Evaluation of Evidence-Based Nursing Interventions on Fatigue of Hemodialysis Patients in Iran: A Systematic Review

Zakiyeh Amini; Azadeh Kamali; Sima Sadat Hejazi; Mohamad Reza Armat; Mostafa Roshanravan

doi:10.18502/ssu.v30i5.10156

Zakiyeh Amini Department of Nursing, Faculty of Nursing, North Khorasan University of Medical Sciences, Bojnurd, Iran.
Azadeh Kamali Department of Nursing, Faculty of Nursing, North Khorasan University of Medical Sciences, Bojnurd, Iran.
Sima Sadat Hejazi Department of Nursing, Faculty of Nursing, North Khorasan University of Medical Sciences, Bojnurd, Iran.
Mohamad Reza Armat Department of Nursing, Faculty of Nursing, North Khorasan University of Medical Sciences, Bojnurd, Iran.
Mostafa Roshanravan Department of Nursing, Faculty of Nursing, North Khorasan University of Medical Sciences, Bojnurd, Iran.

DOI: https://doi.org/10.18502/ssu.v30i5.10156

Keywords: Fatigue, Hemodialysis, Renal Failure, Evidence based nursing

Abstract

Introduction: Fatigue is one of the most annoying complaints reported in people undergoing hemodialysis. However, the lack of awareness of health care providers about evidence-based interventions in one hand and unavailability of information in a coherent manner on the other hand is an important barrier to taking more effective measures. Therefore, it was decided to investigate evidence-based nursing interventions on the fatigue of hemodialysis patients in Iran.

Methods: Data collection in this systematic review study was conducted without any time limit in both Persian and English articles by searching on different databases of Iran medical articles bank such as IranDoc databases, elmnet, SID, Google scholar, Magiran, PubMed, Library Cochrane CINAHL, and Scopus. Finally, the findings of each study were entered into the data entry form as a data collection tool.

Results: Out of 119 available articles, 25 related articles were reviewed. These studies were conducted between 2012 to 2019.Various interventions such as massage therapy, aromatherapy, care patterns, nutrition therapy, exercise and laugh therapy have been investigated to reduce the fatigue of hemodialysis patients. The results of studies on fatigue reduction have shown that all the proposed interventions can be effective in reducing the fatigue of hemodialysis patients.

Conclusion: A look at the evidence-based interventions of various studies shows an increased tendency to control health using complementary medicine and it expresses the importance of combining complementary and clinical medicine, however, its use in hospitals has been neglected.