Determination of Pruritus (Itching) Levels in Hemodialysis Patients
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https://doi.org/10.5281/zenodo.8401992Keywords:
Hemodialysis, nurse, nephrology, pruritusAbstract
This study was conducted to determine the pruritus (itch) levels of patients receiving hemodialysis (HD) treatment. The sample of the study consisted of 158 HD patients hospitalized in the nephrology clinics of a hospital between May 2021 and May 2022. “Structured Questionnaire” and “5-D Itch Scale” were used to collect data. Number and percentage calculations, arithmetic mean, Independent Samples t test, One-way ANOVA and post hoc multiple comparisons test were used in the analysis of the data. According to the research findings; The mean age of the patients was 65.34±9.32 years, the mean duration of chronic kidney disease (CKD) was 3.29±1.07 years, and the mean duration of HD was 2.50±0.71 years. It was determined that the mean scores of the "duration" (F=3.787; p=0.025) sub-dimension of the "5-D itching scale" were different according to the education level of the patients (p<0.05). Again, the mean scores of the total “5-D itching scale” and its sub-dimensions were found to be statistically different according to income perception levels and the status of applying anti-itch treatments (p<0.05). The patients' total score average of the ”5-D itching scale“ was 15.03±4.78 points, the ”duration“ subscale score average was 3.19 ±0.99 points, the ”degree“ subscale score average was 3.12±0.94 points, the ”direction“ subscale score average was 3.15±1.12 points, the ”disability“ subscale score average was 3.15±0.92 points, the ”distribution" subscale score average was 2.40±1.12 points. As a result of the study, it was determined that HD patients had moderate levels of itching.
References
Akça, N.K., Taşçı, S., 2014. An ımportant problem among hemodialysis patients: uremic pruritus and affecting factors. Turkish Nephrology, Dialysis and Transplantation Journal, 23(3): 210-216.,
Akhyani, M., Ganji, M.R., Samadi, N., Khamesan, B., Daneshpazhooh, M. 2005. Pruritus in hemodialysis patients. BMC Dermatology, 5: 1-6.
Altınok Ersoy, N., Akyar, I., 2020. Kronik böbrek hastalığı ile ilişkili kaşıntı ve hemşirelik bakımı. Jaren, 6(3): 577-83.
Beuers, U., Kremer, A.E., Bolier, R., Elferink, R.P. 2014. Pruritus in cholestasis: facts and fiction. Hepatology (Baltimore, Md.), 60(1): 399-407.
Elman, S., Hynan, L.S., Gabrie, V., Mayo, M.J., 2010. 5‐D itch scale: A new measure of pruritus. British Journal of Dermatology, 162: 587- 93.
Erdenen, F., Muderrisoğlu C., 2018. Kaşıntılı hastaya yaklaşım. İstanbul Medical Journal, 19: 1-6.
Göksütün, D., 2014. Hemodiyaliz hastalarında üremik pruritus ile 25 hidroksi vitamin D arasındaki ilişki. İç Hastalıkları Anabilim Dalı Yüksek Lisans Tezi. Başkent Üniversitesi: Ankara.
Inui, S., 2015. Nalfurafine hydrochloride to treat pruritus: A review. Clin Cosmet Investig Dermatol, 8: 249-55.
Kiliç Akça, N., Taşçi, S., Karataş, N. 2013. Effect of acupressure on patients in Turkey receiving hemodialysis treatment for uremic pruritus. Alternative Therapies in Health and Medicine, 19(5): 12–18.
Ko, M.J., Wu, H.Y., Chen, H.Y., Chiu, Y.L., Hsu, S.P., Pai, M.F., Ju-Yehyang, Lai, C.F., Lu, H.M., Huang, S.C., Yang, S.Y., Wen, S.Y., Chiu, H.C., Hu, F.C., Peng, Y.S., Jee, S.H. 2013. Uremic pruritus, dialysis adequacy, and metabolic profiles in hemodialysis patients: a prospective 5-year cohort study. PloS one, 8(8): e71404.
Kuypers, D.R., 2009. Skin problems in chronic kidney disease. Nature clinical practice. Nephrology, 5(3): 157–170.
Mathur, V.S., Lindberg, J., Germain, M., Block, G., Tumlin, J., Smith, M., Grewal, M., McGuire, D., ITCH National Registry Investigators 2010. A longitudinal study of uremic pruritus in hemodialysis patients. Clinical Journal of the American Society of Nephrology, 5(8): 1410–1419.
Mistik, S., Utas, S., Ferahbas, A., Tokgoz, B., Unsal, G., Sahan, H., Ozturk, A., Utas, C. 2006. An epidemiology study of patients with uremic pruritus. Journal of the European Academy of Dermatology and Venereology, 20(6): 672–678.
Murtagh, F.E., Addington-Hall, J., Higginson, I.J., 2007. The prevalence of symptoms in end-Stage Renal Disease: A systematic review. Advances in Chronic Kidney Disease, 14(1): 82-99.
Pisoni, R.L., Wikström, B., Elder, S.J., Akizawa, T., Asano, Y., Keen, M.L., Saran, R., Mendelssohn, D.C., Young, E.W., Port, F.K., 2006. Pruritus in haemodialysis patients: International results from the Dialysis Outcomes and Practice Patterns Study (DOPPS). Nephrology, dialysis, transplantation: official publication of the European Dialysis and Transplant Association - European Renal Association, 21(12): 3495–3505.
Ständer, S., Stumpf, A., Osada, N., Wilp, S., Chatzigeorgakidis, E., Pfleiderer, B., 2013. Gender differences in chronic pruritus: women present different morbidity, more scratch lesions and higher burden. The British Journal of Dermatology, 168(6): 1273–1280.
Sukul, N., Wang, M., Bieber, B., Li, Y., Lopes, A. A., Speyer, E., Stengel, B., 2016. Prurıtıs ın Chronic Kidney Dısease patıents: Early results from CKDOPPS. Nephrology Dialysis Transplantation, 31(1): 187.
Suseł, J., Batycka-Baran, A., Reich, A., Szepietowski, J.C. 2014. Uraemic pruritus markedly affects the quality of life and depressive symptoms in haemodialysis patients with end-stage renal disease. Acta Dermato-Venereologica, 94(3): 276–281.
Szepietowski, J.C., Sikora, M., Kusztal, M., Salomon, J., Magott, M., Szepietowski, T., 2002. Uremic pruritus: a clinical study of maintenance hemodialysis patients. The Journal of Dermatology, 29(10): 621–627.
Terzi, Ö. 2009. Hemodiyaliz hastalarında kaşıntı sorunun değerlendirilmesi. İç Hastalıkları Yüksek Lisans Tezi, On Dokuz Mayıs Üniversitesi: Samsun.
Tessari, G., Dalle Vedove, C., Loschiavo, C., Tessitore, N., Rugiu, C., Lupo, A., Girolomoni, G. (2009). The impact of pruritus on the quality of life of patients undergoing dialysis: a single centre cohort study. Journal of Nephrology, 22(2): 241–248.
Wikström, B., 2007. Itchy skin-a clinical problem for haemodialysis patients. Nephrology, dialysis, transplantation: official publication of the European Dialysis and Transplant Association-European Renal Association, 22(5): 3-7.
Yosipovitch, G., Zucker, I., Boner, G., Gafter, U., Shapira, Y., David, M. 2001. A questionnaire for the assessment of pruritus: validation in uremic patients. Acta Dermato-Venereologica, 81(2): 108–111.
Zucker, I., Yosipovitch, G., David, M., Gafter, U., Boner, G. 2003. Prevalence and characterization of uremic pruritus in patients undergoing hemodialysis: uremic pruritus is still a major problem for patients with end-stage renal disease. Journal of the American Academy of Dermatology, 49(5): 842–846.
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