialysis patients. Int Urol Nephrol 2018;50:1329–39. https://doi.org/10.1007/s11255-018-1871-4.Suche in Google Scholar PubMed
2. Aiyegbusi, OL, Kyte, D, Cockwell, P, Marshall, T, Dutton, M, Walmsley-Allen, N, et al.. Patient and clinician perspectives on electronic patient-reported outcome measures in the management of advanced CKD: a qualitative study. Am J Kidney Dis 2019;74:167–78. https://doi.org/10.1053/j.ajkd.2019.02.011.Suche in Google Scholar PubMed
3. Cho, M-K, Shin, G. Gender-based experiences on the survival of chronic renal failure patients under hemodialysis for more than 20 years. Appl Nurs Res 2016;32:262–8. https://doi.org/10.1016/j.apnr.2016.08.008.Suche in Google Scholar PubMed
4. Song, Y-Y, Hu, RJ, Diao, YS, Chen, L, Jiang, XL. Effects of exercise training on restless legs syndrome, depression, sleep quality, and fatigue among hemodialysis patients: a systematic review and meta-analysis. J Pain Symptom Manag 2018;55:1184–95. https://doi.org/10.1016/j.jpainsymman.2017.12.472.Suche in Google Scholar PubMed
5. Salehi, F, Dehghan, M, Shahrbabaki, PM, Ebadzadeh, MR. Effectiveness of exercise on fatigue in hemodialysis patients: a randomized controlled trial. BMC Sports Sci Med 2020;12:19. https://doi.org/10.1186/s13102-020-00165-0.Suche in Google Scholar PubMed PubMed Central
6. Sa’ed, HZ, Al-Jabi, SW, Sweileh, WM, Tabeeb, GH, Ayaseh, NA, Sawafta, MN, et al.. Use of complementary and alternative medicines in haemodialysis patients: a cross-sectional study from Palestine. BMC Compl Alternative Med 2016;16:204. https://doi.org/10.1186/s12906-016-1196-8.Suche in Google Scholar PubMed PubMed Central
7. Khachian, A, Amini-Behbahani, F, Haghani, H, Saatchi, K, Moradi, M. The effect of aromatic oil-based effleurage massage on radiotherapy-induced fatigue in patients with cancer. Iran J Nat Resour 2018;31:10–7. https://doi.org/10.29252/ijn.31.113.10.Suche in Google Scholar
8. Vergo, MT, Pinkson, BM, Broglio, K, Li, Z, Tosteson, TD. Immediate symptom relief after a first session of massage therapy or Reiki in hospitalized patients: a 5-year clinical experience from a rural academic medical center. J Altern Complementary Med 2018;24:801–8. https://doi.org/10.1089/acm.2017.0409.Suche in Google Scholar PubMed PubMed Central
9. Nasiri, M, Abbasi, M, Khosroabadi, ZY, Saghafi, H, Hamzeei, F, Amiri, MH, et al.. Short-term effects of massage with olive oil on the severity of uremic restless legs syndrome: a double-blind placebo-controlled trial. Compl Ther Med 2019;44:261–8. https://doi.org/10.1016/j.ctim.2019.05.009.Suche in Google Scholar PubMed
10. Gümüş, K, Özlü, ZK. The effect of a beeswax, olive oil and Alkanna tinctoria (L.) tausch mixture on burn injuries: an experimental study with a control group. Compl Ther Med 2017;34:66–73. https://doi.org/10.1016/j.ctim.2017.08.001.Suche in Google Scholar PubMed
11. Cohen, J. A power primer. Psychol Bull 1992;112:155. https://doi.org/10.1037/0033-2909.112.1.155.Suche in Google Scholar
12. Ann, B, Wellard, S, Caltabiano, M. Levels of fatigue in people with ESRD living in far North Queensland. J Clin Nurs 2008;17:90–8. https://doi.org/10.1111/j.1365-2702.2007.02042.x.Suche in Google Scholar PubMed
13. Bagheri-Nesami, M, Shorofi, SA, Nikkhah, A, Espahbodi, F, Koolaee, FS. The effects of aromatherapy with lavender essential oil on fatigue levels in haemodialysis patients: a randomized clinical trial. Compl Ther Clin Pract 2016;22:33–7. https://doi.org/10.1016/j.ctcp.2015.12.002.Suche in Google Scholar PubMed
14. Rosti‐Otajärvi, E, Hämäläinen, P, Wiksten, A, Hakkarainen, T, Ruutiainen, J. Validity and reliability of the fatigue severity scale in Finnish multiple sclerosis patients. Brain Behav 2017;7:e00743. https://doi.org/10.1002/brb3.743.Suche in Google Scholar PubMed PubMed Central
15. Ottonello, M, Pellicciari, L, Giordano, A, Foti, C. Rasch analysis of the fatigue severity scale in Italian subjects with multiple sclerosis. J Rehabil Med 2016;48:597–603. https://doi.org/10.2340/16501977-2116.Suche in Google Scholar PubMed
16. Arellano, J, Martínez, JA, Pérez, JN, Alcaraz, JL. Relationship between workload and fatigue among Mexican assembly operators. Int J Phys Med Rehab 2015;3:2. https://doi.org/10.4172/2329-9096.1000315.Suche in Google Scholar
17. Zyga, S, Alikari, V, Sachlas, A, Fradelos, EC, Stathoulis, J, Panoutsopoulos, G, et al.. Assessment of fatigue in end stage renal disease patients undergoing hemodialysis: prevalence and associated factors. Med Arch 2015;69:376. https://doi.org/10.5455/medarh.2015.69.376-380.Suche in Google Scholar PubMed PubMed Central
18. Yang, P-C. Predictors of fatigue among female patients on hemodialysis. Nephrol Nurs J 2017;44.Suche in Google Scholar
19. Jhamb, M, Weisbord, SD, Steel, JL, Unruh, M. Fatigue in patients receiving maintenance dialysis: a review of definitions, measures, and contributing factors. Am J Kidney Dis 2008;52:353–65. https://doi.org/10.1053/j.ajkd.2008.05.005.Suche in Google Scholar PubMed PubMed Central
20. Liu, H. Fatigue and associated factors in hemodialysis patients in Taiwan. Res Nurs Health 2006;29:40–50. https://doi.org/10.1002/nur.20109.Suche in Google Scholar PubMed
21. Wang, S-Y, Zang, XY, Fu, SH, Bai, J, Liu, JD, Tian, L, et al.. Factors related to fatigue in Chinese patients with end-stage renal disease receiving maintenance hemodialysis: a multi-center cross-sectional study. Ren Fail 2016;38:442–50. https://doi.org/10.3109/0886022x.2016.1138819.Suche in Google Scholar PubMed
22. Unal, KS, Akpinar, RB. The effect of foot reflexology and back massage on hemodialysis patients’ fatigue and sleep quality. Compl Ther Clin Pract 2016;24:139–44. https://doi.org/10.1016/j.ctcp.2016.06.004.Suche in Google Scholar PubMed
23. Georgios, T, Victoria, A, Evangelos, F, Savvas, P, Sofia, Z. Assessment of quality of life and fatigue among haemodialysis patients. Am J Nurs 2015;4:66–73. https://doi.org/10.11648/j.ajns.s.2015040201.22.Suche in Google Scholar
24. Krupp, LB, LaRocca, NG, Muir-Nash, J, Steinberg, AD. The fatigue severity scale: application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol 1989;46:1121–3. https://doi.org/10.1001/archneur.1989.00520460115022.Suche in Google Scholar PubMed
25. Sharifi, S, Navidian, A, Jahantigh, M, Shamsoddini Lori, A. Investigating the impact of foot reflexology on severity of fatigue in patients undergoing hemodialysis: a clinical trial study. JCR: Med Surg Nurs J 2018;7.10.5812/msnj.81634Suche in Google Scholar
26. Shady, RHA, Ali, HMA. Effect of reflexology foot message on fatigue level for patients undergoing hemodialysis. Int J Nurs 2019;6:151–70. https://doi.org/10.15640/ijn.v6n1a17.Suche in Google Scholar
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Artikel in diesem Heft
- Frontmatter
- Reviews
- The effect of Nigella sativa on oxidative stress and inflammatory biomarkers: a systematic review and meta-analysis
- Effect of fennel on primary dysmenorrhea: a systematic review and meta-analysis
- Raising burden of non-communicable diseases: importance of integrating Yoga and Naturopathy at primary care level
- Research Articles Basic
- Marketing and legal status of phytomedicines and food supplements in Morocco
- Hydrogen sulfide as a mediator of endothelium-dependent relaxation evoked by Moringa oleifera leaf extract in mesenteric arterial beds isolated from L-NAME hypertensive rats
- Acute and sub-acute toxicity assessment of aqueous leaves extract of Crassocephalum crepidioides (Asteraceae) in Wistar rats
- Zingerone improves the immune responses in an animal model of breast cancer
- Evaluation of efficacy of Bombax ceiba extract and its major constituent, mangiferin in streptozotocin (STZ)-induced diabetic rats
- Bacterial endosymbiont inhabiting Leucaena leucocephala leaves and their antioxidant and antidiabetic potential
- Ameliorative effect of morin on dutasteride-tamsulosin-induced testicular oxidative stress in rat
- The potentiation of beta-lactam and anti-bacterial activities of lipophilic constituents from Mesua ferrae leaves against methicillin-resistant Staphylococcus aureus
- Influence of irisin on diet-induced metabolic syndrome in experimental rat model
- Modulatory effect of methanol extract of Annona muricata stem bark on mitochondrial membrane permeability transition pore in normal rat liver and monosodium glutamate-induced uterine hyperplasia
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- Functional status in adhesive capsulitis – yoga vs. physiotherapy: a quasi experimental study
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- Immediate effect of interscapular cupping on blood pressure, oxygen saturation, pulse rate and chest expansion in sedentary smoker students
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- Effects of epigallocatechin-3-gallate of Camellia sinensis leaves on blood pressure, lipid profile, atherogenic index of plasma and some inflammatory and antioxidant markers in type 2 diabetes mellitus patients: a clinical trial
- The effect of practicing yoga during pregnancy on labor stages length, anxiety and pain: a randomized controlled trial
- Effect of lumbar stabilization exercises and thoracic mobilization with strengthening exercises on pain level, thoracic kyphosis, and functional disability in chronic low back pain
- A prospective controlled study on Ramadan fasting in the healthy young males in summer in Germany: effect on cytokines
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