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International Journal of Trend in Scientific Research and Development (IJTSRD)
Volume 7 Issue 5, September-October 2023 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
@ IJTSRD | Unique Paper ID – IJTSRD60055 | Volume – 7 | Issue – 5 | Sep-Oct 2023 Page 814
Effectiveness of Olive Oil Massage on
Fatigue among the Patients Undergoing Haemodialysis
Dr. S. Tamilselvi1, Ms. S. Pooja2
1
Professor, Department of Community Health Nursing, SIMATS, Thandalam, Chennai, Tamil Nadu, India
2
B.Sc. Nursing, 4th
Year, Saveetha College of Nursing, Thandalam, Chennai, Tamil Nadu, India
ABSTRACT
AIM: The present study aim is to assess the Effectiveness of olive oil
massage on fatigue among the patients undergoing Haemodialysis at
SMCH. METHODS AND MATERIALS: A Quantitative with
experimental one group pre-test post-test was used in present study.
A Total 30 samples were collected using convenience sampling
technique. The demographic variable Assessment of level of fatigue
among patients undergoing haemodialysis, Effectiveness of olive oil
massage on level of fatigue among patients undergoing
haemodialysis was assessed using structured questioner, followed by
that data was gathered and analysed. RESULTS: The results the
study revealed that there is a significant of Effectiveness of olive oil
massage on level of fatigue among patients undergoing
haemodialysis at the level of p<0.001. CONCLUSION: Thus, the
present despites that there is a difference in effectiveness of olive oil
massage between the pre-test and post-test which clearly interferes
that effectiveness of olive oil massage on fatigue among the patients
undergoing haemodialysis was found effective in reducing the fatigue
in haemodialysis patients in the post test.
KEYWORDS: Olive oil massage, Fatigue, Haemodialysis
How to cite this paper: Dr. S.
Tamilselvi | Ms. S. Pooja "Effectiveness
of Olive Oil Massage on Fatigue among
the Patients Undergoing Haemodialysis"
Published in
International
Journal of Trend in
Scientific Research
and Development
(ijtsrd), ISSN:
2456-6470,
Volume-7 | Issue-5,
October 2023, pp.814-818, URL:
www.ijtsrd.com/papers/ijtsrd60055.pdf
Copyright © 2023 by author (s) and
International Journal of Trend in
Scientific Research and Development
Journal. This is an
Open Access article
distributed under the
terms of the Creative Commons
Attribution License (CC BY 4.0)
(http://creativecommons.org/licenses/by/4.0)
INTRODUCTION
Fatigue skilled with the aid of using sufferers with
End Stage Renal Disease (ESRD) present process
haemodialysis (HD) is one of the day by day issues of
their lifestyles. Although dialysis is a process that
saves lives, it cannot update the characteristic of
wholesome kidneys. Fatigue related to HD
considerably influences the first-rate of lifestyles of
those sufferers. HD sufferers be afflicted by low
degrees of bodily interest and reduced purposeful
capability whilst affected by fashionable muscle weak
spot ensuing in a fashionable feeling of fatigue. The
importance of fatigue in ESRD is underlined with the
aid of using the truth that 94% of sufferers might
favour to go through greater dialysis classes if there
has been the opportunity to boom.
The occurrence of fatigue in HD sufferers degrees
from 60%–97% whilst the extent of fatigue of HD
sufferers is one of the maximum amongst persistent
sufferers inclusive of most cancers sufferers receiving
chemotherapy, depressive sufferers and sufferers with
Systemic Lupus Erythematosus. HD sufferers have
additionally many similarities to the ones affected by
persistent fatigue syndrome, given that they gift
generalized weak spot, reduced workout tolerance
and sleep disorders. The idea of fatigue in ESRD is
tough to be described. HD sufferers might also
additionally specific fatigue in exceptional ways
(weak spot, loss of strength, and tiredness. Thirty 3
percent (33%) of HD sufferers pronounced that they
sense horrific the primary few hours straight away
after HD consultation whilst one in 4 imply excessive
to very excessive depth of fatigue after the HD
consultation. The purpose of this take a look at
became to analyse the degrees of fatigue in addition
to the demographic elements affecting fatigue
amongst sufferers with End Stage Renal Disease
present process haemodialysis.
Fatigue is a not un usual place and frequently
unrecognized symptom in sufferers with end-degree
renal disease (ESRD) present process preservation
dialysis. Various research has pronounced that fatigue
influences 60 to as many as 97% of dialysis sufferers.
Despite its extensive occurrence with inside the
ESRD population, renal vendors are in large part
IJTSRD60055
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD60055 | Volume – 7 | Issue – 5 | Sep-Oct 2023 Page 815
ignorant of the presence and severity of this
debilitating symptom [6]. Not best does fatigue
seriously impair bodily and social functioning, it's
been related to decrease first-rate of lifestyles and
untimely demise in sufferers on persistent
haemodialysis. Fatigue’s significance is in addition
underscored with the aid of using the outcomes of a
cross-sectional take a look at wherein 94% of the
sufferers might take delivery of greater common
dialysis if it'd boom their strength degree, however
best 19% might accomplish that for an boom in
survival up to three year.
MATERIALS AND METHODS:
The study used with quantitative research approach
and true experimental research design with the
purposive sampling technique and who were satisfied
with inclusive criteria. The inclusive criteria were the
patients who are willing to participate in the study.
The patients who can understand Tamil / English. The
Haemodialysis patient who are admitted in Saveetha
medical college and Hospitals, the patients who are in
the age group of 35 and above and the exclusive
criteria is the patient who are not experiencing fatigue
during haemodialysis, the patients who are
uncooperative the patient who do not understand
Tamil / English. The data collection was done by
prior permission from the hospital authority and
ethical clearance was obtained from the institution
(SIMATS). The purpose of the study was explained
to the samples and written form consent from them.
The demographic data were collected using semi
structured interview questionaries’ and then in
Effectiveness of olive oil massage on level of fatigue
among patients undergoing haemodialysis. The data
were analysed using descriptive and interferential
statistics. The sample characteristics were described
using frequency and percentage. Chi square was used
to associate the post-test level of fatigue among
dialysis patient among selected demographic
variables.
RESULTS AND DISCUSSION:
Section A: Description of the demographic variables of patients undergoing haemodialysis.
The table 1 shows that most of the patients undergoing haemodialysis, 14(46.7%) were aged between 51 - 60
years, 20(66.7%) were male, 12(40%) were Christians, 11(36.7%) had primary school education, 12(40%) were
self-employee, 16(53.3%) were residing in urban area, 30(100%) were married, 15(50%) had monthly income of
5,000 – 10,000, 19(63.3%) belonged to joint family and 16(53.3%) were vegetarian.
The table 2 shows that most of the patients undergoing haemodialysis, 30(100%) were undergoing
haemodialysis, 17(56.6%) were under dialysis treatment for 1 month, 16(53.3%) had no family history of any
chronic kidney disease, 15(50%) had history of chronic renal disease, 21(70%) had experienced fatigue,
16(53.4%) had moderate level of daily activity, 17(56.7%) had experienced muscle cramps during the dialysis
period and had the habit of both smoking and consuming alcohol, 16(53.3%) had the removal of 1 litre fluid
removed during haemodialysis, 13(43.3%) had a pre-dialysis weight of 51 – 60 kg, 18(60%) had followed
restricted diet and 17(56.7%) had severe pain.
36.7%
56.6%
6.7% Day
Month
Years
Percentage distribution of what is the time duration of dialysis treatment of patients undergoing
haemodialysis
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD60055 | Volume – 7 | Issue – 5 | Sep-Oct 2023 Page 816
SECTION B: ASSESSMENT OF LEVEL OF FATIGUE AMONG PATIENTS UNDERGOING
HEMODIALYSIS.
Table 3: Frequency and percentage distribution of pre-test and post-test level of fatigue among
haemodialysis patients.
n = 30
Level of Fatigue
Pretest Post Test
F % F %
Mild (1 – 21) 0 0 11 36.7
Moderate (22 – 42) 3 10.0 19 63.3
Severe (43 – 63) 27 90.0 0 0
The above table 3 shows that in the pretest 27(909%) had severe fatigue and 3(10%) had moderate level of
fatigue whereas in the post test, 19(63.3%) had moderate level of fatigue and 11(36.7%) had mild level of
fatigue among patients undergoing hemodialysis.
0
10
20
30
40
50
60
70
80
90
100
Mild (1 – 21) Moderate (22 – 42) Severe (43 – 63)
0
10
90
36.7
63.3
0
Percentage
Level of Fatigue
Pretest
Percentage distribution of pretest and post test level of fatigue among hemodialysis patients
SECTION C: EFFECTIVENESS OF OLIVE OIL MASSAGE ON LEVEL OF FATIGUE AMONG
PATIENTS UNDERGOING HEMODIALYSIS.
Table 4: Comparison of pre-test and post-test level of fatigue among patients undergoing
haemodialysis
n = 30
Fatigue Mean S.D Mean Difference Score Paired ‘t’ test value
Pretest 55.40 6.13
27.10
t = 14.847
p=0.0001
S***
Post Test 28.30 8.26
***p<0.001, S – Significant
The table 4 depicts that the pre-test mean score of fatigue was 55.40±6.13 and the post-test mean score was
28.30±8.26. The mean difference score was 27.10. The calculated paired ‘t’ test value of t = 14.847 was found to
be statistically significant at p<0.001 level which clearly infers that there was reduction in the level of fatigue
after the administration of olive oil massage among patients undergoing haemodialysis.
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD60055 | Volume – 7 | Issue – 5 | Sep-Oct 2023 Page 817
SECTION D: ASSOCIATION OF LEVEL OF
FATIGUE AMONG PATIENTS UNDERGOING
HEMODIALYSIS WITH SELECTED
DEMOGRAPHIC VARIABLES.
In this present study demographic variable education
(χ2=8.517, p=0.036) had shown statistically
significant association with post-test level of fatigue
among patients undergoing haemodialysis at p<0.05
level. The other demographic variables had not shown
statistically significant association with post-test level
of fatigue among patients undergoing haemodialysis.
CONCLUSION: From the results of present study
shows significant improvement for researcher.
ACKNOWLEDGEMENT:
Authors would like to appreciate all the study
participants for their cooperation to complete the
study successfully.
REFERENCE:
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[3] Darthi Tamilmozhi. T, et al., (2021). A Quasi-
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[4] Eilean Rathinasamy Lazarus, et al., (2020). The
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[5] Farzaneh Salehi, et al., (2020). Effectiveness of
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[6] Gordon P, Doyle J, Johansen K. (2011).
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[8] Hayyu Sitoresmi, et al., (2020). The effect of
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[9] Hirotoshi Kodama, et al., (2020). A new
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Hemodialysis patients. BMC, 6:1.
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Foot Massage on Severity of Fatigue and
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[11] Jhamb M, Pike F, Ramer S, Argyropoulos C,
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fatigue on outcomes in the Hemodialysis
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International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD60055 | Volume – 7 | Issue – 5 | Sep-Oct 2023 Page 818
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Effectiveness of Olive Oil Massage on Fatigue among the Patients Undergoing Haemodialysis

  • 1. International Journal of Trend in Scientific Research and Development (IJTSRD) Volume 7 Issue 5, September-October 2023 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470 @ IJTSRD | Unique Paper ID – IJTSRD60055 | Volume – 7 | Issue – 5 | Sep-Oct 2023 Page 814 Effectiveness of Olive Oil Massage on Fatigue among the Patients Undergoing Haemodialysis Dr. S. Tamilselvi1, Ms. S. Pooja2 1 Professor, Department of Community Health Nursing, SIMATS, Thandalam, Chennai, Tamil Nadu, India 2 B.Sc. Nursing, 4th Year, Saveetha College of Nursing, Thandalam, Chennai, Tamil Nadu, India ABSTRACT AIM: The present study aim is to assess the Effectiveness of olive oil massage on fatigue among the patients undergoing Haemodialysis at SMCH. METHODS AND MATERIALS: A Quantitative with experimental one group pre-test post-test was used in present study. A Total 30 samples were collected using convenience sampling technique. The demographic variable Assessment of level of fatigue among patients undergoing haemodialysis, Effectiveness of olive oil massage on level of fatigue among patients undergoing haemodialysis was assessed using structured questioner, followed by that data was gathered and analysed. RESULTS: The results the study revealed that there is a significant of Effectiveness of olive oil massage on level of fatigue among patients undergoing haemodialysis at the level of p<0.001. CONCLUSION: Thus, the present despites that there is a difference in effectiveness of olive oil massage between the pre-test and post-test which clearly interferes that effectiveness of olive oil massage on fatigue among the patients undergoing haemodialysis was found effective in reducing the fatigue in haemodialysis patients in the post test. KEYWORDS: Olive oil massage, Fatigue, Haemodialysis How to cite this paper: Dr. S. Tamilselvi | Ms. S. Pooja "Effectiveness of Olive Oil Massage on Fatigue among the Patients Undergoing Haemodialysis" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-5, October 2023, pp.814-818, URL: www.ijtsrd.com/papers/ijtsrd60055.pdf Copyright © 2023 by author (s) and International Journal of Trend in Scientific Research and Development Journal. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (http://creativecommons.org/licenses/by/4.0) INTRODUCTION Fatigue skilled with the aid of using sufferers with End Stage Renal Disease (ESRD) present process haemodialysis (HD) is one of the day by day issues of their lifestyles. Although dialysis is a process that saves lives, it cannot update the characteristic of wholesome kidneys. Fatigue related to HD considerably influences the first-rate of lifestyles of those sufferers. HD sufferers be afflicted by low degrees of bodily interest and reduced purposeful capability whilst affected by fashionable muscle weak spot ensuing in a fashionable feeling of fatigue. The importance of fatigue in ESRD is underlined with the aid of using the truth that 94% of sufferers might favour to go through greater dialysis classes if there has been the opportunity to boom. The occurrence of fatigue in HD sufferers degrees from 60%–97% whilst the extent of fatigue of HD sufferers is one of the maximum amongst persistent sufferers inclusive of most cancers sufferers receiving chemotherapy, depressive sufferers and sufferers with Systemic Lupus Erythematosus. HD sufferers have additionally many similarities to the ones affected by persistent fatigue syndrome, given that they gift generalized weak spot, reduced workout tolerance and sleep disorders. The idea of fatigue in ESRD is tough to be described. HD sufferers might also additionally specific fatigue in exceptional ways (weak spot, loss of strength, and tiredness. Thirty 3 percent (33%) of HD sufferers pronounced that they sense horrific the primary few hours straight away after HD consultation whilst one in 4 imply excessive to very excessive depth of fatigue after the HD consultation. The purpose of this take a look at became to analyse the degrees of fatigue in addition to the demographic elements affecting fatigue amongst sufferers with End Stage Renal Disease present process haemodialysis. Fatigue is a not un usual place and frequently unrecognized symptom in sufferers with end-degree renal disease (ESRD) present process preservation dialysis. Various research has pronounced that fatigue influences 60 to as many as 97% of dialysis sufferers. Despite its extensive occurrence with inside the ESRD population, renal vendors are in large part IJTSRD60055
  • 2. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD60055 | Volume – 7 | Issue – 5 | Sep-Oct 2023 Page 815 ignorant of the presence and severity of this debilitating symptom [6]. Not best does fatigue seriously impair bodily and social functioning, it's been related to decrease first-rate of lifestyles and untimely demise in sufferers on persistent haemodialysis. Fatigue’s significance is in addition underscored with the aid of using the outcomes of a cross-sectional take a look at wherein 94% of the sufferers might take delivery of greater common dialysis if it'd boom their strength degree, however best 19% might accomplish that for an boom in survival up to three year. MATERIALS AND METHODS: The study used with quantitative research approach and true experimental research design with the purposive sampling technique and who were satisfied with inclusive criteria. The inclusive criteria were the patients who are willing to participate in the study. The patients who can understand Tamil / English. The Haemodialysis patient who are admitted in Saveetha medical college and Hospitals, the patients who are in the age group of 35 and above and the exclusive criteria is the patient who are not experiencing fatigue during haemodialysis, the patients who are uncooperative the patient who do not understand Tamil / English. The data collection was done by prior permission from the hospital authority and ethical clearance was obtained from the institution (SIMATS). The purpose of the study was explained to the samples and written form consent from them. The demographic data were collected using semi structured interview questionaries’ and then in Effectiveness of olive oil massage on level of fatigue among patients undergoing haemodialysis. The data were analysed using descriptive and interferential statistics. The sample characteristics were described using frequency and percentage. Chi square was used to associate the post-test level of fatigue among dialysis patient among selected demographic variables. RESULTS AND DISCUSSION: Section A: Description of the demographic variables of patients undergoing haemodialysis. The table 1 shows that most of the patients undergoing haemodialysis, 14(46.7%) were aged between 51 - 60 years, 20(66.7%) were male, 12(40%) were Christians, 11(36.7%) had primary school education, 12(40%) were self-employee, 16(53.3%) were residing in urban area, 30(100%) were married, 15(50%) had monthly income of 5,000 – 10,000, 19(63.3%) belonged to joint family and 16(53.3%) were vegetarian. The table 2 shows that most of the patients undergoing haemodialysis, 30(100%) were undergoing haemodialysis, 17(56.6%) were under dialysis treatment for 1 month, 16(53.3%) had no family history of any chronic kidney disease, 15(50%) had history of chronic renal disease, 21(70%) had experienced fatigue, 16(53.4%) had moderate level of daily activity, 17(56.7%) had experienced muscle cramps during the dialysis period and had the habit of both smoking and consuming alcohol, 16(53.3%) had the removal of 1 litre fluid removed during haemodialysis, 13(43.3%) had a pre-dialysis weight of 51 – 60 kg, 18(60%) had followed restricted diet and 17(56.7%) had severe pain. 36.7% 56.6% 6.7% Day Month Years Percentage distribution of what is the time duration of dialysis treatment of patients undergoing haemodialysis
  • 3. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD60055 | Volume – 7 | Issue – 5 | Sep-Oct 2023 Page 816 SECTION B: ASSESSMENT OF LEVEL OF FATIGUE AMONG PATIENTS UNDERGOING HEMODIALYSIS. Table 3: Frequency and percentage distribution of pre-test and post-test level of fatigue among haemodialysis patients. n = 30 Level of Fatigue Pretest Post Test F % F % Mild (1 – 21) 0 0 11 36.7 Moderate (22 – 42) 3 10.0 19 63.3 Severe (43 – 63) 27 90.0 0 0 The above table 3 shows that in the pretest 27(909%) had severe fatigue and 3(10%) had moderate level of fatigue whereas in the post test, 19(63.3%) had moderate level of fatigue and 11(36.7%) had mild level of fatigue among patients undergoing hemodialysis. 0 10 20 30 40 50 60 70 80 90 100 Mild (1 – 21) Moderate (22 – 42) Severe (43 – 63) 0 10 90 36.7 63.3 0 Percentage Level of Fatigue Pretest Percentage distribution of pretest and post test level of fatigue among hemodialysis patients SECTION C: EFFECTIVENESS OF OLIVE OIL MASSAGE ON LEVEL OF FATIGUE AMONG PATIENTS UNDERGOING HEMODIALYSIS. Table 4: Comparison of pre-test and post-test level of fatigue among patients undergoing haemodialysis n = 30 Fatigue Mean S.D Mean Difference Score Paired ‘t’ test value Pretest 55.40 6.13 27.10 t = 14.847 p=0.0001 S*** Post Test 28.30 8.26 ***p<0.001, S – Significant The table 4 depicts that the pre-test mean score of fatigue was 55.40±6.13 and the post-test mean score was 28.30±8.26. The mean difference score was 27.10. The calculated paired ‘t’ test value of t = 14.847 was found to be statistically significant at p<0.001 level which clearly infers that there was reduction in the level of fatigue after the administration of olive oil massage among patients undergoing haemodialysis.
  • 4. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD60055 | Volume – 7 | Issue – 5 | Sep-Oct 2023 Page 817 SECTION D: ASSOCIATION OF LEVEL OF FATIGUE AMONG PATIENTS UNDERGOING HEMODIALYSIS WITH SELECTED DEMOGRAPHIC VARIABLES. In this present study demographic variable education (χ2=8.517, p=0.036) had shown statistically significant association with post-test level of fatigue among patients undergoing haemodialysis at p<0.05 level. The other demographic variables had not shown statistically significant association with post-test level of fatigue among patients undergoing haemodialysis. CONCLUSION: From the results of present study shows significant improvement for researcher. ACKNOWLEDGEMENT: Authors would like to appreciate all the study participants for their cooperation to complete the study successfully. REFERENCE: [1] Alireza Ghanbari, et al., (2020). Comparison of the Effect of Reflexology and Swedish Massage on Restless Legs Syndrome and Sleep Quality in Patients Undergoing Hemodialysis: a Randomized Clinical Trial. [2] Caplin B, Kumar S, (2011). Davenport A. Patients’ perspective of Hemodialysis- associated symptoms. Nephrol Dial Transplant. 26: 2656-2663. [3] Darthi Tamilmozhi. T, et al., (2021). A Quasi- Experimental Study to Evaluate the Effectiveness of Intradialytic Leg Exercise on Pain, Fatigue and Quality of life among Patients undergoing Hemodialysis in selected Hospital at Erode. Volume - 9, Issue – 2. [4] Eilean Rathinasamy Lazarus, et al., (2020). The effects of an olive-oil massage on Hemodialysis patients suffering from fatigue at a Hemodialysis unit in southern India – a randomized controlled trial. Journal of Complementary and Integrative Medicine, https://doi.org/10.1515/jcim-2019-0338. [5] Farzaneh Salehi, et al., (2020). Effectiveness of exercise on fatigue in Hemodialysis patients: a randomized controlled trial, BMC Sports Science, Medicine and Rehabilitation volume 12, Article number: 19. [6] Gordon P, Doyle J, Johansen K. (2011). Postdialysis fatigue is associated with sedentary behavior. Clin Nephrol. 75: 426-433. [7] Hardy SE, Studenski SA. (2010). Qualities of fatigue and associated chronic conditions among older adults. J Pain Symptom Manage. 39: 1033-1042. [8] Hayyu Sitoresmi, et al., (2020). The effect of foot massage in lowering intradialytic blood pressure at Hemodialysis Unit in Indonesian Hospital. Clinical Epidemiology and Global Health 8, 1272–1276. [9] Hirotoshi Kodama, et al., (2020). A new assessment scale for post-dialysis fatigue in Hemodialysis patients. BMC, 6:1. [10] Hosein Habibzadeh, et al., (2019). Effects of Foot Massage on Severity of Fatigue and Quality of Life in Hemodialysis Patients: A Randomized Controlled Trial. IJCBNM, Vol 8, No.2. [11] Jhamb M, Pike F, Ramer S, Argyropoulos C, Steel J, Dew MA. Et al. (2011). Impact of fatigue on outcomes in the Hemodialysis (HEMO) study. Am J Nephrol.33: 515-523. [12] Johansen KL, Painter P. Exercise in individuals with CKD. (2012). Am J Kidney Dis. 59: 126- 134. [13] Johansen KL, Painter PL, Kent-Braun JA, et al (2001). Validation of questionnaires to estimate physical activity and functioning in end-stag renal disease. Kidney Int.; 59:1121–1127 [14] ΜcCann K, Boore, J R. (2000). Fatigue in persons with renal failure who require maintenance Hemodialysis. J Adv Nurs. 32: 1132-1142. [15] Mohsen Saeedi abo-s-haghi, et al., (2021). Comparing the Effects of Lavender Oil and Olive Oil Massage on Pain due to Muscular Cramp during Hemodialysis. Iraqi J Pharm Sci, Vol.30(1) [16] Mukadder Mollaoglu (2009). Fatigue in People Undergoing Hemodialysis. https://doi.org/10.1002/dat.20330. [17] Ramkumar N, Beddhu S, Eggers P, Pappas LM, Cheung AK. (2005). Patient preferences for in- center intense Hemodialysis. Hemodial Int. 9: 281-295. [18] Salwa A. Mohamed (2014). The Effectiveness of an Educational Intervention on Fatigue in Hemodialysis Patients: A Randomized Controlled Trial. IOSR Journal of Nursing and Health Science (IOSR-JNHS). 2320–1940 Volume 3, Issue 4 Ver. III, PP 40-50. [19] Sofia Zyga, et al., (2015). Assessment of Fatigue in End Stage Renal Disease Patients
  • 5. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD60055 | Volume – 7 | Issue – 5 | Sep-Oct 2023 Page 818 Undergoing Hemodialysis: Prevalence and Associated Factors. Med Arh. 69(6): 376-380. [20] Stavros Tsirigotis, et al., (2022). Factors Associated with Fatigue in Patients Undergoing Hemodialysis. Cureus 14(3). [21] Yukio Maruyama, et al., (2021). Comparisons of fatigue between dialysis modalities: A cross- sectional study. PLOS ONE | https://doi.org/10.1371/journal.pone.0246890. [22] Zakariya Al Naamani, et al., (2021). Fatigue, anxiety, depression and sleep quality in patients undergoing Hemodialysis. BMC Nephrology volume 22, Article number: 157. [23] Zhang, Fan, e tal., (2020). The impact of exercise intervention for patients undergoing Hemodialysis on fatigue and quality of life. Medicine: July 17, 2020 - Volume 99 - Issue 29 - p e21394.