Complementary Medicine Journal

fa تأثیر ژل آ لوئه ورا بر تسکین خارش بیماران تحت همودیالیز Effect of Aloe Vera gel on relief of hemodialysis patients' pruritus پرستاری و مامایی Nursing and Midwifery كاربردي Applicable <div style="text-align: justify;"><br> <strong><span style="font-family:b mitra;"><span style="font-size:12.0pt;">مقدمه:</span></span></strong><span style="font-family:b mitra;"><span style="font-size:12.0pt;"> خارش یکی از شایع‌ترین مشکلات بیماران مبتلا به نارسایی کلیوی است. شصت تا هشتاد درصد بیماران دیالیزی از خارش شکایت دارند و درمان‌های متفاوتی برای آن توصیه شده است. یک</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">گروه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">از</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">این</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">درمان‌ها،</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">گیاهان</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">دارویی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">هستند. این</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">پژوهش با هدف بررسی تأثیر ژل آلوئه‌ورا بر خارش بیماران تحت همودیالیز انجام شد.</span></span><br> <strong><span style="font-family:b mitra;"><span style="font-size:12.0pt;">مواد و روش‌ها:</span></span></strong><span style="font-family:b mitra;"><span style="font-size:12.0pt;"> این</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">کارآزمایی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بالینی،</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">روی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">60</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بیمار</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">همودیالیزی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">مبتلا</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">به</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">خارش اورمیک متوسط و شدید در بیمارستان‌های دانشگاه علوم پزشکی اراک</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">انجام</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">شد. از بیماران رضایت‌نامۀ کتبی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">دریافت شد. سپس به‌طور</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">تصادفی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">به</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">دو</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">گروه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">30</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">نفری</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">تقسیم</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">شدند. گروه مداخله دو بار در روز به مدت یک ماه با ژل آلوئه‌ورا تحت</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">درمان</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">قرار گرفتند. گروه کنترل تحت هیچ درمانی قرار نگرفت. بیماران هر دو گروه روزانه دو بار خارش خود را با مقیاس دیداری خارش ثبت کردند. نتایج قبل و بعد از درمان با هم مقایسه شد. داده‌ها با آزمون تی زوجی و تی مستقل در نرم‌افزار </span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">spss</span></span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;"> نسخۀ 17 تجزیه‌وتحلیل شد.</span></span><br> <strong><span style="font-family:b mitra;"><span style="font-size:12.0pt;">یافته‌ها:</span></span></strong><span style="font-family:b mitra;"><span style="font-size:12.0pt;"> متوسط خارش قبل و بعد از مصرف دارو در گروه دریافت‌کنندۀ ژل آلوئه‌ورا به‌ترتیب 1/73 </span></span><span dir="LTR" style="position:relative;top:4.5pt;"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;"><img alt="" height="24" src="file:///C:/Users/MR3DFD~1.ZAN/AppData/Local/Temp/msohtmlclip1/01/clip_image001.png" width="14" ></span></span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;"> 5/53 و 1/12 </span></span><span dir="LTR" style="position:relative;top:4.5pt;"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;"><img alt="" height="24" src="file:///C:/Users/MR3DFD~1.ZAN/AppData/Local/Temp/msohtmlclip1/01/clip_image001.png" width="14" ></span></span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;"> 2/03 (0/001</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">p=</span></span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">) و در گروه کنترل به‌ترتیب 1</span></span><span style="color: rgb(51, 51, 51); font-family: "times new roman", serif; font-size: 16px; background-color: rgb(255, 255, 255);">/</span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">03 </span></span><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">±</span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;"> 9</span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">6/ 5و 75 /0 </span></span><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">±</span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;"> 5/9 (0/423</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">p=</span></span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">) بود.</span></span><br> <strong><span style="font-family:b mitra;"><span style="font-size:12.0pt;">نتیجه‌گیری:</span></span></strong><span style="font-family:b mitra;"><span style="font-size:12.0pt;"> با</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">توجه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">به</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">اینکه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بسیاری</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">از داروهای مورد استفاده</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">برای</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">درمان</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">خارش بیماران دیالیزی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">گران</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">هستند و باعث مشکلاتی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">نظیر آلرژی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">و مقاومت</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">دارویی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">می‌شوند</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">توصیه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">می‌شود</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">این</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بیماران جهت کنترل خارش خود از ژل آلوئه‌ورا استفاده کنند.</span></span></div> <div> <div id="ftn1"><span dir="RTL"></span></div> </div> <div> <div id="ftn1"><span dir="RTL"></span></div> </div> <div class="input-button-container"><div class="tlid-input-button-container focus-wrapper" role="tablist" tabindex="0"></div></div> <div class="homepage-content-wrap"> <div class="tlid-source-target main-header small-font"> <div class="source-target-row"> <div class="tlid-input input"> <div class="tlid-language-bar ls-wrap"> <div class="sl-wrap"> <div class="sl-sugg"><div class="ls-left-arrow"></div><div class="sl-sugg-button-container"></div></div> </div> </div> </div> </div> </div> </div> <div class="sl-wrap"> <div class="sl-sugg"><div class="ls-right-arrow"></div></div> <div class="sugg-fade"></div><div class="sl-more tlid-open-source-language-list" aria-label="More" role="button" tabindex="0"></div></div> <div class="swap-wrap"></div> <div class="tl-sugg"><div class="ls-left-arrow"></div><div class="sl-sugg-button-container"></div></div> <div class="tlid-language-bar ls-wrap"> <div class="tl-wrap"> <div class="tl-sugg"><div class="ls-right-arrow"></div></div> <div class="sugg-fade"></div><div class="tl-more tlid-open-target-language-list" aria-label="More" role="button" tabindex="0"></div></div> </div> <div class="source-wrap"> <div class="input-full-height-wrapper tlid-input-full-height-wrapper"> <div class="source-input"> <div class="tlid-input-area input-area" id="input-wrap"><div class="gt-hl-layer" style="box-sizing: content-box; left: 0px; top: 0px; direction: rtl;" dir=""></div><strong>Introduction:</strong> Pruritus is one of the most common problems in patients with kidney failure. 60-80% of dialysis patients complain of itchy skin for which different therapies have been recommended. Medicinal plants compose a group of these therapies. This study aimed to evaluate the effect of aloe Vera gel on pruritus in hemodialysis patients.<br> <strong>Methods:</strong> This clinical trial was conducted on 60 hemodialysis patients with moderate and severe uremic pruritus in the hospitals affiliated to Arak University of Medical Sciences. The written consent forms were obtained from the patients. The participants were then randomly divided into two groups of 30. The intervention group was treated with Aloe Vera gel twice a day for one month. The control group did not receive any treatment. The patients in both groups recorded their itching twice a day through a visual analog scale. The data before and after the treatment were compared. The data were analyzed by paired t-test and independent t-test through SPSS 17.<br> <strong>Results:</strong> The mean pruritus before and after the intervention in the group treated by Aloe Vera gel was 5.53 ± 1.73 and 2.03 ± 1.12, respectively (p = 0.001). In the control group, it was 5.96 ± 1.03 and 5.9 ± 0.75 (p = 0.423).<br> <strong>Conclusion:</strong> Since many drugs used to treat pruritus in dialysis patients are expensive and cause problems such as allergies and drug resistance, it is recommended that these patients use Aloe Vera gel to control their itchy skin condition.</div> </div> </div> </div> بیماران همودیالیزی؛ خارش؛ ژل آلوئه‌ورا. Hemodialysis patients, itching, Aloe Vera gel 3707 3717 http://cmja.arakmu.ac.ir/browse.php?a_code=A-10-168-1&slc_lang=fa&sid=1 Azam malekhoseini اعظم ملک حسینی malekhoseni.aram@gmail.com 100319475328460012301 100319475328460012301 Yes Department of Nursing, Khomein School of Medical Sciences, Khomein, Iran. گروه پرستاری ،دانشکدۀ علوم پزشکی خمین، خمین، ایران. maryam saeedi مریم سعیدی maryamsaeedi2009@gmail.com 100319475328460012302 100319475328460012302 No Department of Nursing, Saveh School of Medicine, Saveh, Iran. گروه پرستاری ،دانشکدۀ علوم پزشکی ساوه، ساوه ، ایران. zanab Alizadeh زینب علیزاده zeinab_alizadeh88@yahoo.com 100319475328460012303 100319475328460012303 No Department of Nursing, Faculty of Nursing and Midwifery, Tehran, Iran. گروه پرستاری،دانشکدۀ پرستاری و مامایی تهران، تهران، ایران. Sina Abdi سینا عبدی sinaabdi74@gmail.com 100319475328460012304 100319475328460012304 No Department of Nursing, Faculty of Nursing and Midwifery, Tehran, Iran. گروه پرستاری،دانشکدۀ پرستاری و مامایی تهران، تهران، ایران. Siyavsh Abdi سیاوش عبدی 1234arak@gmail.com 100319475328460012305 100319475328460012305 No Ara Medical College دانشجوی پزشکی، گروه پزشکی ،دانشکدۀ پزشکی، دانشگاه علوم پزشکی اراک، اراک، ایران. Naser saeedi ناصر سعیدی nassersaedi47@yahoo.com 100319475328460012306 100319475328460012306 No Ara Medical College گروه پزشکی، دانشکدۀ پزشکی، دانشگاه علوم پزشکی اراک، اراک، ایران.