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Fahraji A, Shahdadi H, Abdollahimohammad A, Rahnama M, Naderifar M. Effects of Structured Nursing Care Program on Uremic Pruritus, Sleep Quality, and Dialysis Adequacy in Patients Undergoing Hemodialysis: A Randomized Clinical Trial. Mod Care J 2026; 23 (2) :26-32
URL: http://mcj.bums.ac.ir/article-1-615-en.html
URL: http://mcj.bums.ac.ir/article-1-615-en.html
Atefeh Fahraji1 
, Hossein Shahdadi *2 , Abdolghani Abdollahimohammad3 , Mozhgan Rahnama4 , Mahin Naderifar5
, Hossein Shahdadi *2 , Abdolghani Abdollahimohammad3 , Mozhgan Rahnama4 , Mahin Naderifar5
1- Student Research Commitee, Zabol University of Medical Sciences, Zabol, Iran
2- Zabol University of Medical Sciences, Zabol Iran. Email:zb5950@gmail.com ,zb5950@gmail.com
3- Zabol University of Medical Sciences, Zabol Iran & Zabol Medicinal Plants Research Center, Zabol University of Medical Sciences, Zabol, Iran
4- Zabol University of Medical Sciences, Zabol Iran & Toxicology and Addiction Research Center, Zabol University of Medical Sciences, Zabol, Iran.
5- Zabol University of Medical Sciences, Zabol Iran & Pediatric Gastroenterology and Hepatology Research Center, Zabol University of Medical Sciences, Zabol, Iran.
2- Zabol University of Medical Sciences, Zabol Iran. Email:zb5950@gmail.com ,
3- Zabol University of Medical Sciences, Zabol Iran & Zabol Medicinal Plants Research Center, Zabol University of Medical Sciences, Zabol, Iran
4- Zabol University of Medical Sciences, Zabol Iran & Toxicology and Addiction Research Center, Zabol University of Medical Sciences, Zabol, Iran.
5- Zabol University of Medical Sciences, Zabol Iran & Pediatric Gastroenterology and Hepatology Research Center, Zabol University of Medical Sciences, Zabol, Iran.
Abstract: (273 Views)
Introduction: Hemodialysis patients encounter significant complications, such as uremic pruritus and sleep disorders, addressing the need for improved nursing care strategies to enhance health outcomes.
Objectives: This study aimed to examine the effects of Structured Nursing Care Program (SNCP) on uremic pruritus, sleep quality, and dialysis adequacy in hemodialysis patients.
Methods: This randomized clinical trial was conducted at Ali Ibn Abitaleb Hospital, Zahedan, Iran. Participants were adults over 18 years old who had received hemodialysis for at least three months. A total sample size of 70 patients was determined through random allocation. Data collection involved demographic characteristics forms, the Five-Dimensional Itch Scale, the Pittsburgh Sleep Quality Index, and venous blood samples for assessing dialysis adequacy. Intervention sessions, each lasting 30 to 45 min, were conducted by the researcher during hemodialysis three times per week for five weeks. On the other hand, the control group received standard care. Data were analyzed using SPSS software (version 19), with significance set at P<0.05.
Results: In total, 70 patients undergoing hemodialysis participated in the study. The analysis of covariance indicated a significant difference between the intervention and control groups regarding the mean scores of uremic pruritus (10.59 Vs. 14.43; P<0.001), sleep quality (10.37 Vs. 14.82; P<0.001), and dialysis adequacy (1.29 Vs. 1.24; P<0.001).
Conclusions: The SNCP diminished uremic pruritus and enhanced sleep quality, and dialysis adequacy. This indicates the importance of SNCP in routine care for hemodialysis patients. Future research should investigate the long-term effects of SNCP in various clinical settings.
Objectives: This study aimed to examine the effects of Structured Nursing Care Program (SNCP) on uremic pruritus, sleep quality, and dialysis adequacy in hemodialysis patients.
Methods: This randomized clinical trial was conducted at Ali Ibn Abitaleb Hospital, Zahedan, Iran. Participants were adults over 18 years old who had received hemodialysis for at least three months. A total sample size of 70 patients was determined through random allocation. Data collection involved demographic characteristics forms, the Five-Dimensional Itch Scale, the Pittsburgh Sleep Quality Index, and venous blood samples for assessing dialysis adequacy. Intervention sessions, each lasting 30 to 45 min, were conducted by the researcher during hemodialysis three times per week for five weeks. On the other hand, the control group received standard care. Data were analyzed using SPSS software (version 19), with significance set at P<0.05.
Results: In total, 70 patients undergoing hemodialysis participated in the study. The analysis of covariance indicated a significant difference between the intervention and control groups regarding the mean scores of uremic pruritus (10.59 Vs. 14.43; P<0.001), sleep quality (10.37 Vs. 14.82; P<0.001), and dialysis adequacy (1.29 Vs. 1.24; P<0.001).
Conclusions: The SNCP diminished uremic pruritus and enhanced sleep quality, and dialysis adequacy. This indicates the importance of SNCP in routine care for hemodialysis patients. Future research should investigate the long-term effects of SNCP in various clinical settings.
Article Types: Research Article |
Subject:
Women and Childbirth
Received: 2026/03/13 | Accepted: 2026/03/15 | Published: 2026/06/30
Received: 2026/03/13 | Accepted: 2026/03/15 | Published: 2026/06/30
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