Combined Brainwave Synchronizer with Progressive Muscle Relaxation on the Maintained Hemodialysis Patients: A Randomly Controlled Study

Abstract:

Mental problems have profound influence on the development and transfer of illness of the maintained hemodialysis (MHD) patients in the past study. The goal of this pilot study was to explore the effects of psychological intervention which combined brainwave synchronizer with progressive muscle relaxation (PMR) on the mental health, physiological function and quality-of-life (QOL) of MHD patients. Seventy-seven MHD patients were randomly assigned to the intervention group (ITG, 39 patients) or the control group (CTG, 38 patients). The CTG received the conventional therapy which included hemodialysis (HD) 3 times/week and recombinant human erythropoietin (rHuEPO) at dosages of 100 units/(kg·week^-1) to 150 unites/(kg·week^-1) by i.v or subcutaneous injection. The ITG received the conventional therapy combined with psychological intervention, which included brainwave synchronizer and PMR. Psychological and QOL outcomes in both groups were assessed with The Symptom Checklist 90 (SCL-90) and the Short Form 36 Health survey Questionnaire (SF-36) three days before and after the intervention, respectively. And blood routing and kidney functions indexes were tested with hematic parameter at the same time. Two-tailed independent sample t test and χ² test were performed. Thirty-six patients of the ITG and 34 patients of the CTG completed the study. The patients in the ITG showed better mental state, higher global QOL and higher values of heamoglobin (HB), accounting of red blood cells (RBC), hematocrit (HCT) and serum calcium, lower values of serum phosphor, serum kalium, blood urea nitrogen (BUN) before HD and the ratio of interdialytic weight gain to dry weight (IWGR) than those in the CTG. There is no significant difference in serum creatinine (Scr) before HD between both groups. Psychological intervention seems effective in improving MHD patients’ mental state, increasing their compliance to treatment, and mending their physiological function and QOL.

• Periodical: Applied Mechanics and Materials (Volume 140)
• Pages: 115-124
• DOI: https://doi.org/10.4028/www.scientific.net/AMM.140.115
• Online since: November 2011
• Authors: Yong Mei Hou, Pei Cheng Hu, Mei Wang, Zhan Yu Mo
• Keywords: Brainwave Synchronization Therapy, Brainwave Synchronizer, Compliance to Treatment, End-Stage Renal Disorder (ESRD), Hemodialysis (HD), Maintained Hemodialysis (MHD), Progressive Muscle Relaxation (PMR), Psychological Intervention, Quality of Life (QOL)

References

[1] Haemodialysis Transplantation Registry Work Group of Renal Disease Branch of China Medical Association: Journal of China Renal Diseases, Vol. 17 (2001) No.2, p.77. (In Chinese).

[2] Keskin G, Engin E: J Clin Nurs, Vol. 10(2011) No. 5, p.1111.

[3] Q. Liu, M. Wang, H.Y. Wang, X.T. Li, S.F. Zhang, Y.X. Yan, W. Shi, Y.J. Li, Y. Song, Z.X. Ren, X.R. Tian, and R.G. Wu: Chinese Journal of Nephrology, Vol. 13 (1997) No.3, p.144.

[4] A.A. Lopes, J.M. Albert, E.W. Young, S. Satayathum, R.L. Pisoni, V.E. Andreucci, D.L. Mapes, N.A. Mason, S. Fukuhara, B. Wikstrom, A. Saito, and F.K. Port: Kidney International, Vol. 66 (2004) No.5, p.2047.

DOI: 10.1111/j.1523-1755.2004.00977.x

[5] H. Strid, M. Simren, A.C. Johansson, J. Svedlund, O. Samuelsson, and E.S. Bjornsson: Nephrol Dial Transplant, Vol. 17 (2002) No.8, p.1434.

[6] F. Alvarez-Ude, M.J. Fernandez-Reyes, A. Vazquez, C. Mon, R. Sanchez, and P. Rebollo: Nefrologia, Vol. 21 (2001) No.2, p.191.

[7] P.L. Kimmel, T.M. Phillips, S.J. Simmens, R.A. Peterson, K.L. Weihs, S. Alleyne, I. Cruz, J.A. Yanovski, and J.H: Kidney Int, Vol. 54 (1998) No.1, p.236.

DOI: 10.1046/j.1523-1755.1998.00981.x

[8] R. Friend, L. Hatchett, N.K. Wadhwa, and H. Suh: Adv Peritoneal Dial, Vol. 13 (1997) p.155.

[9] F.W. Garcia Valderrama, C. Fajardo, R. Guevara, V. Gonzales Perez, and A. Hurtado: Nefrologia, Vol. 22 (2002) No.3, p.244.

[10] M.P. Merkus, K.J. Jager, F.W. Dekker, E.W. Boeschoten, P. Stevens, and R.T. Krediet: Am J Kidney Dis, Vol. 29 (1997) No.4, p.584.

[11] A. Killingworth, O. van den Akker: Int J Nurs Stud, Vol. 33 (1996) No.1, p.107.

[12] R. Leake, R. Friend, and N. Wadhwa: Health Psychol, Vol.18 (1999) No.1, p.54.

[13] S.L. Tsay, Y.C. Lee: J Adv Nurs, Vol. 50 (2005) No.1, p.39.

[14] A.J. Christensen, P.J. Moran, J.S. Wiebe, S.L. Ehlers, and W.J. Lawton; Health Psychol, Vol. 21 (2002) No. 4, p.393.

[15] Vancampfort D, De Hert M, Knapen J, Maurissen K, Raepsaet J, Deckx S, Remans S, and Probst M: Clin Rehabil, Vol. 25(2011) No. 6, p.567.

DOI: 10.1177/0269215510395633

[16] Fink NS, Urech C, Isabel F, Meyer A, Hoesli I, Bitzer J, and Alder J: Early Hum Dev, Vol. 87(2011) No. 2, p.121.

DOI: 10.1016/j.earlhumdev.2010.11.011

[17] Z.J. Zhang: Rating Scales for Behavioral Medicine (Publishing House of Chinese Journal of behavioral medical science, Jining, 2001). (In Chinese).

[18] J.L. Welch, J.K. Austin: ANNA J, Vol. 26 (1999) No. 3, p.318.

[19] Rice Phillip L, Translated by Hu Peicheng, et al: Healthy Psychology (China Light Industry Press, Beijing, 2000).

[20] M.Y. Guo, K.L. Yan, and Z.E. Shang: Acta Psychologica Sinica, Vol. 34 (2002) No.4, p.426.

[21] Y. Yang, S.H. Yang, and L. Zhang: Journal of Chinese Mental Health. 16 (2002) 522-524.

[22] Y.B. Zhang, S.H. Yang, and L. Zhang: Journal of Chinese Mental Health, Vol. 18 (2004) No., p.17. (In Chinese).

[23] JE Jr. Leggat, S.M. Orzol, T.E. Hulbert-Shearon, T.A. Golper, C.A. Jones, P.J. Held, and F.K: Am J Kidney Dis, Vol. 32 (1998) No.1, p.139.

DOI: 10.1053/ajkd.1998.v32.pm9669435

[24] Y.H. Lee, R.H. Wang, Helplessness, social support and self-care behaviors among long-term hemodialysis patients, Hu Li Yan Jiu. 9 (2001) 147-158. (In Chinese).

[25] Disease Control Section of the Health Ministry: National Teaching Material of Training at Community Model Spots for Chronic and Non-infecting Diseases (People's Hygiene Press, Beijing, 1999). (In Chinese).

[26] N.G. Kutner, R. Zhang, W.M. McClellan, and S.A: Nephrol Dial Transplant, Vol. 17 (2002) No.1, p.93.

[27] L.K. Thomas, R.G. Sargent, P.C. Michels, D.L. Richter, R.F. Valois, and C.G. Moore: J Ren Nutr, Vol. 11 (2001) No.2, p.80.

[28] W.G. Thompson, G.F. Longstreth, D.A. Drossman, K.W. Heaton, E.J. Irvine, and S.A. Muller-Lissner: Gut, Vol. 1999 (Suppl 2) p.Ⅱ43.

[29] D.A. Gorand, J.E. Comborome, G.W. Libby, M.J.G. Farthing: Gut, Vol. 39 (1996) No.5, p.551.

[30] C.L. Yang, Aregenerative Anemia, second ed., Tianjin Science and Techonology Translation Press Company, Tianjin, 2000. (In Chinese).

[31] Q.L. Mao, F. Yuan, D.H. Chen, and J.J. Zhang: Journal of China Micro-circulation, Vol. 3 (1999) No.3, p.179. (In Chinese).

[32] A. Bolling, R.H. Goltzbach, and G.H. Irwin: Fourth World Congress for Microcirculation (Abstracts) (Tokyo, Japan, July 26-Aug, 1987).

[33] M.A. Jones, J.C. Kingswood, P.E. Dallyn, and P. Sharpstone: Clin Exp Hypertens, Vol. 18 (1996) No.1, p.51.