DOI QR코드

DOI QR Code

Effects of Acupressure on Pruritus and Sleep in Patients on Hemodialysis

경혈지압이 혈액투석 환자의 소양증 및 수면에 미치는 효과

  • 강미애 (부산가톨릭대학교 간호대학) ;
  • 김영경 (부산가톨릭대학교 간호대학)
  • Received : 2016.10.17
  • Accepted : 2017.01.31
  • Published : 2017.02.28

Abstract

Purpose: This study was done to investigate the effects of acupressure on pruritus and sleep among patients undergoing hemodialysis. Methods: The study design was a nonequivalent control group repeat measures quasiexperimental study. Data were collected from June to September 2015 in the kidney center at a hospital located in B city. Participants were 42 patients; 20 in the experimental group and 22 in the control group. For the experimental group, acupressure on the spots of Sameumgyo (SP6), Zoksamli (ST36), Hyolhae (SP10), and Gokji (LI11) was provided at the time of hemodialysis three times a week for 12 weeks. The numeric rating scale (NRS) was used to measure pruritus, and sleep was measured with the sleep scale developed by Jinju Oh et al. Results: There was a significant decrease in pruritus (F=7.80, p=.008) and increase in sleep (F=80.90, p<.001) in the experimental group compared to the control group. Conclusion: The findings confirmed in the study show that acupressure is an effective nursing intervention to decrease pruritus felt by patients on hemodialysis and to increase the quality of their sleep.

Keywords

References

  1. Lee EJ, Min HS. A study of the relationship between compliance with therapeutic regimens and physiological parameters of hemodialysis patients. Journal of Korean Academy of Nursing. 2006;36(1):64-73. https://doi.org/10.4040/jkan.2006.36.1.64
  2. Cho KS, Kim HK, Park SO, Bae YS, Hwang ON, Kwon BE, et al. Medical surgical nursing. 6th ed. Seoul: Hyunmunsa; 2013. p. 152-153.
  3. Choi EY, Lee HY. The relationship of fatigue, self efficacy, family support and sleep factor in hemodialysis patients. Korean Journal of Adult Nursing. 2005;17(3):435-443.
  4. Cha J, YI M. Symptom clusters and quality of life in patients on hemodialysis. Journal of Korean Clinical Nursing Research. 2014;20(1):123-133. https://doi.org/10.22650/JKCNR.2014.20.1.123
  5. Lugon JR. Uremic pruritus: A review. Hemodialysis International. 2005;9(2):180-188. http://dx.doi.org/10.1111/j.1492-7535.2005.01130.x
  6. Shin JC, Na GH, Lee DH, Ryu CR, Chae WS, Yoon YC, et al. A case report pruritic dermatoses. Korean Journal Acupuncture. 2005;22(3):157-163.
  7. Murphy M, Carmichael AJ. Renal itch. Clinical and Experimental Dermatology. 2000;25(2):103-106. https://doi.org/10.1046/j.1365-2230.2000.00587.x
  8. Yngman-Uhlin P, Edell-Gustafsson U. Self-reported subjective sleep quality and fatigue in patients with peritoneal dialysis treatment at home. International Journal of Nursing Practice. 2006;12(3):143-152. https://doi.org/10.1111/j.1440-172X.2006.00566.x
  9. Yang SJ, Won JS, Pack HJ, Lee SJ. Effects of aroma massage on uremic pruritus in hemodialysis patients. Journal of Korean Clinical Nursing Research. 2007;13(2):87-97.
  10. Yu SA, Kim CH, Youn HM, Lee SY. A literature review on the itching in acupuncture and moxibustion treatments. Korean Journal Acupuncture. 2005;22(3):175-197.
  11. Kim CG, Kim JA, Wang MJ, Cheon UJ. Application of complementary and alternative therapies. Seoul: Doseochulpan sohwa; 2012. p. 144-154.
  12. Ha HC. Effects of aromatherapy on skin xerosis and pruritus in patients undergoing maintenance hemodialysis. Journal of Korean Academy of Nursing. 1999;29(6):1284-1293. https://doi.org/10.4040/jkan.1999.29.6.1284
  13. Kang SJ, Kim NY. The effects of aroma hand massage on pruritus, fatigue and stress of hemodialysis patients. Korean Journal of Adult Nursing. 2008;20(6):883-894.
  14. So HS, Kim AY, Kim EA. Effects of pruritus intervention program on pruritus and sleep satisfaction for hemodialysis patients. Journal of Korean Academy of Nursing. 2007;37(4):467-477. https://doi.org/10.4040/jkan.2007.37.4.467
  15. Park JY, Hong HS. The effects of cool dialysis on pruritus of chronic renal failure patients. Journal of Korean Biological Nursing Science. 2010;12(1):31-38.
  16. Gao H, Zhang W, Wang Y. Acupuncture treatment for 34 cases of uremic cutaneous pruritus. Journal of Traditional Chinese Medicine. 2002;22(1):29-30.
  17. Shapiro R, Stockard H, Schank A. Successful treatment of uremic pruritus with acupuncture. American Journal of Acupuncture. 1986;14(3):235-242.
  18. Che-Yi C, Wen CY, Min-Tsung K, Chiu-Ching H. Acupuncture in haemodialysis patients at the Quchi (LI11) acupoint for refractory uraemic pruritus. Nephrology Dialysis Transplantation. 2005;20(9):1912-1915. http://dx.doi.org/10.1093/ndt/gfh955
  19. Chun Y. Effects of auricular acupressure on pruritus and fatigue in hemodialysis patients [dissertation]. Daegu: Kyungpook National University; 2015. p. 26-50.
  20. Yan CN, Yao WG, Bao YJ, Shi XJ, Yu H, Yin PH, et al. Effect of auricular acupressure on uremic pruritus in patients receiving hemodialysis treatment: A randomized controlled trial. Evidence- Based Complementary and Alternative Medicine. 2015. Forthcoming. http://dx.doi.org/10.1155/2015/593196
  21. Lin TC, Lai YH, Guo SE, Liu CF, Tsai JC, Guo HR, et al. Baby oil therapy for uremic pruritus in haemodialysis patients. Journal of Clinical Nursing. 2011;21(1-2):139-148. http://dx.doi.org/10.1111/j.1365-2702.2011.03906.x
  22. Kilic Akca N, Tasci S, Karatas N. Effect of acupressure on patients in turkey receiving hemodialysis treatment for uremic pruritus. Alternative Therapies in Health and Medicine. 2013; 19(5):12-18.
  23. Jedras M, Bataa O, Gellert R, Ostrowski G, Wojtaszek E, Lange J, et al. Acupressure in the treatment of uremic pruritus. Dialysis and Transplantation. 2003;32(1):8-10.
  24. Lee HJ. The effects of foot reflexologic massage on the hemodialysis patients lower limbs edema, fatigue and sleep [master's thesis]. Seoul: Sungshin Women's University; 2006. p. 39-48.
  25. Lee YH, Kim SY. Effects of auricular acupressure therapy on insomnia in hemodialysis patients. Korean Journal of Rehabilitation Nursing. 2007;10(1):21-28.
  26. An SY. Effects of hand acupressure therapy on sleep quality, fatigue and depression among hemodialysis patients [master's thesis]. Seoul: Konkuk University; 2012. p. 28-33.
  27. Oh JJ, Song MS, Kim SM. Development and validation of Korean sleep scale A. Journal of Korean Academy of Nursing. 1998;28(3):563-572. https://doi.org/10.4040/jkan.1998.28.3.563
  28. Huo ZJ, Guo J, Li D. Effects of acupuncture with meridian acupoints and three anmian acupoints on insomnia and related depression and anxiety state. Chinese Journal of Integrative Medicine. 2013;19(3):187-191. http://dx.doi.org/10.1007/s11655-012-1240-6
  29. Lee HI, Kim YS, Kim YS. Clinical meridian. 1st ed. Seoul: Bubinmonhasa; 2000. p. 55-338.

Cited by

  1. The Effect of Using Massage Chair with Acupoint and Meridian Muscle Massage Program on Back Pain: A Single Arm Pre-post Comparison Study vol.35, pp.2, 2018, https://doi.org/10.14406/acu.2018.011
  2. Effects of Hand Acupressure on Sleep Quality and Pruritus in Patients on Hemodialysis vol.32, pp.6, 2017, https://doi.org/10.7475/kjan.2020.32.6.610