A Systematic Review of Non-Pharmaceutical Interventions to Reduce Fatigue In Adults Receiving Hemodialysis

2.50
Hdl Handle:
http://hdl.handle.net/10755/303973
Category:
Full-text
Type:
Presentation
Title:
A Systematic Review of Non-Pharmaceutical Interventions to Reduce Fatigue In Adults Receiving Hemodialysis
Author(s):
Astroth, Kim Schafer; Welch, Janet L.; Russell, Cynthia
Lead Author STTI Affiliation:
Alpha
Author Details:
Kim S. Astroth, PhD, RN, kmastro@ilstu.edu; Janet L. Welch, DNS, RN; Cynthia Russell, PhD, RN;
Abstract:

Session presented on: Friday, July 26, 2013

Purpose: The United States has one of the highest rates of chronic kidney disease stage five, with hemodialysis the most common mode of treatment. Fatigue is a common complaint in 65 to 91% of those receiving hemodialysis. Fatigue can have widespread effects including decreased physical function, quality of life, and ability to perform activities of daily living; increased fatigue is also associated with reduced survival.' Because fatigue is frequently reported as bothersome, nurses must discover effective ways to assist patients to manage this symptom. The purpose of this systematic review is to examine effectiveness of non-pharmacologic interventions used to minimize fatigue.

Methods: The databases searched were Academic Search Complete and Cumulative Index to Nursing and Allied Health Literature supported by EBSCO, Cochrane Library, PsycINFO supported by Ovid, PubMed, and Web of Science from the years 1806 to 2011 with 1,388 citations retrieved. Both randomized controlled trials (RCT) and quasi-experimental studies were included.

Results: Twenty-five studies met the inclusion criteria; 11 were RCTs and 14 were quasi-experimental. Fourteen (56%) contained statistically significant improvements in fatigue levels in the study participants. Interventions with significant reductions in fatigue included Eastern-medicine based therapies, such as far infrared rays and acupressure. Exercise interventions with significant fatigue reductions most often included cycling. The studies used self-report measures of fatigue.'

Conclusion: The feasibility of implementing Eastern-medicine based therapies may be limited due to lack of experienced providers, and the potential time and cost involved. Replication with fully powered RCT designs is needed to determine the value of interventions with no significant effects. The use of valid and reliable fatigue measures tested in the hemodialysis population is suggested. Use of objective measures of physical fatigue and function as well as self report of perceptions of fatigue may further demonstrate the effectiveness of interventions to reduce fatigue.

Keywords:
Review; Hemodialysis; Fatigue Interventions
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleA Systematic Review of Non-Pharmaceutical Interventions to Reduce Fatigue In Adults Receiving Hemodialysisen
dc.contributor.authorAstroth, Kim Schaferen
dc.contributor.authorWelch, Janet L.en
dc.contributor.authorRussell, Cynthiaen
dc.contributor.departmentAlphaen
dc.author.detailsKim S. Astroth, PhD, RN, kmastro@ilstu.edu; Janet L. Welch, DNS, RN; Cynthia Russell, PhD, RN;en
dc.identifier.urihttp://hdl.handle.net/10755/303973-
dc.description.abstract<p>Session presented on: Friday, July 26, 2013</p><b>Purpose: </b>The United States has one of the highest rates of chronic kidney disease stage five, with hemodialysis the most common mode of treatment. Fatigue is a common complaint in 65 to 91% of those receiving hemodialysis. Fatigue can have widespread effects including decreased physical function, quality of life, and ability to perform activities of daily living; increased fatigue is also associated with reduced survival.' Because fatigue is frequently reported as bothersome, nurses must discover effective ways to assist patients to manage this symptom. The purpose of this systematic review is to examine effectiveness of non-pharmacologic interventions used to minimize fatigue. <p><b>Methods: </b>The databases searched were Academic Search Complete and Cumulative Index to Nursing and Allied Health Literature supported by EBSCO, Cochrane Library, PsycINFO supported by Ovid, PubMed, and Web of Science from the years 1806 to 2011 with 1,388 citations retrieved. Both randomized controlled trials (RCT) and quasi-experimental studies were included. <p><b>Results: </b> Twenty-five studies met the inclusion criteria; 11 were RCTs and 14 were quasi-experimental. Fourteen (56%) contained statistically significant improvements in fatigue levels in the study participants. Interventions with significant reductions in fatigue included Eastern-medicine based therapies, such as far infrared rays and acupressure. Exercise interventions with significant fatigue reductions most often included cycling. The studies used self-report measures of fatigue.' <p><b>Conclusion: </b>The feasibility of implementing Eastern-medicine based therapies may be limited due to lack of experienced providers, and the potential time and cost involved. Replication with fully powered RCT designs is needed to determine the value of interventions with no significant effects. The use of valid and reliable fatigue measures tested in the hemodialysis population is suggested. Use of objective measures of physical fatigue and function as well as self report of perceptions of fatigue may further demonstrate the effectiveness of interventions to reduce fatigue.en
dc.subjectReviewen
dc.subjectHemodialysisen
dc.subjectFatigue Interventionsen
dc.date.available2013-10-22T20:26:53Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:26:53Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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