Hemodialysis
Conditions
Keywords
Stress Ball, Sleep Quality, Comfort Levels, Hemodialysis Patients
Brief summary
This study was conducted to determine the impact of stress ball use on stress, sleep quality, and comfort levels in hemodialysis patients.
Detailed description
The study population consisted of patients undergoing hemodialysis treatment in the hemodialysis unit of a training and research hospital located in western Türkiye between February 19, 2024, and April 19, 2024 (N=90). The study sample included a total of 60 patients (30 in the experimental group and 30 in the control group), selected through randomization from those who met the research criteria and agreed to participate. During the study, two patients from the experimental group and one patient from the control group were excluded from the study due to health issues that prevented them from using the stress ball. The study was conducted with a total of 57 patients (28 in the experimental group and 29 in the control group).
Interventions
OTHERstress ball
the stress ball intervention was initiated. Before starting, the researcher provided instructions and demonstrations on how to use the stress ball, allowing then the patients to practice. The stress ball intervention was administered during the second hour of the hemodialysis session when patients were most comfortable. Patients were instructed to squeeze the stress ball once, counting internally as 1-2-3 with each squeeze. The stress ball intervention was administered three times weekly during hemodialysis sessions for 15 minutes each session, totaling 12 sessions for a period of four weeks. Throughout the intervention, patients were observed by the same researcher.
Sponsors
Muğla Sıtkı Koçman University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Masking description
The patients involved in the study, the researcher collecting the pre-test and post-test data, and the statistician evaluating the data were not informed about the group assignments.
Intervention model description
randomized controlled, parellel
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* participants had to be volunteers * aged 18 years and older, * undergoing hemodialysis treatment for at least six months, * attending hemodialysis sessions three times a week, * not having any conditions that would impede the use of a stress ball.
Exclusion criteria
* individuals who refused to participate in the study, * those undergoing hemodialysis for less than six months, * patients attending hemodialysis sessions twice a week, * individuals with health problems that prevented them from using a stress ball.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Stress evaluated using the Perceived Stress Scale | Change from before implementation and 4th week of practice | The obtainable total score from the scale ranges from 0 to 56, with higher scores indicating a greater perception of stress |
| Sleep quality ewaluated the Pittsburgh Sleep Quality Index | Change from before implementation and 4th week of practice | The sum of the scores from these seven components yields the total PSQI score, which ranges from 0 to 21. Individuals with a total score of 5 or lower are classified as having 'good sleep quality, while those with a score above 5 are classified as having poor sleep quality. |
| Comfort evaluated using Hemodialysis Comfort Scale Version II | Change from before implementation and 4th week of practice | The total score obtained from the scale ranges from 26 to 130, with higher scores indicating greater comfort levels. |
Countries
Turkey (Türkiye)
Outcome results
None listed