Effect of manual acupressure (points SP6, SP10, ST36, and LI11) on the uremic pruritus and quality of life in hemodialysis patients: A parallel, randomized controlled trial
The present study was conducted to determine the effect of manual acupressure on uremic pruritus and quality of life (QoL) in patients undergoing hemodialysis. This randomized controlled trial was conducted with a pre-post design on 90 patients with hemodialysis in southern Iran. The patients were d...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Journal of Nursing Advances in Clinical Sciences
2024-09-01
|
| Series: | Journal of Nursing Advances in Clinical Sciences |
| Subjects: | |
| Online Access: | https://www.jnacs.com/article_206012_54ee18ebee1172e0de8de781c33669b8.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850172096246710272 |
|---|---|
| author | Fatemeh Karjalian Marzieh Momennasab Amin Kordi Yoosefinejad Shahrokh Ezzatzadegan Jahromi |
| author_facet | Fatemeh Karjalian Marzieh Momennasab Amin Kordi Yoosefinejad Shahrokh Ezzatzadegan Jahromi |
| author_sort | Fatemeh Karjalian |
| collection | DOAJ |
| description | The present study was conducted to determine the effect of manual acupressure on uremic pruritus and quality of life (QoL) in patients undergoing hemodialysis. This randomized controlled trial was conducted with a pre-post design on 90 patients with hemodialysis in southern Iran. The patients were divided into three groups using block randomization: intervention, sham control, and passive control. The intervention group received acupressure on SP6, SP10, ST36, and LI11 points. In the sham group, pressure was exerted on sham points two Cuns away from the actual points, and the passive control group solely received routine treatment. The intervention was carried out three times a week for four weeks. The patient's QoL was evaluated before and after the intervention using the Itchy QoL scale, and the dimensions of itching were assessed before the intervention and two and five weeks after commencing the intervention using the 5-D Pruritus scale. The groups' QoL and itching parameters were the same before the intervention. The analysis of variance (ANOVA) showed significant differences among the groups in terms of QoL following intervention. This index improved significantly in the intervention group compared to the other groups (P<0.001, G1=107.20 (standard deviation [SD]=5.45)). Repeated measures ANOVA showed that acupressure significantly reduced the severity and duration of itching and the number of itching points in the intervention group. Acupressure can improve hemodialysis patients' QoL and itching sensations. Being a non-pharmaceutical, risk-free, and inexpensive method, this intervention could be recommended to be used for relieving uremic pruritus. |
| format | Article |
| id | doaj-art-e9e7aa322af4434c894130cecb305753 |
| institution | OA Journals |
| issn | 3041-9336 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Journal of Nursing Advances in Clinical Sciences |
| record_format | Article |
| series | Journal of Nursing Advances in Clinical Sciences |
| spelling | doaj-art-e9e7aa322af4434c894130cecb3057532025-08-20T02:20:09ZengJournal of Nursing Advances in Clinical SciencesJournal of Nursing Advances in Clinical Sciences3041-93362024-09-011Issue 421121810.32598/JNACS.2408.1055206012Effect of manual acupressure (points SP6, SP10, ST36, and LI11) on the uremic pruritus and quality of life in hemodialysis patients: A parallel, randomized controlled trialFatemeh Karjalian0Marzieh Momennasab1Amin Kordi Yoosefinejad2Shahrokh Ezzatzadegan Jahromi3Student Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, IranNephrology-urology Research Center, Shiraz University of Medical Sciences, Shiraz, IranThe present study was conducted to determine the effect of manual acupressure on uremic pruritus and quality of life (QoL) in patients undergoing hemodialysis. This randomized controlled trial was conducted with a pre-post design on 90 patients with hemodialysis in southern Iran. The patients were divided into three groups using block randomization: intervention, sham control, and passive control. The intervention group received acupressure on SP6, SP10, ST36, and LI11 points. In the sham group, pressure was exerted on sham points two Cuns away from the actual points, and the passive control group solely received routine treatment. The intervention was carried out three times a week for four weeks. The patient's QoL was evaluated before and after the intervention using the Itchy QoL scale, and the dimensions of itching were assessed before the intervention and two and five weeks after commencing the intervention using the 5-D Pruritus scale. The groups' QoL and itching parameters were the same before the intervention. The analysis of variance (ANOVA) showed significant differences among the groups in terms of QoL following intervention. This index improved significantly in the intervention group compared to the other groups (P<0.001, G1=107.20 (standard deviation [SD]=5.45)). Repeated measures ANOVA showed that acupressure significantly reduced the severity and duration of itching and the number of itching points in the intervention group. Acupressure can improve hemodialysis patients' QoL and itching sensations. Being a non-pharmaceutical, risk-free, and inexpensive method, this intervention could be recommended to be used for relieving uremic pruritus.https://www.jnacs.com/article_206012_54ee18ebee1172e0de8de781c33669b8.pdfacupressurepruritushemodialysisquality of lifenursesnursing |
| spellingShingle | Fatemeh Karjalian Marzieh Momennasab Amin Kordi Yoosefinejad Shahrokh Ezzatzadegan Jahromi Effect of manual acupressure (points SP6, SP10, ST36, and LI11) on the uremic pruritus and quality of life in hemodialysis patients: A parallel, randomized controlled trial Journal of Nursing Advances in Clinical Sciences acupressure pruritus hemodialysis quality of life nurses nursing |
| title | Effect of manual acupressure (points SP6, SP10, ST36, and LI11) on the uremic pruritus and quality of life in hemodialysis patients: A parallel, randomized controlled trial |
| title_full | Effect of manual acupressure (points SP6, SP10, ST36, and LI11) on the uremic pruritus and quality of life in hemodialysis patients: A parallel, randomized controlled trial |
| title_fullStr | Effect of manual acupressure (points SP6, SP10, ST36, and LI11) on the uremic pruritus and quality of life in hemodialysis patients: A parallel, randomized controlled trial |
| title_full_unstemmed | Effect of manual acupressure (points SP6, SP10, ST36, and LI11) on the uremic pruritus and quality of life in hemodialysis patients: A parallel, randomized controlled trial |
| title_short | Effect of manual acupressure (points SP6, SP10, ST36, and LI11) on the uremic pruritus and quality of life in hemodialysis patients: A parallel, randomized controlled trial |
| title_sort | effect of manual acupressure points sp6 sp10 st36 and li11 on the uremic pruritus and quality of life in hemodialysis patients a parallel randomized controlled trial |
| topic | acupressure pruritus hemodialysis quality of life nurses nursing |
| url | https://www.jnacs.com/article_206012_54ee18ebee1172e0de8de781c33669b8.pdf |
| work_keys_str_mv | AT fatemehkarjalian effectofmanualacupressurepointssp6sp10st36andli11ontheuremicpruritusandqualityoflifeinhemodialysispatientsaparallelrandomizedcontrolledtrial AT marziehmomennasab effectofmanualacupressurepointssp6sp10st36andli11ontheuremicpruritusandqualityoflifeinhemodialysispatientsaparallelrandomizedcontrolledtrial AT aminkordiyoosefinejad effectofmanualacupressurepointssp6sp10st36andli11ontheuremicpruritusandqualityoflifeinhemodialysispatientsaparallelrandomizedcontrolledtrial AT shahrokhezzatzadeganjahromi effectofmanualacupressurepointssp6sp10st36andli11ontheuremicpruritusandqualityoflifeinhemodialysispatientsaparallelrandomizedcontrolledtrial |