The effect of acupressure on sleep quality in hemodialysis patients. Self-administered acupressure for symptom management among Chinese family caregivers with caregiver stress: a randomized, wait-list controlled trial Auricular Acupressure on Specific Points for Hemodialysis Patients with Insomnia: A Pilot Randomized Controlled Trial 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 relationship of subjective sleep quality and cardiac autonomic nervous system in postmenopausal women with insomnia under auricular acupressure The effectiveness of acupressure in improving the quality of sleep of institutionalized residents. The effect of acupressure on quality of sleep in Iranian elderly nursing home residents. Acupressure and Transcutaneous Electrical Acupoint Stimulation in improving fatigue, sleep quality and depression in hemodialysis patients. Acupoints massage in improving the quality of sleep and quality of life in patients with end-stage renal disease. Acupressure, Sleep, and Quality of Life in Institutionalized Older Adults: A Randomized Controlled Trial. Acupressure and quality of sleep in patients with end-stage renal disease--a randomized controlled trial. A Sham-Controlled Trial of Acupressure on the Quality of Sleep and Life in Haemodialysis Patients [Clinical observation of "Yinqi Guiyuan needles therapy" combined with moxibustion at Yongquan (KI 1) on perimenopausal insomnia with heart-kidney imbalance]. Acupuncture and Acupressure for Dementia Behavioral and Psychological Symptoms: A Scoping Review.
OBJECTIVE Our purpose was to investigate the effects of acupressure on sleep quality in hemodialysis patients . DESIGN R and omized clinical trial . SETTING The setting of the study was dialysis wards located in two university hospitals ( Imam and Golestan ) in Ahvaz , Iran . INTERVENTIONS 48 end-stage renal disease patients on hemodialysis who scored 5 points or higher on the Pittsburgh Sleep Quality Index ( PSQI ) were enrolled to the study .  Acupressure group received acupressure intervention on the Shenmen ( He7 ) and He Gu ( Li4 ) points in the h and s and Sanyingjao ( sp6 ) point in the feet for 4 weeks beside routine care and control group received only routine care . MAIN OUTCOME MEASURES subjective sleep quality , latency and duration , habitual sleep efficiency ; sleep disturbances , daytime functional status , and use of sleeping medications . RESULTS The result indicated significant differences between the acupressure group and the control group after intervention in PSQI global scores ( p<0.001 ) and all sleep quality indices between two groups after intervention : subjective sleep quality ( p<0.001 ) , sleep latency ( p<0.001 ) , sleep duration ( p<0.001 ) , sleep efficiency ( p=0.006 ) , sleep disturbance ( p<0.001 ) , the use of sleeping medication ( p=0.028 ) , and daytime dysfunction ( p<0.001 ) . CONCLUSION This study supports the effectiveness of acupressure in improving sleep quality of end-stage renal disease patients as a noninvasive therapy Background Caregiving can be stressful , potentially creating physical and psychological strain . Substantial evidence has shown that family caregivers suffer from significant health problems arising from the dem and s of caregiving . Although there are programs supporting caregivers , there is little evidence regarding their effectiveness . Acupressure is an ancient Chinese healing method design ed to restore the flow of Qi ( vital energy ) by applying external pressure to acupoints . A r and omized , wait-list controlled trial was developed to evaluate the effectiveness of a self-administered acupressure intervention on caregiver stress ( primary objective ) and stress-related symptoms of fatigue , insomnia , depression , and health-related quality of life ( secondary objectives ) in Chinese caregivers of older family members . Methods Two hundred Chinese participants , aged ≥ 21 years , who are the primary caregivers of an older family member and screen positive for caregiver stress and symptoms of fatigue/insomnia/depression will be recruited from a community setting in Hong Kong . Subjects will be r and omized to receive either an immediate treatment condition ( self-administered acupressure intervention ) or a wait-list control condition . The self-administered acupressure intervention will include ( i ) an individual learning and practice session twice a week for 2 weeks , ( ii ) a home follow-up visit once a week for 2 weeks , and ( iii ) 15-min self- practice twice a day for 6 weeks . The wait-list control group will receive the same acupressure training after the intervention group has completed the intervention . We hypothesize that Chinese family caregivers in the intervention group will have lower levels of caregiver stress , fatigue , insomnia , depression , and higher health-related quality of life after completion of the intervention than participants in the wait-list control group . Discussion This study will provide evidence for the effectiveness of self-administered acupressure in reducing stress and improving symptoms of fatigue , insomnia , depression , and health-related quality of life in Chinese family caregivers . The findings will inform the design of interventions to relieve negative health effects of caregiving . Furthermore , the results can raise community awareness and serve as a basis for policymaking , planning , and allocation of re sources regarding empowerment of family caregivers for self-care . Trial registration Current Controlled Trials NCT02526446 . Registered August 10 , 2015 Objectives To assess the feasibility and acceptability of a r and omized controlled trial compared auricular acupressure ( AA ) on specific acupoints with AA on non-specific acupoints for treating maintenance hemodialysis ( MHD ) patients with insomnia . Methods Sixty three ( 63 ) eligible subjects were r and omly assigned into either AA group received AA on specific acupoints ( n=32 ) , or sham AA ( SAA ) group received AA on points irrelevant to insomnia treatment ( n=31 ) for eight weeks . All participants were followed up for 12 weeks after treatments . The primary outcome was clinical response at eight weeks after r and omization , defined as a reduction of Pittsburgh Sleep Quality Index ( PSQI ) global score by 3 points and more . Results Fifty-eight ( 58 ) participants completed the trial and five dropped out . Twenty participants in AA group ( 62.5 % ) and ten in SAA group ( 32.3 % ) responded to the eight-week interventions ( χ2 = 5.77 , P = 0.02 ) . PSQI global score declined 3.75 ± 4.36 ( 95%CI -5.32 , -2.18 ) and 2.26 ± 3.89 ( 95%CI -3.68 , -0.83 ) in AA group and SAA group respectively . Three participants died during the follow-up period . No evidence supported their deaths were related to the AA intervention . No other adverse event was observed . Conclusion Feasibility and logistics of patient recruitment , r and omization procedure , blinding approach , interventions application and outcome assessment had been tested in this pilot trial . The preliminary data appeared to show a favorable result on AA treatment . A full-scale trial is warranted . Trial Registration Chinese Clinical Trial Registry ChiCTR-TRC-12002272 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 , r and omized controlled trial was conducted in two Australian dialysis units located in Princess Alex and ra Hospital and Logan Hospital , respectively . Forty-two subjects with self-reported poor sleep quality were r and omly 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 question naire , 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 implication s for therapeutic efficacy Objective : The aim of this study is to examine the relationship between the changes in self-reported sleep symptoms and cardiac sympathovagal activity among women with postmenopausal insomnia ( PI ) who received auricular acupressure ( AA ) therapy .  Methods : A pretest/posttest study design was conducted at Taipei Veterans General Hospital , Taiwan , from August 2008 to July 2009 . Forty-five women ( mean ± SD age , 56.2 ± 5.4 years ) with PI ( 4.9 ± 3.5 years of insomnia ) received an AA therapy course on five auricular points every night before going to sleep for 4 weeks . Heart rate variability ( HRV ) , the Chinese version of the Pittsburgh Sleep Quality Index , and the Menopause Rating Scale were measured before and after AA treatment . Results : The total sleep duration and sleep efficiency were increased , and the sleep latency was shortened significantly ( P < 0.01 ) after AA therapy . The total Menopause Rating Scale and somatovegetative subscale scores were reduced significantly ( P < 0.05 ) after the intervention . A greater percentage change in Pittsburgh Sleep Quality Index was moderately correlated with both a lower percentage change in high-frequency power of HRV ( r = −0.660 , P < 0.001 ) and a greater percentage change in normalized low-frequency power ( nLF ) of HRV ( r = 0.599 , P < 0.001 ) . An elevation of high-frequency power and a reduction of nLF of HRV were observed in the responder group , whereas a raise in nLF of HRV was noted in the nonresponder group . Conclusions : This study suggests that AA intervention leads to more cardiac parasympathetic and less cardiac sympathetic activity , which contributes to the improvement of PI BACKGROUND Elderly people often suffer from disturbed sleep .  Because traditional Chinese medicine indicates that acupressure therapy may induce sedation , testing the effectiveness of acupressure in enhancing the quality of sleep of institutionalized residents with a well- design ed scientific study is needed . METHODS A r and omized block experimental design was used . The Pittsburgh Sleep Quality Index ( PSQI ) question naire was used as a screening tool to select subjects with sleep disturbance . By matching the effects of hypertension , hypnosis , naps , and exercise , subjects were r and omly assigned to an acupressure group , a sham acupressure group , and a control group .  Each group had 28 subjects for a total of 84 subjects . The same massage routine was used in the acupressure group and the sham acupressure group , whereas only conversation was employed in the control group . RESULTS There were significant differences in PSQI subscale scores of the quality , latency , duration , efficiency , disturbances of sleep , and global PSQI scores among subjects in the three groups before and after interventions . Furthermore , there was a significant reduction in the frequencies of nocturnal awakening and night wakeful time in the acupressure group compared to the other two groups . CONCLUSIONS This study confirmed the effectiveness of acupressure in improving the quality of sleep of elderly people and offered a nonpharmacological therapy method for sleep-disturbed elderly people INTRODUCTION Sleep disturbances are very common in elderly people and Traditional Chinese acupressure a noninvasive technique that promotes health and comfort recently has been used in this regard . The purpose of the present study was to evaluate the potential beneficial effects of acupressure on a group of institutionalized elders experiencing sleep disturbances . METHOD A r and omized controlled clinical trial was conducted to test the effectiveness of acupressure on quality of sleep of elderly residing in a Nursing home . The Pittsburgh Sleep Quality index ( PSQI ) question naire was used as a screening tool to select 90 residents with moderate to marked sleep disturbances . The elders were r and omly assigned to an acupressure group , a sham acupressure group and a control group by Balanced r and omization method . RESULTS There were significant differences between the acupressure group and the control group in subjective sleep quality , sleep latency , sleep duration , habitual sleep efficiency and sleep disturbance . But no significant differences were found in sleep indices between the sham acupressure group and the control group . Sleep log data showed a significant decrease in nocturnal awakenings in acupressure group compared to other two groups . CONCLUSION The findings of this study indicated that acupressure has an effect on improvement of sleep quality and endorsed it as a non-pharmacological and complementary therapy for sleep-disturbed elderly people The purpose of this study was to test the effectiveness of acupressure and Transcutaneous Electrical Acupoint Stimulation ( TEAS ) on fatigue , sleep quality and depression in patients who were receiving routine hemodialysis treatment . The study was a r and omized controlled trial ; qualified patients were r and omly assigned to acupressure , TEAS or control groups . Patients in the acupressure and TEAS groups received 15 minutes of treatment 3 times a week for 1 month , whereas patients in the control group only received routine unit care .  A total of 106 patients participated in the study . Methods of measurement included the revised Piper Fatigue Scale ( PFS ) , the Pittsburgh Sleep Quality Index and the Beck Depression Inventory . Data were collected at baseline , during the intervention and post-treatment . The results indicated that patients in the acupressure and TEAS groups had significantly lower levels of fatigue , a better sleep quality and less depressed moods compared with patients in the control group based upon the adjusted baseline differences . However , there were no differences between acupressure and TEAS groups in outcome measures . This study provides an alternative method for health care providers in managing dialysis patients with symptoms of fatigue , poor sleep or depression BACKGROUND Traditional Chinese acupressure is a noninvasive technique that employs pressure and massage to acupoints in order to stimulate the balance of life energy that promotes health and comfort . Sleep disturbance is common in patients with end-stage renal disease but no intervention studies have addressed this problem . Aim . The purpose of the present study was to test the effectiveness of acupoints massage for patients with end-stage renal disease and experiencing sleep disturbances and diminished quality of life .  METHODS The study was a r and omized control trial . A total of 98 end-stage renal disease patients with sleep disturbances  were r and omly assigned into an acupressure group , a sham acupressure group , and a control group . Acupressure and sham acupressure group patients received acupoints or no acupoints massage three times a week during haemodialysis treatment for a total of 4 weeks . The measures included the Pittsburgh Sleep Quality Index , Sleep Log , and the Medical Outcome Study - Short Form 36 . FINDINGS The results indicated significant differences between the acupressure group and the control group in Pittsburgh Sleep Quality Index subscale scores of subjective sleep quality , sleep duration , habitual sleep efficiency , sleep sufficiency , and global Pittsburgh Sleep Quality Index scores . Sleep log data revealed that the acupressure group significantly decreased wake time and experienced an improved quality of sleep at night over the control group . Medical Outcome Study - Short Form 36 data also documented that acupressure group patients experienced significantly improved quality of life . CONCLUSION This study supports the effectiveness of acupoints massage in improving the quality of sleep and life quality of end-stage renal disease patients , and offers a noninvasive therapy for sleep-disturbed patients OBJECTIVES Nursing home ( NH ) residents suffer from sleep disturbances which are associated with a low quality of life ( QoL ) . The purpose of this study was to explore the effectiveness of comparing acupressure on specific acupoints with acupressure on non-specific acupoints in older NH residents with sleep disturbances . DESIGN A r and omized control trial with a pre- and post-test design . SETTING One NH in Taiwan . PARTICIPANTS Sixty-two older NH residents were r and omly assigned to an experimental group ( n = 31 ) and a sham-controlled group ( n = 31 ) . INTERVENTION The experimental group received acupressure on the Tian-Zhu , Ju-Que , Yong-Quan , Bai-Hui , and Nei-Guan acupoints three times a week for 8 weeks , for 24 minutes each time , while the control group received a massage at locations with no acupoints , which were 10 mm from the true points , at the same frequency as the experimental group . MEASUREMENTS The primary outcome was measured using the Pittsburgh Sleep Quality Index ( PSQI ) and the secondary outcome was measured using the Short-form 36 ( SF-36 ) . Data were collected at baseline , the end of treatment , and 4 weeks after completion of treatment . RESULTS Compared to the control group , the experimental group had significantly better scores on the PSQI ( t = -7.72 , P < 0.001 ) and SF-36 ( t = 1.34 , P < 0.001 ) during the intervention period . The improvements in the PSQI and SF-36 scores were still significant ( P < 0.001 ) after adjusting for confounding variables by generalized estimating equations . CONCLUSIONS Results suggest that acupressure on the Tian-Zhu , Ju-Que , Yong-Quan , Bai-Hui , and Nei-Guan acupoints can improve the quality of sleep and life among NH residents . Acupressure is a promising intervention that may improve well-being for NH residents with sleep disturbances The purpose of the study is to test the effectiveness of acupressure on sleep quality of end-stage renal disease patients . The study was a r and omized controlled trial ; qualified patients in the dialysis centers of four major hospitals were r and omly assigned into an acupressure group , a sham acupressure group , and a control group .  A total of 98 participants were included in the study . The main outcomes measured were the Pittsburgh sleep quality index ( PSQI ) and the sleep log . Data were collected at pretreatment and following treatment . Primary statistical analysis was by means of Analysis of Covariance , the Kruskal-Wallis Test and repeated measure ANOVA . The results indicated that PSQI scores of the acupressure group have a significantly greater improvement ( p < 0.01 ) than the control group . However , there were no differences between the acupressure group and the sham group or the sham group and the control group ( p > 0.05 ) . Subscales of PSQI were further analyzed . Results demonstrated significant differences between the acupressure group and the control group in subjective sleep quality ( p = 0.009 ) , sleep duration ( p = 0.004 ) , habitual sleep efficiency ( p = 0.001 ) , and sleep sufficiency ( p = 0.004 ) . Significant differences in the subscale of subjective sleep quality ( p = 0.003 ) between the sham acupressure group and the control group were also observed . Sleep log data showed that the acupressure group significantly decreased awake time and improved quality of sleep over time more than the control group ( p < 0.01 ) . The improvement could be seen as soon as the acupoints massage was implemented , and it was maintained through the post intervention Background Sleep disorder in haemodialysis patients can lead to disturbance in their psychosocial function and interpersonal relations , and reduced quality of life . The aim of the present study was to investigate the effect of acupressure on the quality of sleep of haemodialysis patients . Methods In a r and omised controlled trial , 108 haemodialysis patients were r and omly divided into three groups : true acupressure , placebo acupressure , and no treatment . The two acupressure groups received treatment three times a week for 4 weeks during dialysis . Routine care only was provided for the no treatment group . The main study outcome was sleep quality . Results The total Pittsburgh Sleep Quality Index score decreased significantly from 11.9±3.13 to 6.2±1.93 in the true acupressure group , from 11.3±3.69 to 10.6±3.82 in the sham acupressure group , and from 10.9±4.10 to 10.7±3.94 in the no treatment group . There was a significant difference between groups ( p<0.001 ) . Conclusions Acupressure seems to have a positive effect on the sleep quality in haemodialysis patients . Clinical Trial Registration I RCT 201106145864N2 OBJECTIVE To observe the clinical efficacy of " Yinqi Guiyuan needles therapy " combined with moxibustion at yongquan ( KI 1 ) on perimenopausal insomnia ( PMI ) with heart-kidney imbalance . METHODS One hundred patients of PMI with heart-kidney imbalance were r and omly divided into a medication group and an acupuncture group , 50 cases in each group . In the medication group , diazepam and oryzanol were given . " Yinqi Guiyuan needles therapy " combined with moxibustion at yongquan ( KI 1 ) were applied in the acupuncture group . The treatment was given for 2 courses , 10 days as a course . Before and after treatment , the Pittsburgh sleep quality index ( PSQI ) scale was used to evaluate the improvement of sleep quality in the two groups , and the clinical efficacy was compared . RESULTS After 2 courses of treatment , the total PSQI score was ( 4.88±1.80 ) in the acupuncture group , which was significantly lower than ( 8.00±1.93 ) in the medication group , and the difference was statistically significant ( P<0.05 ) . Except for the sleep efficiency , the scores of other components in the acupuncture group were lower than those in the medication group , and the differences were statistically significant ( all P<0.05 ) . The total effective rate was 90.0 % ( 45/50 ) in the acupuncture group and 68.0 % ( 34/50 ) in the medication group . The difference was statistically significant ( P<0.05 ) . There was no obvious adverse reactions in entire course of the treatment in the acupuncture group and the safety was satisfactory . CONCLUSION " Yinqi Guiyuan needles therapy " combined with moxibustion at Yongquan ( KI 1 ) on PMI with heart-kidney imbalance has good clinical effect Due to the dangers associated with psychotropic medications , there is an urgent need for non-pharmacologic therapies to treat behavioral and psychological symptoms of dementia ( BPSD ) . Acupuncture and acupressure are safe and well-tolerated non-pharmacologic therapies for this population , but currently no review has explored acutherapy for management of distressing dementia symptoms . This review synthesizes research on acupuncture and acupressure for BPSD . Upon search ing five data bases , 15 studies met inclusion /exclusion criteria . Nine examined acupressure , six acupuncture , and eight were r and omized controlled trials . The percent of studies demonstrating statistically significant improvements in symptoms were : activities of daily living ( ADLs ; 75 % ) , agitation ( 100 % ) , anxiety ( 67 % ) , depression ( 100 % ) , mood ( 100 % ) , neuropsychological disturbances ( 67 % ) , and sleep disturbances ( 100 % ) . Variations in study design , intervention procedures , and outcomes limit interpretations about effectiveness . It is recommended that further research be done to examine the efficacy of these therapies and promote generalizability
OBJECTIVE To explore the efficacy of acupressure on the improvement of  sleep disorders  in patients undergoing hemodialysis .