Application of mind-body therapies on anxiety and quality of life in patients undergoing hemodialysis: A systematic review
DOI: https://doi.org/10.33024/minh.v8i1.766
Anxiety Hemodialysis Patients Mind Body Therapies Quality of Life
Abstract
Background: Chronic kidney disease is one of the global public health challenges that continues to increase with a significant impact on morbidity, mortality and high health care costs. Hemodialysis, one of the renal replacement therapy methods, often causes anxiety and decreased quality of life. Mind body therapies such as guided imagery, yoga and meditation have the potential to reduce anxiety and improve the quality of life of patients undergoing hemodialysis.
Purpose: To evaluate the effectiveness application of mind body therapies on anxiety and quality of life in patients undergoing hemodialysis.
Method: This systematic review uses an approach that follows the PRISMA guidelines. Searches were conducted in six electronic databases, namely Scopus, Springerlink, Proquest, EBSCO, Science Direct and Pubmed with appropriate keywords. The included articles were published within the last 10 years, in English and the type of research was RCT or quasi-experimental. After the selection process, 10 articles met the criteria for further analysis.
Results: Eight articles were RCT designs and two articles were quasi-experimental designs. The application of mind body therapies including guided imagery, yoga and meditation is a complementary therapy that can reduce anxiety and improve quality of life. In addition, it also affects the improvement of sleep quality, reduces depression, reduces stress levels and emotional regulation in patients undergoing hemodialysis.
Conclusion: Mind body therapies have been proven effective in reducing anxiety and improving the quality of life of hemodialysis patients. This therapy can be used both during hemodialysis sessions and when done alone at home. With its various benefits, this therapy has the potential to be integrated into holistic and evidence-based patient care.
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References
Afshar, M., Mohsenzadeh, A., Gilasi, H., & Sadeghi-Gandomani, H. (2018). The effects of guided imagery on state and trait anxiety and sleep quality among patients receiving hemodialysis: A randomized controlled trial. Complementary Therapies in Medicine, 40(6), 37–41.
Alhawatmeh, H., Alshammari, S., & Rababah, J. A. (2022). Effects of mindfulness meditation on trait mindfulness, perceived stress, emotion regulation, and quality of life in hemodialysis patients: A randomized controlled trial. International Journal of Nursing Sciences, 9(2), 139–146.
Alshammari, B., Alkubati, S.A., Alrasheeday, A., Pasay-An, E., Edison, J.S., Madkhali, N., Al-Sadi, A.K., Altamimi, M.S., Alshammari, S.O., Alshammari, A.A., & Alshammari, F. (2024). Factors influencing fatigue among patients undergoing hemodialysis: a multi-center cross-sectional study. Libyan Journal of Medicine, 19(1).
Astuti, R. P., Sukarmin, Y., & Arovah, N. I. (2024). Yoga for Promoting Physical and Mental Health in Patients with Chronic Kidney Disease: A Systematic Review. Traditional and Integrative Medicine, 9(2), 195-204.
Babakhani, M., Rahzani, K., Hekmatpou, D., & Sheykh, V. (2024). The Effect of Super Brain Yoga on The Cognitive Function of Hemodialysis Patients. Heliyon, 10 (16).
Beizaee, Y., Rejeh, N., Heravi-Karimooi, M., Tadrisi, S.D., Griffiths, P., & Vaismoradi, M. (2018a). The Effect of Guided Imagery on Anxiety, Depression and Vital Signs in Patients on Hemodialysis. Complementary Therapies in Clinical Practice, 33, 184–190.
Bello, A.K., Okpechi, I.G., Osman, M.A., Cho, Y., Htay, H., Jha, V., Wainstein, M., & Johnson, D.W. (2022). Epidemiology of Hemodialysis Outcomes. Nature Reviews Nephrology, 18(6), 378–395.
Bennett, P.N., Parsons, T., Ben-Moshe, R., Neal, M., Weinberg, M.K., Gilbert, K., Ockerby, C., Rawson, H., Herbu, C., & Hutchinson, A.M. (2015). Intradialytic Laughter Yoga therapy for hemodialysis patients: A pre-post intervention feasibility study. BMC Complementary and Alternative Medicine, 15(1), 1–7.
Birdee, G.S., Rothman, R.L., Sohl, S.J., Wertenbaker, D., Wheeler, A., Bossart, C., Balasire, O., & Ikizler, T.A. (2015). Feasibility and Safety of Intradialysis Yoga and Education in Maintenance Hemodialysis Patients. Journal of Renal Nutrition: The Official Journal of the Council on Renal Nutrition of the National Kidney Foundation, 25(5), 445–453.
Cohen, S. D., Cukor, D., & Kimmel, P. L. (2016). Anxiety in Patients Treated with Hemodialysis. Clinical Journal of the American Society of Nephrology, 11(12), 2250–2255.
Dehghan, M., Namjoo, Z., Bahrami, A., Tajedini, H., Shamsaddini-lori, Z., Zarei, A., Dehghani, M., Ranjbar, M. S., & Nasab, F. R. S. (2020). The Use of Complementary and Alternative Medicines, and Quality of Life in Patients Under Hemodialysis: A Survey in Southeast Iran. Complementary Therapies in Medicine, 51 (May).
Foji, S., Tadayonfar, M. Alr., Mohsenpour, M., & Rakhshani, M. H. (2015). The study of the effect of guided imagery on pain, anxiety and some other hemodynamic factors in patients undergoing coronary angiography. Complementary Therapies in Clinical Practice, 21(2), 119–123.
Giacobbi, P., Loughman, L., Brink, C., Shawley-Brzoska, S., & Misra, R. (2023). Thematic Analysis of Guided Imagery Scripts in a Multi-Health Behavior Change Intervention. American Journal of Lifestyle Medicine, 0 (0), 1–6.
Ignatavicius, D. D., Workman, M. L., Rebar, C. R., & Heimgartner, N. M. (2020). Medical-Surgical Nursing Concepts for Interprofessional Collaborative Care, 10th Edition.
Jain, F., Lenze, E., & Lavretsky, H. (2023). Advances in Mind/Body Therapies: Concept, Data and Delivery. The American Journal of Geriatric Psychiatry, 31(3), S13–S14.
KauricKlein, Z. (2019). Effect of Yoga on Physical and Psychological Outcomes in Patients on Chronic Hemodialysis. Complementary Therapies in Clinical Practice, 34, 41–45.
Ministry of Health of the Republic of Indonesia. (2018). Riskesdas Report 2018. Accessed from: https://repository.badankebijakan.kemkes.go.id/id/eprint/3514
Kinasih, A. S. (2010). The Effect of Yoga Practice on Improving Quality of Life. Buletin Psikologi, 18(1), 1–12.
Krau, S. D. (2020). The Multiple Uses of Guided Imagery Guided Imagery Visualization Complimentary Medicine Intervention. Vanderbilt University School of Nursing, 55, 467–474.
Nassim, M., Park, H., Dikaios, E., Potes, A., Elbaz, S., Mc Veigh, C., Lipman, M., Novak, M., Trinh, E., Alam, A., Suri, R.S., Thomas, Z., Torres-Platas, S., Vasudev, A., Sasi, N., Gautier, M., Mucsi, I., Noble, H., & Rej, S. (2021). Brief Mindfulness Intervention vs. Health Enhancement Program for Patients Undergoing Dialysis: A Randomized Controlled Trial. Healthcare (Basel, Switzerland), 9(6), 659.
Özer, Z., & Ateş, S. (2021). Effects of laughter yoga on hemodialysis patients' plasma-beta endorphin levels, pain levels and sleep quality: A randomized controlled trial. Complementary Therapies in Clinical Practice, 43(February).
Pandey, R., Arya, T.S., Kumar, A., & Yadav, A. (2017). Effects of 6 months yoga program on renal function and quality of life in patients suffering from chronic kidney disease. International Journal of Yoga, 10 (1), 3.
Parekh, A. J., & Prakasam, A. (2024). Effectiveness of Yoga and Meditation on Quality of Life Among Patients Undergoing Hemodialysis. Indian Journal of Nephrology, 34(5), 533–536.
Sadock, E., Auerbach, S. M., Rybarczyk, B., Aggarwal, A., & Lanoye, A. (2014). The relationship of life stressors, mood disorders, and health care utilization in primary care patients referred for integrated behavioral health services. The Journal of Nervous and Mental Disease, 202(10), 763–766.
Streeter, C.C., Whitfield, T.H., Owen, L., Rein, T., Karri, S.K., Yakhkind, A., Perlmutter, R., Prescot, A., Renshaw, P.F., Ciraulo, D.A., & Jensen, J.E. (2010). Effects of yoga versus walking on mood, anxiety, and brain GABA levels: a randomized controlled MRS study. Journal of Alternative and Complementary Medicine (New York, NY), 16 (11), 1145–1152.
Thomas, N., & Noble, H. (2024). Renal Nursing: Care and Management of People with Kidney Disease, E-book.
Thomas, Z., Novak, M., Platas, S.G.T., Gautier, M., Holgin, A.P., Fox, R., Segal, M., Looper, K.J., Lipman, M., Selchen, S., Mucsi, I., Herrmann, N., & Rej, S. (2017). Brief mindfulness meditation for depression and anxiety symptoms in patients undergoing hemodialysis a pilot feasibility study. Clinical Journal of the American Society of Nephrology, 12(12), 2008–2015.
United States Renal Data System. (2021). Annual Data Reports. Accessed from: https://usrds-adr.niddk.nih.gov/2020/end-stage-renal-disease/1-incidence-prevalence-patient-characteristics-and treatment-modalities
Vaishnav, B.S., Hirapara, J.J., & Shah, M.K. (2022). Study of the effect of guided meditation on quality of life in patients of end stage renal disease (ESRD) on maintenance hemodialysis – a randomized controlled trial. BMC Complementary Medicine and Therapies, 22 (1), 1–9.
Yoong, R.K., Mooppil, N., Khoo, E.Y., Newman, S.P., Lee, VY, Kang, A.W., & Griva, K. (2017). Prevalence and determinants of anxiety and depression in end stage renal disease (ESRD). A comparison between ESRD patients with and without coexisting diabetes mellitus. Journal of Psychosomatic Research, 94, 68–72.
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