J Korean Acad Fundam Nurs.  2020 May;27(2):141-152. 10.7739/jkafn.2020.27.2.141.

Effect of Auricular Acupressure on Sleep and Pruritus in Patients Undergoing Hemodialysis

Affiliations
  • 1Assistant Professor, Department of Nursing, Kyungbok University, Pocheon, Korea
  • 2Professor, College of Nursing, Ewha Womans University, Seoul, Korea

Abstract

Purpose
The aim of this study was to evaluate the effects of auricular acupressure on sleep quality and pruritus in patients undergoing hemodialysis and to propose an effective and evidence-based nursing intervention.
Methods
This was a single-blind, nonequivalent, group comparison study with 42 participants. The experimental period was a total of 8 weeks, and five different acupressure sites were applied in each group. Dependent variables were measured before the intervention, at the 4th week of the intervention, and at the 8th week of the intervention.
Results
There were significant differences in the Pittsburgh sleep quality index, total sleep time, sleep efficiency, sleep onset latency, light sleep, deep sleep, number of awakenings, serum melatonin levels, subjective pruritus and skin hydration. No significant difference was found in skin pH between the two groups.
Conclusion
Auricular acupressure was found to be an effective nursing intervention to improve sleep quality and to reduce pruritus in patients undergoing hemodialysis.

Keyword

Acupressure; Complementary therapies; Hemodialysis; Pruritus; Sleep
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