The effect of progressive muscle relaxation technique on blood pressure and dialysis adequacy in patients undergoing hemodialysis
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Abstract:
Background And Aim
Dialysis inadequacy is a determinant of the patient’s life. Increased dialysis adequacy plays a significant role in improving awareness of dialysis patients. Blood pressure is also a significant factor in dialysis adequacy. This study aimed to evaluate the impact of Progressive Muscle Relaxation Technique on blood pressure and adequacy of dialysis in hemodialysis patients.
Materials And Methods
This research was a clinical trial conducted in 2013. Hemodialysis patients from two hemodialysis centers in Gonabad (11 controls, 11 trials) and Yazd (34 controls, 34 trials) were chosen by the blocking method and allocated to two control (n=45) and trial (n=45) groups. Any trial received the Relaxation training by the investigator in 3 sessions and under similar circumstances. The patients performed the technique at home once a day for as long as 6 weeks. Then, the blood pressure and dialysis adequacy of the two groups were compared. The data was collected by a demographic questionnaire and a blood pressure checklist. KT/V formula was used to assess the adequacy of hemodialysis. Data was analyzed with SPSS software (version 14) using Independent T Test and Mann-Whitney U tests.
Results
The results showed no significant difference in systolic and diastolic blood pressure between the two groups before intervention, but they were significantly different after the intervention (p<0.001). There was a significant difference in the mean difference of dialysis inadequacy before and after the intervention (p<0.001). After the intervention, dialysis adequacy increased in the intervention group (0.31±.0.12) but decreased in the control group (0.02±.0.1).
Conclusion
Given the reduced blood pressure and increased adequacy in hemodialysis patients, this technique is recommended to be taught in hemodialysis wards.
Language:
Persian
Published:
Modern Care Journal, Volume:11 Issue: 3, Sep 2014
Pages:
169 to 176
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