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IRCT2015070523044N2 IRCT 2016-04-06 Vice President of Research, School of Nursing and Midwifery, Isfahan University of Medical Sciences The Effectiveness of Acupressure on Severity of Depression in Hemodialysis Patients The effect of acupressure on severity of depression in hemodialysis patients referred to hemodialysis units in hospitals of Isfahan in 2012 2011-10-26 anticipated 96 Complete https://irct.ir/trial/19755 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment. N/A Fatique in hemodialysis patients. Intervention 1: Intervention in intervention group was conducted in the first 2 h of hemodialysisin the experimental and placebo groups. This interventionwas carried out among the subjects regularly undergoinghemodialysis, in both legs, hands, and the waist in threeweekly sessions for 4 weeks.[18] In the experimental group,the intervention was conducted on the major acupoints K1,GB 34, ST 36, SP 6, BL 23, and HT7.[22,23] In the placebogroup, it was carried out with 1 cm distance from the majorabove-mentioned acupoints. Each session lasted for 20min, of which 2 min were devoted for primary superficialstroking of the acupoints[24] and the rest of the time (18min) was for acupressure of the determined six acupoints(3 min for each acupoint). Intervention 2: The control group received no specific action was performed only routine care. Intervention 3: This intervention in the placebo group during the first 2 hours of hemodialysis. The intervention in both legs, both arms and waist and the people who were dialysis three times a week and regularly 3 sessions per week for 4 weeks was conducted. In the experimental group the main points of acupressure like k1, st36, sp6, bl23, ht7 and gb34. Each session lasted 20 minutes, 2 minutes Stroke initial surface to loosen the acupressure points and meridians and 18 minutes remaining open channels for pressing each of the six point (3 minutes anywhere) of these is a difference of the in the placebo group one centimeter away from the main point. Introduction Chronic kidney failure is one of the major public health problems in the world (Johnson et al., 2004). End stage renal disease (ESRD) is a stage of chronic renal failure that can be fatal without renal replacement therapies. Incidence o Abstract <br /> Background and objectives: Depression is the most common mental health problem in hemodialysis patients that can have a negative impact on patients' quality of life. This study aimed to determine the effect of acupressure on severity of depression in hemodialysis patients.<br /> Methods: This study is a randomized clinical trial. Ninety-six hemodialysis patients in hemodialysis wards of Noor, Shariati, and Al-Zahra Hospitals were selected by convenient sampling method and randomly divided into three groups (32 patients) of intervention, placebo, and control groups. Data collection tools included a demographic questionnaire and Beck Depression Scale. Acupressure in the intervention and placebo groups was performed over 4 consecutive weeks, 3 times a week, each session lasting 20 minutes during the first 2 hours of dialysis at 6 acupressure points; with this difference that in the placebo group intervention was performed with one centimeter distance away from the true points. The control group received usual care. For data analysis, descriptive statistics, inferential (ANCOVA and LSD) and SPSS software version 11.5 was used.<br /> Results: Analysis of covariance showed a significant difference in the mean score of depression’s severity in the intervention group (P=0.001), but no significant difference in the mean score of depression’s severity in placebo and control groups (P=0.22).<br /> Conclusion: This study showed that acupressure reduced the severity of depression in hemodialysis patients and the use of this drug-free approach is suggested to hemodialysis nurses.<br /> Keywords: acupre<br />
public Leila Kalani
Dezful University of Medical Sciences
Dezful Iran (Islamic Republic of) +98 61 4242 3308 kalani.l@dums.ac.ir Dezful University of Medical Sciences scientific Leila Kalani
Dezful University of Medical Sciences
Dezful Iran (Islamic Republic of) +98 61 4242 3308 kalani.l@dums.ac.ir Dezful University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Inclusion criteria: age older than 18 years old; diagnosis of ERSD; undergoing hemodialysis at least for 3 months; the patients with chief complaine of fatigue and having fatigue score ≥5 based on fatigue severity visual analogue scale; lack of any wound or fracture; being in complete psychological and mental health to attend the study and fill the questionnaire, and not having undergone complementary medicine treatment in the past 3 months of the study. Exclusion criteria: patient’s absence for two sessions of acupressure intervention and lack of interest to continue the study. 18 years 80 years Both N18.9 Chronic kidney disease, unspecified Treatment - Other N/A Placebo Intervention in intervention group was conducted in the first 2 h of hemodialysisin the experimental and placebo groups. This interventionwas carried out among the subjects regularly undergoinghemodialysis, in both legs, hands, and the waist in threeweekly sessions for 4 weeks.[18] In the experimental group,the intervention was conducted on the major acupoints K1,GB 34, ST 36, SP 6, BL 23, and HT7.[22,23] In the placebogroup, it was carried out with 1 cm distance from the majorabove-mentioned acupoints. Each session lasted for 20min, of which 2 min were devoted for primary superficialstroking of the acupoints[24] and the rest of the time (18min) was for acupressure of the determined six acupoints(3 min for each acupoint) The control group received no specific action was performed only routine care This intervention in the placebo group during the first 2 hours of hemodialysis. The intervention in both legs, both arms and waist and the people who were dialysis three times a week and regularly 3 sessions per week for 4 weeks was conducted. In the experimental group the main points of acupressure like k1, st36, sp6, bl23, ht7 and gb34. Each session lasted 20 minutes, 2 minutes Stroke initial surface to loosen the acupressure points and meridians and 18 minutes remaining open channels for pressing each of the six point (3 minutes anywhere) of these is a difference of the in the placebo group one centimeter away from the main point Fatigue. Timepoint: Before and two weeks after the intervention. Method of measurement: Piper Fatigue Scale. Vice President of Research, School of Nursing and Midwifery, Isfahan University of Medical Sciences Approved 2011-10-25 Isfahan University of Medical Sciences Isfahan University of Medical Sciences, Hezar Jarib St. Isfahan Iran (Islamic Republic of)