<![CDATA[Introduction. Adults undergoing maintenance hemodialysis may experience persistent symptoms, such as fatigue, sleep disturbances, itching, pain, anxiety, depressive symptoms, and decreased health-related quality of life. Non-pharmacological complementary interventions have been explored as supportive approaches to routine dialysis care. This study describe complementary non-pharmacological interventions for adults undergoing maintenance hemodialysis. Research Methods. Employed a narrative literature review approach based on eight study summaries obtained from coursework documents. Information was organized according to author, year, study design, sample, intervention, comparator, duration, and outcomes. The findings were analyzed descriptively and synthesized to identify the types of interventions and their reported effects on patients undergoing hemodialysis. Data were recorded by author, year, design, sample, intervention, comparator, duration, and outcomes. The PICOST framework was used as an additional structure to clarify the clinical question. Result&Analysis. The eight studies included aromatherapy massage or lavender application (n=2), music-based interventions (n=2), acupressure (n=2), and foot reflexology (n=2). Outcomes measured included fatigue, sleep quality, pruritus, cannulation pain, anxiety, depression, stress, blood pressure, patient satisfaction, and health-related quality of life. Study summaries generally reported improvements in at least one outcome measure. However, variations in design, measurement instruments, and follow-up duration limited comparisons between interventions. Discussion. Complementary interventions have the potential to support the care of hemodialysis patients focused on symptom management. However, the available evidence does not yet confirm the superiority of any particular interventio. Future research should use a systematic review approach to map variations in complementary interventions and identify existing evidence gaps.]]>
