SavedAdd your journal

Journals / Hemşirelik Bilimi Dergisi / 2026 / Cilt: 9 Sayı: 2

Non-pharmacological Approaches and Current Evidence in Symptom Management of Patients Undergoing Hemodialysis Treatment

Hemodiyaliz Tedavisi Alan Hastaların Semptom Yönetiminde Farmakolojik Olmayan Yaklaşımlar ve Güncel Kanıtlar

Selva Ezgi Aşkar(Hatay Mustafa Kemal University)0000-0001-6509-6988
Pages
302–309
Publication Date
2026-08-21
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This article discusses the non-pharmacological evidence-based approaches used in the symptom management of patients undergoing hemodialysis treatment and emphasizes the role of nurses in these approaches.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Hemodialysis is an important treatment method for the advanced stages of chronic kidney disease.
📊
Key Findings & Data:Patients undergoing hemodialysis treatment often face a high symptom burden.
💡
Conclusion & Impact:This article discusses the non-pharmacological evidence-based approaches used in the symptom management of patients undergoing hemodialysis treatment and emphasizes the role of nurses in these approaches.
🔬Design:Derleme
📍Scope:Comprehensive Sample
⚙️Variables:Farmakolojik olmayan · Hemodiyaliz · Hemşirelik

Abstract

Hemodialysis is an important treatment method for the advanced stages of chronic kidney disease. Patients undergoing hemodialysis treatment often face a high symptom burden. Therefore, symptom management is among the main tasks of nurses in providing holistic care. Non-pharmacological evidence-based approaches play an important role in symptom management. However, the evidence regarding these approaches needs to be updated. This article discusses the non-pharmacological evidence-based approaches used in the symptom management of patients undergoing hemodialysis treatment and emphasizes the role of nurses in these approaches.

Özet

Hemodiyaliz, kronik böbrek hastalığının ileri evrelerinde uygulanan önemli bir tedavi yöntemidir. Hemodiyaliz tedavisi alan hastalar, genellikle yüksek bir semptom yükü ile karşı karşıya kalmaktadır. Bu nedenle, semptomların yönetimi hemşirelerin bütüncül bakım sağlamadaki temel görevleri arasındadır. Farmakolojik olmayan kanıta dayalı yaklaşımlar ise semptom yönetiminde önemli bir rol oynamaktadır. Ancak, bu yaklaşımlar ile ilgili kanıtların güncellenmesi gerekmektedir. Bu doğrultuda bu makalede, hemodiyaliz tedavisi alan hastaların semptom yönetiminde kullanılan farmakolojik olmayan kanıta dayalı yaklaşımlar ele alınmış ve bu yaklaşımlarda hemşirelerin rolü üzerinde durulmuştur.

🔖

Cite This Article

Aşkar, S. E. (2026). Non-pharmacological Approaches and Current Evidence in Symptom Management of Patients Undergoing Hemodialysis Treatment. Hemşirelik Bilimi Dergisi, Cilt: 9 Sayı: 2, 302–309. https://doi.org/10.54189/hbd.1631911

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (31)

  1. Abu Maloh HIA, Soh KL, Chong SC, Ismail SIF, Soh KG, Abu Maloh DI, et al. (2024). Efficacy of benson's relaxation technique on stress and pain among patients undergoing maintenance hemodialysis: A systematic review. SAGE Open Nurs, 10, 23779608241251663. doi:10.1177/23779608241251663
  2. Akyol D, Seçgin R, Tokem Y. (2022). Hemodiyaliz hastalarında bulantı-kusma yönetiminde yaklaşımlar. [Approaches in Management of Nausea-Vomiting in Hemodialysis Patients]. Nefroloji Hemşireliği Dergisi, 17(2), 66-74. doi:10.47565/ndthdt.2022.55
  3. Avcı A, Çavuşoğlu E. (2024). Effect of aromatherapy on pruritus in people receiving hemodialysis treatment: Systematic review. J Tissue Viability, 100840. doi:10.1016/j.jtv.2024.12.004
  4. Bernier-Jean A, Beruni NA, Bondonno NP, Williams G, Teixeira-Pinto A, Craig JC, et al. (2022). Exercise training for adults undergoing maintenance dialysis. Cochrane Database of Systematic Reviews, (1). doi:10.1002/14651858.CD014653
  5. Chang KM, Romadlon DS, Chen PY, Hasan F, Guo SL, Chiu HY. (2024). Effectiveness of acupressure for fatigue alleviation in patients receiving hemodialysis: A systematic review and meta-analysis of randomized controlled trials. J Nurs Res, 32(3), e334. doi:10.1097/jnr.0000000000000613
  6. Cheng J, Zhang H, Bao H, Hong H. (2021). Music-based interventions for pain relief in patients undergoing hemodialysis: A prisma-compliant systematic review and meta-analysis. Medicine (Baltimore), 100(2), e24102. doi:10.1097/md.0000000000024102
  7. Chu SWF, Yeam CT, Low LL, Tay WY, Foo WYM, Seng JJB. (2021). The role of mind-body interventions in pre-dialysis chronic kidney disease and dialysis patients - a systematic review of literature. Complementary Therapies in Medicine, 57, 102652. doi:10.1016/j.ctim.2020.102652
  8. Davydov GG, Nashat H, Ghali S, Afifi S, Suryadevara V, Habab Y, et al. (2023). Common sleep disorders in patients with chronic kidney disease: A systematic review on what they are and how we should treat them. Cureus, 15(8), e44009. doi:10.7759/cureus.44009
  9. Dos Santos PR, Mendonça CR, Hernandes JC, Borges CC, Barbosa MA, Romeiro AMS, et al. (2021). Pain in patients with chronic kidney disease undergoing hemodialysis: A systematic review. Pain Management Nursing, 22(5), 605-615. doi:10.1016/j.pmn.2021.05.009
  10. Francis A, Harhay MN, Ong ACM, Tummalapalli SL, Ortiz A, Fogo AB, et al. (2024). Chronic kidney disease and the global public health agenda: An international consensus. Nature Reviews Nephrology, 20(7), 473-485. doi:10.1038/s41581-024-00820-6
  11. İçigen AY, Erdem E. (2024). The effectiveness of relaxation exercises on fatigue in hemodialysis patients: A meta-analysis study. Revista da Associacao Medica Brasileira, (1992), 70(10), e20240680. doi:10.1590/1806-9282.20240680
  12. Karadağ G, Özdemir T. (2024). Tamamlayıcı ve bütünleştirici sağlık uygulamalarının kullanımında hemşirenin sorumlulukları. S Parlar Kılıç, EH Yayan, M Zengin (Eds.), Hemşirelik bakımında tamamlayıcı ve bütünleştirici sağlık uygulamaları içinde (33-42). İstanbul: İstanbul Tıp Kitabevi.
  13. Kesik G, Altinok Ersoy N. (2023). The effect of nonpharmacologic interventions for muscle cramps and restless-leg syndrome in hemodialysis patients: A meta-analysis of randomized controlled trials. Therapeutic Apheresis and Dialysis, 27(4), 636-654. doi:10.1111/1744-9987.13968
  14. Li T, Soh KL, Zakaria NF, Pang Y, Wang P, Hu N. (2024). Effects of laughter yoga on patients receiving hemodialysis: A systematic review. Holistic Nursing Practice, 38(4), 202-212. doi:10.1097/hnp.0000000000000650
  15. Lin F, Chen L, Gao Y. (2024). Music therapy in hemodialysis patients: Systematic review and meta-analysis. Complementary Therapies in Medicine, 86, 103090. doi:10.1016/j.ctim.2024.103090
  16. Mehrotra R, Davison SN, Farrington K, Flythe JE, Foo M, Madero M, et al. (2023). Managing the symptom burden associated with maintenance dialysis: Conclusions from a kidney disease: Improving global outcomes (kdigo) controversies conference. Kidney International, 104(3), 441-454. doi:10.1016/j.kint.2023.05.019
  17. Naseri-Salahshour V, Sajadi M, Abedi A, Fournier A, Saeidi N. (2019). Reflexology as an adjunctive nursing intervention for management of nausea in hemodialysis patients: A randomized clinical trial. Complementary Therapies in Clinical Practice, 36, 29-33. doi:10.1016/j.ctcp.2019.04.006
  18. Natale P, Ju A, Strippoli GFM, Craig JC, Saglimbene VM, Unruh ML, et al. (2023). Interventions for fatigue in people with kidney failure requiring dialysis. Cochrane Database of Systematic Reviews, (8). doi:10.1002/14651858.CD013074.pub2
  19. Osakwe N, Hashmi MF. (2024). Uremic pruritus evaluation and treatment. Statpearls. Treasure Island (FL) ineligible companies. Disclosure: Muhammad Hashmi declares no relevant financial relationships with ineligible companies.: StatPearls Publishing Copyright © 2024, StatPearls Publishing LLC.
  20. Sağlık Bakanlığı (SB). (2018). Türkiye böbrek hastalıkları önleme ve kontrol programı. (1117). Ankara: Sağlık Bakanlığı Retrieved from https://hsgm.saglik.gov.tr/depo/birimler/kronik-hastaliklar-ve-yasli-sagligi-db/Dokumanlar/Kitaplar/Turkiye_Bobrek_Hastaliklari_Onleme_ve_Kontrol_Programi_2018-2023.pdf
  21. Stevens PE, Ahmed SB, Carrero JJ, Foster B, Francis A, Hall RK, et al. (2024). Kdigo 2024 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney International, 105(4), S117-S314. doi:10.1016/j.kint.2023.10.018
  22. Vaidya SR, Aeddula NR, Doerr C. (2024). Chronic kidney disease (nursing). Statpearls. Treasure Island (FL) with ineligible companies. Disclosure: Narothama Aeddula declares no relevant financial relationships with ineligible companies. Disclosure: Chaddie Doerr declares no relevant financial relationships with ineligible companies.: StatPearls Publishing Copyright © 2024, StatPearls Publishing LLC.
  23. Valera S, Diz JC, Rey-Fernández B, González-Devesa D, García-Fresneda A, Ayán C. (2024). Efficacy of physical exercise on sleep quality in patients with chronic kidney disease: A systematic review and meta-analysis. Sleep Breath, 28(1), 381-392. doi:10.1007/s11325-023-02891-4
  24. Wen Q, Yao S, Yao B. (2022). Effectiveness of comprehensive nursing in hemodialysis of patients with chronic renal failure and the impact on their quality of life. Evidence-Based Complementary and Alternative Medicine, 2022, 1399650. doi:10.1155/2022/1399650
  25. Widodo JAA, Khoiriyati A. (2023). Interventions for treatment of muscle cramps in hemodialysis patients: A systematic review. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 8(2). doi:10.30604/jika.v8i3.2064
  26. Yang H, Qi L, Pei D. (2024). Effect of psychosocial interventions for depression in adults with chronic kidney disease: A systematic review and meta-analysis. BMC Nephrology, 25(1), 17. doi:10.1186/s12882-023-03447-0
  27. Yang T, Wang S, Zhang X, Liu L, Liu Y, Zhang C. (2022). Efficacy of auricular acupressure in maintenance haemodialysis patients: A systematic review and meta-analysis. Journal of Clinical Nursing, 31(5-6), 508-519. doi:10.1111/jocn.15966
  28. Yangöz ŞT, Özer Z. (2022). Effects of music intervention on physical and psychological problems in adults receiving haemodialysis treatment: A systematic review and meta-analysis. Journal of Clinical Nursing, 31(23-24), 3305-3326. doi:10.1111/jocn.16199
  29. Zahra Z, Effendy E, Mawarpury M, Marthoenis, Jaya I. (2023). Psychotherapies for chronic kidney disease patients with hemodialysis: A systematic review of randomized control trials and quasi-experiments. Narra J, 3(3), e215. doi:10.52225/narra.v3i3.215
  30. Zhang L, Li Y, Xiao X, Shi Y, Xu D, Li N, et al. (2023). Acupuncture for uremic pruritus: A systematic review and meta-analysis. Journal of Pain and Symptom Management, 65(1), e51-e62. doi:10.1016/j.jpainsymman.2022.08.017
  31. Zuo M, Zhu W, Lin J, Zhuo J, He X, Jing X, et al. (2022). The impact of nurse-led nonpharmacological multidisciplinary holistic nursing care on fatigue patients receiving hemodialysis: A randomized, parallel-group, controlled trial. BMC Nursing, 21(1), 352. doi:10.1186/s12912-022-01126-3