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| The effect of acupressure on quality of sleep in hemodialysis patients |
| Nasiri E, Raei M, Vatani J, Khajeh-Kazemi R |
| Journal of Medical Sciences 2011;11(5):236-240 |
| clinical trial |
| 4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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Sleep disorders are the most prevalent complaints in hemodialysis patients. Treatments such as Air Way Positive Pressure and medicines frequently are not available or may have side effects. Acupressure is a non-invasive method from traditional Chinese medicine. The effectiveness of this method in treatment of sleep disorders has been proved in some studies. The aim of this study is to research the effect of Acupressure on quality of sleep in hemodialysis patients. This study was a randomized clinical trial; conducted at Razi hospital on a sample of 62 hemodialysis patients who had complains from sleep disorders. The sample were randomized into experimental and control groups. The experimental group received acupressure 3 times per week while undergoing dialysis for 4 weeks. The control group only received unit routine care. Quality of life was measured using Pittsburgh Sleep Quality Index (PSQI) before and after intervention. In order to record the pattern of quality of sleep the sleep log were used. Statistical analysis was done by Chi-square, T-test, Mann-Withney and Wilcoxone test. Findings on quality of life showed statistically significant differences between experimental and control groups based on PSQI. Domain of subjective quality of life (p = 0.042), time needed to falling sleep (p = 0.007), sleep duration (p = 0.017), habitual sleep efficiency (p = 0.001), sleep disorders (p = 0.024), daily performance disorders (p = 0.002) and overall score (p = 0.001) were improved in experimental group compared to control group. Moreover, sleep log demonstrated the decrease in nighttime waking and increase in quality of sleep that started from the first week of intervention and continued up to one week after intervention. This study confirmed the previously published studies which showed the effect of acupressure on improving the quality of sleep in hemodialysis patients. This treatment could be used as a non-invasive method for treatment of sleep disorders in these patients.
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