A Sham-Controlled Trial of Acupressure on the Quality of Sleep and Life in Haemodialysis Patients

Arab, Zahra; Shariati, Ali Reza; Asayesh, Hamid; Vakili, Mohammadali; Bahrami‐Taghanaki, Hamidreza; Azizi, Hoda

doi:10.1136/acupmed-2014-010369

Cited by 49 publications

(54 citation statements)

References 11 publications

(7 reference statements)

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“…A lack of benefit in improving sleep quality measured using PSQI from acupressure therapy compared to sham therapy was again observed in the present study. These results contrast with findings from Arab and colleagues, who conducted a single-blind randomized controlled trial in 108 prevalent hemodialysis patients in Iran [39]. Participants were randomized to three groups (acupressure, sham acupressure, and a control group who received routine care only).…”

Section: Discussioncontrasting

confidence: 60%

“…Neither of these studies adequately described the methods of randomization nor allocation concealment, which places them at a high risk of bias from suboptimal methodological quality. The most recent randomized controlled trial, conducted by Arab and colleagues in 108 prevalent hemodialysis patients from 3 Iranian hemodialysis units, reported significantly lower total PSQI scores at 4 weeks in patients treated with acupressure compared with sham acupressure or no treatment ( p < 0.001) [39]. Nonetheless, the study recruited patients with PSQI scores greater than 5, which may have limited generalization of their findings.…”

Section: Introductionmentioning

confidence: 99%

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The SIESTA Trial: A Randomized Study Investigating the Efficacy, Safety, and Tolerability of Acupressure versus Sham Therapy for Improving Sleep Quality in Patients with End‐Stage Kidney Disease on Hemodialysis

Shen

Cho

Pascoe

et al. 2017

Evidence-Based Complementary and Alternative Medicine

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Objectives. To compare the effectiveness of real acupressure versus sham acupressure therapy in improving sleep quality in patients receiving hemodialysis (HD) or hemodiafiltration (HDF). Methods. A multicenter, single-blind, randomized controlled trial was conducted in two Australian dialysis units located in Princess Alexandra Hospital and Logan Hospital, respectively. Forty-two subjects with self-reported poor sleep quality were randomly assigned to real (n = 21) or sham (n = 21) acupressure therapy delivered thrice weekly for four consecutive weeks during routine dialysis sessions. The primary outcome was the Pittsburgh Sleep Quality Index (PSQI) score measured at week four adjusted for baseline PSQI measurements. Secondary outcomes were quality of life (QOL) (SF-8), adverse events, and patient acceptability (treatment acceptability questionnaire, TAQ). Results. The two groups were comparable on global PSQI scores (difference 0.19, 95% confidence interval [CI] −1.32 to 1.70) and on the subscale scores. Similar results were observed for QOL both in the mental (difference −3.88, 95% CI −8.63 to 0.87) and the physical scores (difference 2.45, 95% CI −1.69 to 6.58). There were no treatment-related adverse events and acupressure was perceived favorably by participants. Conclusion. Acupressure is a safe, well-tolerated, and highly acceptable therapy in adult hemodialysis patients in a Western healthcare setting with uncertain implications for therapeutic efficacy.

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Section: Discussioncontrasting

confidence: 60%

Section: Introductionmentioning

confidence: 99%

The SIESTA Trial: A Randomized Study Investigating the Efficacy, Safety, and Tolerability of Acupressure versus Sham Therapy for Improving Sleep Quality in Patients with End‐Stage Kidney Disease on Hemodialysis

Shen

Cho

Pascoe

et al. 2017

Evidence-Based Complementary and Alternative Medicine

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“…To investigate the sleep improvement process in HPs, the question of sleep log was asked before and after the intervention. The validity of sleep log was verified by Nasiri et al (2007) and Arab et al (2012) for Iranian population.…”

Section: Data Collection and Measurementsmentioning

confidence: 99%

The Effects of Massage Therapy on Sleep Quality of Patients with End-Stage Renal Disease Undergoing Hemodialysis

Malekshahi¹,

Aryamanesh²,

Fallahi³

2017

Sleep Hypn

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Sleep disorder is one of the important problems in hemodialysis patients (HPs) that could decrease their life quality. Nowadays, increasing health level of HPs is an important issue regards the flourish statistics of these patients. Some studies have shown that massage therapy reduces back pain, obviate insomnia, make calmness and raise health in HPs due to the release of endorphins. This research was conducted to determine the effects of foot massage on nightly sleep quality of HPs. This experimental study was carried out on 80 HPs in Dialysis units of Shohada and Shahid Rahimi hospitals in Khorramabad, West of Iran during 2015. The instruments used included Pittsburg questionnaire and sleep log form. The sleep status of patients who have problems with their sleep was investigated according to the instruments before and after the intervention (foot massage). Foot massage was performed for 10 minutes during the dialysis, three times a week for 4 consecutive weeks. Changes in Pittsburg score showed that foot massage was effective in sleep quality of experimental groups and Freedman statistical exam showed that nightly sleep duration increased and generally with repeating the intervention, the sleep status of patients became better per week compared to the previous week (P<0.001). Concerning the results of present research, it can be concluded that foot massage has a desirable effect on sleep quality of HPs and can be executed and trained as a useful way to improve the sleep quality of patients in hemodialysis unit.

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“…After STAI and BDI-II were filled out, the research subjects were studied. One hour after starting dialysis, three days a week for four weeks, acupressure was performed rotationally (two rounds a second) at a pressure of 3 -4 kg for eight minutes (28). The correctness of the pressure was confirmed when the person felt warm, swollen, and heavy (11).…”

Section: Methodsmentioning

confidence: 99%

Comparing the Effect of Acupressure and Foot Reflexology on Anxiety and Depression in Hemodialysis Patients: A Clinical Trial

et al. 2020

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Background: Depression and anxiety are common problems with multiple complications in hemodialysis patients. Objectives: This study aimed to compare the effect of acupressure and reflexology on anxiety and depression in hemodialysis patients. Methods: A clinical trial was carried out on 60 patients who had referred to the Special Patients Clinic, Zabol, between January and March 2017. Patients were randomly divided into three groups, acupressure group (n = 20), reflexology group (n = 20), and control group (n = 20). Data collection tools included the Spielberger State-Trait anxiety inventory (STAI) and the Beck depression inventory-II (BDI-II). Data were analyzed in SPSS-19 using descriptive and analytical statistics. Results: Before the intervention, there was no significant difference between the three groups in terms of depression (P = 0.051) and anxiety (P = 0.11). The comparison of the mean scores of depression and anxiety between the three groups after the intervention revealed a significant difference between the three groups in terms of both variables (P < 0.001). Statistical analysis indicated that the depression and anxiety scores differed significantly after the intervention between the two experimental groups and the control group (P < 0.001). Conclusions:The results demonstrated that acupressure and reflexology could have positive impacts on mitigating the patients' depression and anxiety. Thanks to the ease of application, these methods can be used by nurses to reduce anxiety and depression in patients undergoing hemodialysis.

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A Sham-Controlled Trial of Acupressure on the Quality of Sleep and Life in Haemodialysis Patients

Cited by 49 publications

References 11 publications

The SIESTA Trial: A Randomized Study Investigating the Efficacy, Safety, and Tolerability of Acupressure versus Sham Therapy for Improving Sleep Quality in Patients with End‐Stage Kidney Disease on Hemodialysis

The SIESTA Trial: A Randomized Study Investigating the Efficacy, Safety, and Tolerability of Acupressure versus Sham Therapy for Improving Sleep Quality in Patients with End‐Stage Kidney Disease on Hemodialysis

The Effects of Massage Therapy on Sleep Quality of Patients with End-Stage Renal Disease Undergoing Hemodialysis

Comparing the Effect of Acupressure and Foot Reflexology on Anxiety and Depression in Hemodialysis Patients: A Clinical Trial

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