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Abstract
To investigate the impact of laser puncture on management of symptoms (pain, fatigue, sleep quality) and urea reduction ratio (URR) in patients with chronic kidney disease (CKD). Forty patients who had chronic kidney diseases (CKD), were divided into two equal groups. group (A) received laser puncture sessions plus their traditional medical treatment (medications and dialysis). group (B) received their traditional medical treatment only (medications and dialysis). There was a significant decrease in group (A) in pain intensity (46.71%), fatigue level (22.70%) and sleep quality Index (52%), but there was a non - significant difference in the urea reduction ratio (URR) (8%) in response to the designed laser puncture program with percentages of improvement. laser puncture had a significant effect to alleviate pain, fatigue and sleep quality in patient with CKD