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Nature-Based Sounds to Improve Fatigue and Comfort During Hemodialysis: A Pre-Post Test Experimental Study

Year 2025, Volume: 4 Issue: 1, 1 - 16, 30.04.2025

Necmiye Çömlekçi , Ayşegül Demirbaş

Abstract

Hemodialysis is one of the most commonly used treatment options in the treatment of chronic renal failure. However, hemodialysis causes various problems such as fatigue, hypotension, uremic itching, dry skin, pain, muscle cramps, nausea, vomiting, and deterioration in comfort. This study aimed to evaluate the effect of nature-based sound application on fatigue and patient comfort during hemodialysis. This was a a pre-post test experimental study. This study was conducted in the hemodialysis unit of a public hospital. A total of 54 patients with chronic renal failure receiving hemodialysis treatment for at least six months were divided into the intervention (30 patients) and control groups (24 patients). Data were collected using patient information form, the Piper Fatigue Scale, and Hemodialysis Patient Comfort Scale. After nature-based sound application, scores of Piper fatigue scale (6.074 ± 1.1 vs. 6.947 ± 1.6) were significantly lower, whereas scores of the hemodialysis comfort scale (32.0 ± 2.8 vs 29.2 ± 4.3) were significantly higher in the intervention group than in the control group (p<0.001). Patients with chronic kidney failure who receive hemodialysis have been found to benefit from the use of nature-based sound to improve fatigue and comfort.

Keywords

fatigue hemodialysis nature-based sounds nursing patient comfort

Ethical Statement

Ethical permission was obtained from the Ethics Committee Permission from Bartın University Social and Human Sciences Ethics Committee (Protocol no: 2021-SBB-0439) to conduct the study. Institutional permission was also obtained from the Bartın Provincial Health Directorate (No: 2200029978). The patients were informed about the project's purpose, that the data would be used for scientific purposes, and that participation in the project was voluntary, and verbal and written informed consent was obtained from the participants. We affirm that the study adheres to the principles outlined in the Helsinki Declaration.

Supporting Institution

This research was supported by the Scientific and Technological Research Council of Türkiye funded under the 2209-A TUBITAK program (Project no: 1919B012102111, 2021).

Project Number

1919B012102111

Thanks

The authors express their gratitude to all the participants in the study for their valuable contribution.

References

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Hemodiyaliz Hastalarında Doğa Temelli Ses Uygulamasının Yorgunluk ve Hasta Konforuna Etkisi: Ön Test-Son Test Yarı Deneysel Çalışma

Year 2025, Volume: 4 Issue: 1, 1 - 16, 30.04.2025

Necmiye Çömlekçi , Ayşegül Demirbaş

Abstract

Kronik böbrek yetersizliğinin tedavisinde sık kullanılan tedavi seçeneklerinden biri hemodiyalizdir. Fakat hemodiyaliz yorgunluk, hipotansiyon, üremik kaşıntı, deride kuruluk, ağrı, kas krampları, bulantı, kusma, konforda bozulma gibi çeşitli sorunlara neden olmaktadır. Bu çalışmanın amacı, hemodiyaliz sırasında doğa temelli ses uygulamasının hemodiyaliz hastalarının yorgunluk ve hasta konforu üzerindeki etkisini belirlemektir. Bu çalışma ön-son test yarı deneysel bir çalışmadır. Bu çalışma bir devlet hastanesinin hemodiyaliz ünitesinde gerçekleştirilmiştir. En az altı aydır hemodiyaliz tedavisi gören toplam 54 kronik böbrek yetmezliği hastası müdahale (30 hasta) ve kontrol gruplarına (24 hasta) ayrıldı. Veriler hasta bilgi formu, Piper Yorgunluk Ölçeği ve Hemodiyaliz Hasta Konfor Ölçeği kullanılarak toplandı. Doğa temelli ses uygulamasından sonra, Piper yorgunluk ölçeği puanları (6.074 ± 1.1'e karşı 6.947 ± 1.6) anlamlı olarak daha düşükken, hemodiyaliz konfor ölçeği puanları (32.0 ± 2.8'e karşı 29.2 ± 4.3) müdahale grubunda kontrol grubuna göre anlamlı olarak daha yüksekti (p<0.001). Doğa temelli ses uygulamasının, hemodiyaliz tedavisi sırasında kronik böbrek yetmezliği olan hastalarda yorgunluğu ve konforu iyileştirdiği bulundu.

Keywords

Doğa sesi Hasta konforu Hemodiyaliz Hemşirelik Yorgunluk

Project Number

1919B012102111

References

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  • Akarsu, K., Koç, A., & Ertuğ, N. (2019). The effect of nature sounds and earplugs on anxiety in patients following percutaneous coronary intervention: A randomized controlled trial. European Journal of Cardiovascular Nursing, 18(8), 651–657. https://doi.org/10.1177/1474515119858826
  • Aksu, Ç. (2023). Effects of Music on Anxiety, Pain, and Comfort in Patients Undergoing Upper Endoscopy. Gastroenterology Nursing, 46(6), 428–435. https://doi.org/10.1097/SGA.0000000000000782
  • Alcântara-Silva, T. R., de Freitas-Junior, R., Freitas, N. M. A., de Paula Junior, W., da Silva, D. J., Machado, G. D. P., … Soares, L. R. (2018). Music Therapy Reduces Radiotherapy-Induced Fatigue in Patients With Breast or Gynecological Cancer: A Randomized Trial. Integrative Cancer Therapies, 17(3), 628–635. https://doi.org/10.1177/1534735418757349
  • Bagheri-Nesami, M., Shorofi, S. A., Nikkhah, A., Espahbodi, F., & Ghaderi Koolaee, F. S. (2016). The effects of aromatherapy with lavender essential oil on fatigue levels in haemodialysis patients: A randomized clinical trial. Complementary Therapies in Clinical Practice, 22, 33–37. https://doi.org/10.1016/j.ctcp.2015.12.002
  • Borzou, S. R., Anosheh, M., Mohammadi, E., & Kazemnejad, A. (2014). Patients ’ Perception of Comfort Facilitators During Hemodialysis Procedure : A Qualitative Study. 16(7), 15–20. https://doi.org/10.5812/ircmj.19055
  • Bossola, M., Di Stasio, E., Sirolli, V., Ippoliti, F., Cenerelli, S., Monteburini, T., … Marzetti, E. (2018). Prevalence and Severity of Postdialysis Fatigue Are Higher in Patients on Chronic Hemodialysis With Functional Disability. Therapeutic Apheresis and Dialysis, 22(6), 635–640. https://doi.org/10.1111/1744-9987.12705
  • Bossola, M., Hedayati, S. S., Brys, A. D. H., & Gregg, L. P. (2023, October 1). Fatigue in Patients Receiving Maintenance Hemodialysis: A Review. American Journal of Kidney Diseases, Vol. 82, pp. 464–480. W.B. Saunders. https://doi.org/10.1053/j.ajkd.2023.02.008
  • Bossola, M., Monteburini, T., Parodi, E., Santarelli, S., Sirolli, V., Cenerelli, S., … di Stasio, E. (2023). Post-dialysis fatigue: Comparison of bicarbonate hemodialysis and online hemodiafiltration. Hemodialysis International, 27(1), 55–61. https://doi.org/10.1111/hdi.13058
  • Brys, A., Stasio, E. Di, Lenaert, B., Picca, A., Calvani, R., Marzetti, E., … Bossola, M. (2020). Peridialytic serum cytokine levels and their relationship with postdialysis fatigue and recovery in patients on chronic haemodialysis – A preliminary study. Cytokine, 135, 155223. https://doi.org/10.1016/J.CYTO.2020.155223
  • Bulbul, E., Cepken, T., Caliskan, F., Palabiyik, B., Sayan, C., & Kazancioglu, R. (2022). The quality of life and comfort levels of hemodialysis patients with constipation: A descriptive and cross-sectional study. Hemodialysis International, 26(3), 351–360. https://doi.org/10.1111/hdi.13009
  • Burrai, F., Magavern, E. F., Micheluzzi, V., Magnaghi, C., Apuzzo, L., & Brioni, E. (2020). Effectiveness of Music to Improve Anxiety in Hemodialysis Patients A Systematic Review and Meta-analysis. Holistic Nursing Practice, 34(6), 324–333. https://doi.org/10.1097/HNP.0000000000000411
  • Burrai, F., Micheluzzi, V., Zito, M. P., Pietro, G., & Sisti, D. (2014). Effects of live saxophone music on physiological parameters, pain, mood and itching levels in patients undergoing haemodialysis. Journal of Renal Care, 40(4), 249–256. https://doi.org/10.1111/jorc.12078
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  • Çeçen, S., & Lafcı, D. (2021). The effect of hand and foot massage on fatigue in hemodialysis patients: A randomized controlled trial. Complementary Therapies in Clinical Practice, 43. https://doi.org/10.1016/J.CTCP.2021.101344
  • Çelebi, D., Yılmaz, E., Şahin, S. T., & Baydur, H. (2020). The effect of music therapy during colonoscopy on pain, anxiety and patient comfort: A randomized controlled trial. Complementary Therapies in Clinical Practice, 38. https://doi.org/10.1016/j.ctcp.2019.101084
  • Charles, C., & Ferris, A. H. (2020). Chronic Kidney Disease. Primary Care: Clinics in Office Practice, 47(4), 585–595. https://doi.org/10.1016/J.POP.2020.08.001
  • Çor, Z., & Soysal, G. E. (2023). Yoğun Bakım Ünitelerinde Bakıma Yönelik Rehabilitasyon. 2(1), 10–18.
  • Durgun, H., & Yaman Aktaş, Y. (2023). A Randomized Controlled Trial on the Effect of Music Listening on Procedural Pain, Anxiety and Comfort Levels during Cystoscopy. Psychology, Health and Medicine, 28(4), 1004–1012. https://doi.org/10.1080/13548506.2021.1991964
  • Eroglu, H., & Gok Metin, Z. (2022). Benson Relaxation Technique Combined With Music Therapy for Fatigue, Anxiety, and Depression in Hemodialysis Patients: A Randomized Controlled Trial. Holistic Nursing Practice, 36(3), 139–148. https://doi.org/10.1097/HNP.0000000000000509
  • Evans, M., Lewis, R. D., Morgan, A. R., Whyte, M. B., Hanif, W., Bain, S. C., … Strain, W. D. (2022). A Narrative Review of Chronic Kidney Disease in Clinical Practice: Current Challenges and Future Perspectives. Advances in Therapy, 39(1), 33–43. https://doi.org/10.1007/S12325-021-01927-Z
  • Gould Van Praag, C. D., Garfinkel, S. N., Sparasci, O., Mees, A., Philippides, A. O., Ware, M., … Critchley, H. D. (2017). Mind-wandering and alterations to default mode network connectivity when listening to naturalistic versus artificial sounds. Scientific Reports, 7. https://doi.org/10.1038/srep45273
  • Güler, S., Şahan, S., Ülker, T., & Sipahioğlu, M. H. (2023). The effect of footbath applied to patients receiving hemodialysis treatment on comfort, fatigue, and dialysis symptoms: A randomized controlled study. Therapeutic Apheresis and Dialysis. https://doi.org/10.1111/1744-9987.14043
  • Güler, S., Şahan, S., Ülker, T., & Sipahioğlu, M. H. (2024). The effect of footbath applied to patients receiving hemodialysis treatment on comfort, fatigue, and dialysis symptoms: A randomized controlled study. Therapeutic Apheresis and Dialysis, 28(1), 23–33. https://doi.org/10.1111/1744-9987.14043
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There are 52 citations in total.

Details

Primary Language English
Subjects Nephrology Nursing
Journal Section Research Articles
Authors

Necmiye Çömlekçi 0000-0002-6374-8265

Ayşegül Demirbaş 0000-0001-7298-4473

Project Number 1919B012102111
Publication Date April 30, 2025
Submission Date October 21, 2024
Acceptance Date March 11, 2025
Published in Issue Year 2025 Volume: 4 Issue: 1

Cite

APA Çömlekçi, N., & Demirbaş, A. (2025). Nature-Based Sounds to Improve Fatigue and Comfort During Hemodialysis: A Pre-Post Test Experimental Study. Sağlık Bakım Ve Rehabilitasyon Dergisi, 4(1), 1-16.