OBJECTIVE: Our purpose was to investigate the effects of acupressure on sleep quality in hemodialysis patients. DESIGN: Randomized clinical trial. SETTING: The setting of the study was dialysis wards located in two university hospitals (Imam and Golestan) in Ahvaz, Iran. INTERVENTIONS:48 end-stage renal disease patients on hemodialysis who scored 5 points or higher on the Pittsburgh Sleep Quality Index (PSQI) were enrolled to the study. Acupressure group received acupressure intervention on the Shenmen (He7) and He Gu (Li4) points in the hands and Sanyingjao (sp6) point in the feet for 4 weeks beside routine care and control group received only routine care. MAIN OUTCOME MEASURES: subjective sleep quality, latency and duration, habitual sleep efficiency; sleep disturbances, daytime functional status, and use of sleeping medications. RESULTS: The result indicated significant differences between the acupressure group and the control group after intervention in PSQI global scores (p<0.001) and all sleep quality indices between two groups after intervention: subjective sleep quality (p<0.001), sleep latency (p<0.001), sleep duration (p<0.001), sleep efficiency (p=0.006), sleep disturbance (p<0.001), the use of sleeping medication (p=0.028), and daytime dysfunction (p<0.001). CONCLUSION: This study supports the effectiveness of acupressure in improving sleep quality of end-stage renal disease patients as a noninvasive therapy.
RCT Entities:
OBJECTIVE: Our purpose was to investigate the effects of acupressure on sleep quality in hemodialysis patients. DESIGN: Randomized clinical trial. SETTING: The setting of the study was dialysis wards located in two university hospitals (Imam and Golestan) in Ahvaz, Iran. INTERVENTIONS: 48 end-stage renal diseasepatients on hemodialysis who scored 5 points or higher on the Pittsburgh Sleep Quality Index (PSQI) were enrolled to the study. Acupressure group received acupressure intervention on the Shenmen (He7) and He Gu (Li4) points in the hands and Sanyingjao (sp6) point in the feet for 4 weeks beside routine care and control group received only routine care. MAIN OUTCOME MEASURES: subjective sleep quality, latency and duration, habitual sleep efficiency; sleep disturbances, daytime functional status, and use of sleeping medications. RESULTS: The result indicated significant differences between the acupressure group and the control group after intervention in PSQI global scores (p<0.001) and all sleep quality indices between two groups after intervention: subjective sleep quality (p<0.001), sleep latency (p<0.001), sleep duration (p<0.001), sleep efficiency (p=0.006), sleep disturbance (p<0.001), the use of sleeping medication (p=0.028), and daytime dysfunction (p<0.001). CONCLUSION: This study supports the effectiveness of acupressure in improving sleep quality of end-stage renal diseasepatients as a noninvasive therapy.
Authors: Kunyu Shen; Yeoungjee Cho; Elaine M Pascoe; Carmel M Hawley; Veronica Oliver; Kathryn M Hughes; Richard Baer; Jeremy Frazier; Elizabeth Jarvis; Ken-Soon Tan; Xusheng Liu; Glenda Gobe; David W Johnson Journal: Evid Based Complement Alternat Med Date: 2017-02-21 Impact factor: 2.629
Authors: Inayat Ur Rehman; Raheel Ahmed; Aziz Ur Rahman; David Bin Chia Wu; Syed Munib; Yasar Shah; Nisar Ahmad Khan; Ateeq Ur Rehman; Learn Han Lee; Kok Gan Chan; Tahir Mehmood Khan Journal: Medicine (Baltimore) Date: 2021-05-28 Impact factor: 1.889