2021, Cilt 8, Sayı 3, Sayfa(lar) 252-268
Complementary and Integrative Approaches to Symptom Management in Patients Undergoing Hemodialysis: A Systematic Review
1Uzm. Hem., Ankara Eğitim ve Araştırma Hastanesi, Ankara, Türkiye
2Doç. Dr., Hacettepe Üniversitesi, Hemşirelik Fakültesi, İç Hastalıkları Hemşireliği Anabilim Dalı, Ankara, Türkiye
Keywords: Complementary therapies, hemodialysis, symptoms, systematic review

Aim: This systematic review aimed to evaluate the effects of complementary and integrative approaches on symptoms of patients undergoing hemodialysis.

Material and Methods: The review was structured on the basis of the Cochrane Systematic Review Guide. Five databases, including Cochrane, PubMed, Science Direct, Turk Medline, and ULAKBIM, were searched for relevant full-text articles between 01.01.2010 and 01.08.2020. Thirty-one studies meeting the criteria were included.

Results: According to the study findings included in the review; acupuncture (n=3), aromatherapy massage (n=4), Benson relaxation technique (n=9), massage (n=5), meditation (n=1), progressive relaxation exercises (n=3), and reflexology (n=6) were used in symptom management of patients undergoing hemodialysis. It was determined that most of the studies (n=21) were conducted in Iran and had a randomized controlled (n=27) and quasi-experimental design (n=4). The studies focused on symptoms including fatigue (n=15), stress, anxiety, and depression (n=9), sleep problems (n=5), and pain (n=5). Most of the studies (n=30, 96.8%) reported that a significant decrease in symptom scores of patients undergoing hemodialysis.

Conclusion: This review recommends conducting new randomized controlled studies to confirm the effects of complementary and integrative approaches and expand these approaches to alleviate hemodialysis symptoms in line with the results obtained.