Intradialytic Nausea Response Following Lavender Aromatherapy Administration in Stage V Chronic Kidney Disease Patients
Management of Intradialytic Nausea via Lavender Aromatherapy in Patients with Stage V Chronic Kidney Disease: A Case Report
Keywords:
chronic kidney disease, hemodialysis, lavender aromatherapy, nauseaAbstract
Background: Patients with stage V Chronic Kidney Disease undergoing hemodialysis may experience intradialytic nausea. This symptom affects comfort, appetite, and tolerance during therapy. Lavender aromatherapy is a complementary nursing intervention that is simple to apply and may support relaxation. This case report aimed to describe lavender aromatherapy in nursing care for intradialytic nausea among patients with stage V Chronic Kidney Disease. Methods: A descriptive case report was conducted involving two patients in the Hemodialysis Unit of Hermina Hospital Bekasi. Data were collected through interviews, observation, physical examination, medical records, and the Rhodes Index of Nausea, Vomiting and Retching. The intervention included standard nausea management and inhaled lavender aromatherapy during hemodialysis. Results: The first patient was a 48-year-old man with hypertension, while the second patient was a 52-year-old man with type II diabetes mellitus. In the first patient, the nausea score decreased from 5 to 2 at the first session and reached 0 at the following sessions. In the second patient, the score decreased from 4 to 2 at the first session and reached 0 at the next two sessions. Both patients appeared more relaxed and reported no discomfort related to aromatherapy. Conclusion: Lavender aromatherapy as an adjunct to nausea management may help reduce intradialytic nausea in patients with stage V Chronic Kidney Disease.
References
Ahmady, S., Rezaei, M., & Khatony, A. (2019). Comparing effects of aromatherapy with lavender essential oil and orange essential oil on fatigue of hemodialysis patients: A randomized trial. Complementary Therapies in Clinical Practice, 36, 64-68. https://doi.org/10.1016/j.ctcp.2019.05.005
Badan Penelitian dan Pengembangan Kesehatan. (2019). Laporan Nasional Riskesdas 2018. Kementerian Kesehatan Republik Indonesia.
Bagheri-Nesami, M., Espahbodi, F., Nikkhah, A., Shorofi, S. A., & Charati, J. Y. (2016). The effects of aromatherapy with lavender essential oil on fatigue levels in haemodialysis patients: A randomized clinical trial. Complementary Therapies in Clinical Practice, 22, 33-37. https://doi.org/10.1016/j.ctcp.2015.12.002
Bagheri-Nesami, M., Shorofi, S. A., Zargar, N., Sohrabi, M., Gholipour-Baradari, A., & Khalilian, A. R. (2017). The effects of lavender essential oil aromatherapy on anxiety and depression in haemodialysis patients. Pharmaceutical and Biomedical Research, 3(1), 8-13. https://doi.org/10.18869/acadpub.pbr.3.1.8
Bhandari, B., & Komanduri, S. (2023). Dialysis disequilibrium syndrome. In StatPearls. StatPearls Publishing.
Correa, S., Pena-Esparragoza, J. K., Scovner, K. M., & Mc Causland, F. R. (2020). Predictors of intradialytic symptoms: An analysis of data from the Hemodialysis Study. American Journal of Kidney Diseases, 76(3), 331-339. https://doi.org/10.1053/j.ajkd.2020.01.004
Daya, I., Fhonna, L. A., Tafonao, L. A., Nainggolan, E., Purba, E. M., & Nababan, T. (2023). Pengaruh berat badan interdialisis terhadap adekuasi pada pasien gagal ginjal kronik yang menjalani hemodialisa. Jurnal Penelitian Perawat Profesional, 5(3), 1007-1014. https://doi.org/10.37287/jppp.v5i3.1694
Fetzer, S. J., Hand, M. C., Bouchard, P. A., Smith, H., Jenkins, M. B., & Ferry, M. (2004). Evaluation of the Rhodes Index of Nausea and Vomiting for ambulatory surgery patients. Journal of Advanced Nursing, 47(1), 74-80. https://doi.org/10.1111/j.1365-2648.2004.03067.x
Irawati, D. (2023). Perubahan fisik dan psikososial mempengaruhi kualitas hidup pasien hemodialisis. Jurnal Ilmiah Keperawatan, 9(1), 96-104. https://doi.org/10.33023/jikep.v9i1.1426
Karadag, E., & Samancioglu Baglama, S. (2019). The effect of aromatherapy on fatigue and anxiety in patients undergoing hemodialysis treatment: A randomized controlled study. Holistic Nursing Practice, 33(4), 222-229. https://doi.org/10.1097/HNP.0000000000000334
KDIGO CKD Work Group. (2024). KDIGO 2024 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney International, 105(4S), S117-S314. https://doi.org/10.1016/j.kint.2023.10.018
Kovesdy, C. P. (2022). Epidemiology of chronic kidney disease: An update 2022. Kidney International Supplements, 12(1), 7-11. https://doi.org/10.1016/j.kisu.2021.11.003
Murdeshwar, H. N., & Anjum, F. (2023). Hemodialysis. In StatPearls. StatPearls Publishing.
Muz, G., & Tasc?, S. (2017). Effect of aromatherapy via inhalation on the sleep quality and fatigue level in people undergoing hemodialysis. Applied Nursing Research, 37, 28-35. https://doi.org/10.1016/j.apnr.2017.07.004
Narsa, A. C., Maulidya, V., Reggina, D., Andriani, W., & Rijai, H. R. (2022). Studi kasus: Pasien gagal ginjal kronis (stage V) dengan edema paru dan ketidakseimbangan cairan elektrolit. Jurnal Sains dan Kesehatan, 4(SE-1), 17-22. https://doi.org/10.25026/jsk.v4ise-1.1685
PPNI. (2017). Standar Diagnosis Keperawatan Indonesia: Definisi dan indikator diagnostik. Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.
PPNI. (2018). Standar Intervensi Keperawatan Indonesia: Definisi dan tindakan keperawatan. Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.
PPNI. (2019). Standar Luaran Keperawatan Indonesia: Definisi dan kriteria hasil keperawatan. Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.
Rahmawati, L., Tamaela, J. M., Anika, L., & Wicaksana, A. L. (2021). The two-person catheter insertion procedure reduces catheter-associated urinary tract infections. Enfermeria Clinica, 31(S3), S478-S482. https://doi.org/10.1016/j.enfcli.2020.10.047
Rhodes, V. A., & McDaniel, R. W. (1999). The Index of Nausea, Vomiting, and Retching. Oncology Nursing Forum, 26(5), 889-894.
Senturk, A., & Tekinsoy Kartin, P. (2018). The effect of lavender oil application via inhalation pathway on hemodialysis patients anxiety level and sleep quality. Holistic Nursing Practice, 32(6), 324-335. https://doi.org/10.1097/HNP.0000000000000292
Setyorini, D. Y., Fadilah, S. Z., Susanti, I. A., & Pradipta, R. O. (2020). Mobile-health reminder management system to monitor hypertension patients: A systematic review. International Journal of Psychosocial Rehabilitation, 24(7), 7911-7920.
Sukartini, T., Pradipta, R. O., Setyorini, D. Y., Fadilah, S. Z., & Susanti, I. A. (2020). Effectiveness of diabetes self-management education in developing countries: A systematic review. International Journal of Psychosocial Rehabilitation, 24(7), 7853-7864. https://doi.org/10.61841/hjg94256
Tasan, E., Ovayolu, O., & Ovayolu, N. (2019). The effect of diluted lavender oil inhalation on pain and sleep quality during vascular access among patients undergoing haemodialysis. Complementary Therapies in Clinical Practice, 35, 177-182. https://doi.org/10.1016/j.ctcp.2019.02.010
Wiliyanarti, P. F., & Muhith, A. (2019). Life experience of chronic kidney diseases undergoing hemodialysis therapy. NurseLine Journal, 4(1), 54-60. https://doi.org/10.19184/nlj.v4i1.9701
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