DIALIZED ITCH AND AROMATHERAPY

Kidney is vitally important in many other organs and systems in case of deterioration.
It is a critical organ that causes various problems. Symptoms of these problems
One of them is skin and mucosa related disorders, but this situation occurs quite late.
It has little diagnostic value. Despite this, the discomforts it causes affect the quality of life of the patients.
drastically reduces.
Uremic pruritus is the most common dermatological disorder in patients with renal failure.
uremic pruritus; chronic fatigue, social isolation, insomnia, and decreased self-esteem
brings with it many different problems. Both its etiology (causes and source) and
The pathogenesis (mechanism and development) of dementia is still unknown. Because
There is no definitive treatment method in pharmacology. This obscurity is due to various non-pharmacological
increased their orientation towards methods. One of these methods is aromatherapy.
Aromatherapy is one of the healing effects of essential oils obtained from aromatic plants.
is an alternative approach. Inhalation (inhalation) and topical (massage) aromatherapy
There are various application methods such as
In a study conducted at Gümüşhane University, the effect of topically applied aromatherapy
The effects on hemodialysis patients experiencing uremic pruritus were studied. This research
Renal failure is a global phenomenon with an increasing prevalence in recent years.
has become a problem. The severity of itching in hemodialysis patients
varies. The severity of the itching is too difficult to resist and the response to treatments
It may not be possible or it may be temporary. Uremic pruritus is most intense during hemodialysis and
felt immediately afterwards. Before dialysis is used to treat kidney failure
While the prevalence of uremic pruritus is 15-49%, it goes up to 20-90% today.''
According to the research, this increase is related to the use of dialysis treatment or to life expectancy with dialysis.
It is still not understood whether it is a natural consequence of renal failure in increasing patients.
A combination of pharmacological and non-pharmacological methods for the effective treatment of uremic pruritus.
It is recommended to be used in between. Aromatherapy from non-pharmacological methods,
promises to control symptoms, not cure. In the available literature
The effects of aromatherapy on different symptoms have been demonstrated many times over. dermatological
useful in many conditions such as psoriasis, eczema, hair loss and burns.
There are many studies that show the effects of used in the management of uremic pruritus.
The competence of nurses is very important in the implementation of complementary therapies. because
When the right interventions are not made at the right time for chronic itching, the patient's mental, physical
and social harm. Aromatherapy in the management of uremic pruritus
The summary of the protocols of some studies in which it was used is as follows:
-(Ro et al)
Participants: 29 hemodialysis patients with pruritus
Experimental group (aromatherapy group): Using lavender and tea tree oil for a month
Aromatherapy massage was applied 3 times a week.
Conclusion: The itching scores of the patients in the experimental group were compared to those in the control group (aromatherapy
group) was significantly reduced compared to the patients.
- (Shahgholian et al.)
Participants: 24 hemodialysis patients with pruritus
Experimental group (group receiving aromatherapy): Using lavender, peppermint and tea tree oil for 2 weeks
Aromatherapy massage was applied throughout.
Conclusion: The itching scores of the patients in the experimental group were compared to those in the control group (aromatherapy
group) was significantly reduced compared to the patients.
-(Anderson et al.)
Participants: Children with eczema
Experimental group (aromatherapy group): Aromatherapy using lavender and tea tree oil
massage was applied.
Conclusion: Itching levels of the children in the experimental group,
group) significantly decreased compared to children.
-(Curcani)
Participants: 40 hemodialysis patients suffering from itching
Experimental group (aromatherapy group): Using lavender and tea tree oil for 6 weeks
Aromatherapy massage was applied.
Conclusion: The itching scores of the patients in the experimental group were compared to those in the control group (aromatherapy
group) was significantly reduced compared to the patients.
All these studies and more on hemodialysis with uremic pruritus complaint of aromatherapy
It has a positive effect on the quality of life of the patients by reducing the itching levels of the patients.
shows. Uremic pruritus on its own, which concerns most patients receiving hemodialysis
It is a complaint that is not dangerous but needs to be managed, which affects the patient's quality of life.
In the reports on the subject, the researchers stated that the use of aromatherapy for this purpose
thinks it should be expanded.

SOURCE
UREMIC ITCH AND AROMATHERAPY APPLICATION-Gumushane University Health Sciences
Journal /Gumushane University Journal
BETWEEN UREMIC PURITUS AND 25 HYDROXY VITAMIN D IN HEMODIALYSIS PATIENTS
RELATIONSHIP- Baskent University Medical Specialization Thesis