Sürdürülebilir Kalkınma Amaçları
Yayınlar
- MakaleYalnız künye2026Impact of stress ball intervention on satisfaction, comfort and anxiety in hemodialysis patients: a randomized controlled trial
Salti, Aysun Kazak; Topali, Hasret; Turkmen, Osman Oğulcan
Hemodialysis (HD) patients commonly experience psychological distress and anxiety, which may affect their comfort and satisfaction during treatment. This study examined the overall impact of stress ball use on satisfaction, comfort, and anxiety among individuals receiving HD. A total of 46 patients were randomized between January and July 2025. Three participants in the intervention group withdrew before completing the study; therefore, the final analysis included 43 patients (20 in the stress ball group and 23 in the control group). Data were collected using the Patient Information Form (PIF), Visual Analog Patient Satisfaction Scale (VAPSS), Hemodialysis Comfort Scale (HCS), Distress Thermometer (DT), and Visual Analog Scale for Anxiety (VAS-A). Patients in the intervention group used a stress ball for at least 15 minutes during each of twelve HD sessions. Measurements were obtained at baseline, midpoint, and post-test, while the control group received standard care and was assessed concurrently. The study findings demonstrated that anxiety levels decreased over time in the stress ball group, whereas they increased in the control group. Similarly, distress levels decreased in the stress ball group, while no significant change was observed in the control group. HD comfort scores decreased in the stress ball group but increased in the control group. In contrast, no statistically significant difference was found between the groups in terms of the VAPSS scores. These results highlight the potential value of simple distraction techniques in clinical settings for further improving psychological outcomes.
- MakaleYalnız künye2026Determinants of sleep quality and fatigue in patients undergoing hemodialysis
Kazak Salti, Aysun; Topali, Hasret; Türkmen, Osman Oğulcan
Aim: This research aimed to evaluate sleep quality and fatigue among individuals undergoing hemodialysis and to explore the determinants affecting these variables. Methods: This observational investigation was carried out among 78 who were regularly receiving hemodialysis therapy. The research was carried out between May and October 2025 in three different public hospitals among individuals undergoing hemodialysis treatment. Data were gathered using the Patient Information Form (PIF), the Fatigue Severity Scale (FSS), and the Pittsburgh Sleep Quality Index (PSQI). Results: The mean score of the hemodialysis patients on the FSS is 4.97 ± 1.11, and the mean PSQI value is 7.76 ± 3.64. A moderately positive and statistically noteworthy relation was observed between the PSQI and FSS scores. Additionally, a low negative meaningful correlation was seen between ferritin levels and the FSS scores, as well as between calcium levels and the PSQI scores. The use of medications related to chronic disease and the PSQI scores were identified as significant predictors of the FSS scores. Conclusion: Fatigue and sleep quality in individuals receiving hemodialysis treatment are related to each other, as well as to biochemical balance and treatment adherence.