The role of mind-body interventions in pre-dialysis chronic kidney disease and dialysis patients – A systematic review of literature

Complementary Therapies in Medicine

卷:57

Wei Yi Tay¹  Wai Yin Marjorie Foo²  Jun Jie Benjamin Seng³  Shu Wen Felicia Chu⁴  Cheng Teng Yeam⁵  Lian Leng Low⁶ 

[1] Department of Family Medicine and Continuing Care, Singapore General Hospital, Singapore;

[2] Outram Community Hospital, SingHealth Community Hospitals, 10 Hospital Boulevard, 168582, Singapore;

[3] Department of Microbiology and Immunology, National University of Singapore, 21 Lower Kent Ridge Road, 119077, Singapore;

[4] Duke-NUS Medical School, 8 College Road, 169857, Singapore;

[5] Health Services and Research Evaluation, SingHealth Regional Health System, 167 Jalan Bukit Merah, 22-10, Tower 5 Connection One, 150167, Singapore;

关键词: Renal insufficiency;    Chronic;    Complementary therapies;    Therapeutics;    Mind-body therapies;    Systematic reviews;   

DOI  :  

来源: DOAJ

【 摘 要 】

Introduction: With the rise in complementary medicine usage, mind-body interventions (MBI), encompassing therapies like yoga and music therapy, have been gaining interest. The use of MBI in non-chronic kidney disease (CKD) patients have demonstrated efficacy for ameliorating pain, stress and anxiety symptoms. As CKD patients often suffer from these symptoms, MBI may serve as potential adjunctive therapies. This review aimed to summarize the studied indications of MBI among CKD patients. Methods: A systematic review was performed in Medline®, Embase®, Scopus®, CINAHL®, CENTRAL® and PsycInfo® in accordance to the PRISMA and SWiM checklists. Randomised controlled trials (RCTs) which evaluated the use of MBI among adult CKD patients were included. The efficacy of each MBI was determined by reduction in symptoms severity scores. All adverse reactions were documented. Results: Of the 7,417 articles screened, 32 RCTs were included. Music therapy (n = 11), relaxation therapy (n = 9) and spiritual therapy (n = 6) were the most well studied MBIs. Frequently studied indications for MBIs were anxiety symptoms (n = 12), pain (n = 7) and depressive symptoms (n = 5). Music and spiritual therapies were shown to reduce 8.06–43.5 % and 36.1–41.1 % of anxiety symptoms respectively. For pain relief, music (41.8 %–61.5 %) and yoga therapies (36.7 %) were shown to be effective for reduction of pain. Lastly, spiritual therapy was shown to reduce depressive symptoms by 56.8 %. No adverse effects were reported for any MBI. Conclusion: Music therapy, relaxation and spiritual therapies are more well-studied MBIs which were shown to reduce anxiety, depressive symptoms and pain in CKD patients. Larger RCTs are required to confirm the efficacy and safety of promising MBIs.

【 授权许可】

Unknown