Document Detail


Baby oil therapy for uremic pruritus in haemodialysis patients.
MedLine Citation:
PMID:  22093006     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aims.  The purpose of this study was to investigate the effectiveness of chilled/un-chilled baby oil therapy for treating uremic pruritus in haemodialysis patients. Background.  Uremic pruritus affects 50-90% of haemodialysis patients, which makes it one of the most common medical problems in this population. Pruritus can cause skin infection, desquamation, pathological skin change, sleep disorder, anxiety, depression and social dysfunction. Design.  A prospective, pretest-post-test quasi-experimental design was used. Methods.  Haemodialysis patients with uremic pruritus were recruited and randomly assigned to one of three groups: experimental group 1 (chilled baby oil treatment; n = 30), experimental group 2 (un-chilled baby oil treatment; n = 31) and a control group (routine care only; n = 32). Participants in experimental group 1 and experimental group 2 were treated with chilled and un-chilled baby oil, respectively, for 15 minutes at least once daily for three weeks. The control group received no intervention other than standard care. Data collection included demographic data and itch severity. Medical records were also reviewed. Results.  The baseline characteristics of subjects in this study were as follows: 59% were male, mean age was 61·88 (SD 12·7) years, mean duration of haemodialysis was 5·31 years, mean duration of uremic pruritus was 40·58 (SD 37·8) months and mean intensity of uremic pruritus was mild. The anti-pruritic effects were significantly larger in subjects treated with either chilled or un-chilled baby oil than in those who received routine care. Anti-pruritic effects did not significantly differ between experimental group 1 and experimental group 2. Conclusions.  The study confirmed that, for relieving pruritus in haemodialysis patients, either chilled or un-chilled baby oil is as effective as moisturising lotions and cooling soothing agents. Relevance to clinical practice.  Applying baby oil is a simple, safe, inexpensive and easily administered treatment for itchy skin in haemodialysis patients. By preventing or reducing uremic pruritus, baby oil treatment may also improve quality of life in this patient group.
Authors:
Tzu-Chen Lin; Yu-Hung Lai; Su-Er Guo; Chin-Fang Liu; Jer-Chia Tsai; How-Ran Guo; Hsin-Tien Hsu
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-11-17
Journal Detail:
Title:  Journal of clinical nursing     Volume:  -     ISSN:  1365-2702     ISO Abbreviation:  -     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9207302     Medline TA:  J Clin Nurs     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 Blackwell Publishing Ltd.
Affiliation:
Authors: Tzu-Chen Lin, MSN, RN, Nurse Practitioner, Department of Nephrology, Chia-Yi Christian Hospital, Chia-Yi; Yu-Hung Lai, MD, Assistant Professor, Department of Ophthalmology, College of Medicine, Kaohsiung Medical University, Kaohsiung; Su-Er Guo, PhD, RN, Director, Chronic Diseases and Health Promotion Research Center, Associate Professor, Department of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan and Assistant Professor, School of Nursing, University of Victoria, Victoria, Canada; Chin-Fang Liu, PhD, RN, Assistant Professor, Department of Nursing, and Affiliate Faculty, Department of Gerontological Care and Management, Chang Gung University of Science and Technology, Taoyuan; Jer-Chia Tsai, MD, Associate Professor, Division of Nephrology, Department of Internal Medicine, Kaohsiung Medical University Hospital and Faculty of Renal Care, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; How-Ran Guo, MD, ScD, Professor, Department of Environmental and Occupational Health, College of Medicine, National Cheng Kung University and Director, Department of Occupational and Environmental Medicine, National Cheng Kung University Hospital, Tainan; Hsin-Tien Hsu, PhD, RN, Assistant Professor, College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
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