Impact of Acupressure on Anxiety and Sleep Quality in Hemodialysis Patients: A Randomized Clinical Trial Study
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Background: Although hemodialysis has saved the lives of millions of people, , it is associated with complications such as anxiety and sleep disorders. Acupressure is one of the safe complementary medicine to reduce some complications, so this study was conducted to evaluate two points of acupressure Yintang and Neiguan for reducing anxiety and promoting sleep quality in hemodialysis patients. Methods: This clinical trial was carried out on 72 hemodialysis patients in Iran hospitals. Patients were randomly divided into three groups, Neiguan acupressure group (n = 24), Yintang group (n = 24), and control group (n = 24). In the intervention groups one hour after dialysis, one trained nurse with a thumb finger massaged the mentioned areas in a circular motion, with a force of about 3 to 4 kg for eight minutes and two cycles per second, three days a week for four weeks. In the control group, a sham point was pressed ineffective for 8 minutes. Data collection tools included the Spielberger State-Trait anxiety inventory (STAI) and the Pittsburgh Sleep Quality Index (PSQI). A chi-square, Paired sample t-test or Wilcoxon signed-rank test, ANOVA and Kruskal Wallis test were applied to data analyzing. Results : At the end of the study, the Neiguan group improved significantly sleep quality (before: 11.66±2.99, after: 7.33±2.34, P-value: 0.000) and anxiety ( before: 98.50±14.81, after: 93.66±7.20, P-value: 0.004) compared to baseline. The post hoc test results, demonstrated that acupressure at Neiguan ( 7.33±2.34) point is more effect on sleep quality improvement compare to Yintang ( 11.33±2.08) and control ( 11.63±0.4) group ( P-value: 0.003). Conclusions : The findings of this trial indicate that acupressure at Neiguan point enhanced sleep quality and reduced anxiety in hemodialysis patients. Thus, acupressure at Neiguan point as inexpensive, simple, and safe nursing applications can ameliorate the quality of life in hemodialysis patients.
