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IRCT20201021049102N1 IRCT 2022-01-01 Ahvaz University of Medical Sciences Effect of Auricular acupressure on fatigue and sleep disorders in Hemodialysis patients. Comparison of the effectiveness of acupressure in acupuncture on fatigue and sleep disorders in hemodialysis. 2022-01-21 anticipated 40 Complete https://irct.ir/trial/53508 interventional Randomization: Not randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive. N/A End Stage Renal Disease ESRD. Intervention 1: The intervention group received ear acupressure by a nurse (who was evaluated for post-training qualification and approved by an acupuncturist) one hour after starting dialysis three days a week for four weeks on 5 points including TF4, AH6a , CO15, AT4 and CO18 in the form of pressure of 0.3 to 0.4 kg for 8 minutes with a rotating thumb clockwise. These points were selected based on the meridian theory of traditional Chinese medicine (TCM) and on-site clinical practice experience. These points are anatomically connected to the ear branch of the vagus nerve. These points play an important role in sleep by regulating the autonomic nervous system, increasing parasympathetic activity, and decreasing sympathetic activity. Intervention 2: The sham-control group evaluated ear acupressure by a nurse (who was evaluated for post-training qualification and acupuncture approval) one hour after the start of dialysis three days a week for four weeks on five helical points ( HX 5-9) will receive a pressure of 0.3 to 0.4 kg for 8 minutes with a rotating thumb clockwise. These points are clearly away from the inner ear area and lack evidence to manage insomnia. Yes - There is a plan to make this available What will be shared: Part of the data that is related to the main outcome When: Access one 6 months after printing the results To whom: Only researchers working in academic centers Conditions: Provided request to the responsible executor Where to obtain: Executive Officer - Ahvaz Jundishapur School of Nursing How to obtain: Will be reviewed and answered by the responsible executor Comments:
public Alireza Momeni
School of Nursing and Midwifery, Ahvaz Jundishapur University City, Golestan Road.
Ahvaz Iran (Islamic Republic of) 15794 - 61357 +98 61 3373 8331 Alirezamomeni136@gmail.com Ahvaz University of Medical Sciences scientific Abdul Ali Shariati
School of Nursing and Midwifery, Ahvaz Jundishapur University City, Golestan Road.
Ahvaz Iran (Islamic Republic of) 15794 - 61357 +98 61 3373 8331 Shariati-a@ajums.ac.ir Ahvaz University of Medical Sciences Iran (Islamic Republic of) Patients who have a score of 5 or more according to the Petersburg Questionnaire. Perform 2 to 3 hemodialysis sessions per week And each session should be 2 to 4 hours. Patients undergoing hemodialysis for at least 3 months. Able to communicate. Willingness to participate in the study. Age 18 years and older. Perform 2 to 3 hemodialysis sessions per week And each session should be 2 to 4 hours. 18 years no limit Both If the patient has complications during dialysis during the intervention, he needs immediate medical attention. Surgery, infection and bleeding at the time of the study. Transfer to special departments for any reason. Failure to attend training sessions N18.5 Chronic kidney disease, stage 5 Treatment - Other Treatment - Other The intervention group received ear acupressure by a nurse (who was evaluated for post-training qualification and approved by an acupuncturist) one hour after starting dialysis three days a week for four weeks on 5 points including TF4, AH6a , CO15, AT4 and CO18 in the form of pressure of 0.3 to 0.4 kg for 8 minutes with a rotating thumb clockwise. These points were selected based on the meridian theory of traditional Chinese medicine (TCM) and on-site clinical practice experience. These points are anatomically connected to the ear branch of the vagus nerve. These points play an important role in sleep by regulating the autonomic nervous system, increasing parasympathetic activity, and decreasing sympathetic activity. The sham-control group evaluated ear acupressure by a nurse (who was evaluated for post-training qualification and acupuncture approval) one hour after the start of dialysis three days a week for four weeks on five helical points ( HX 5-9) will receive a pressure of 0.3 to 0.4 kg for 8 minutes with a rotating thumb clockwise. These points are clearly away from the inner ear area and lack evidence to manage insomnia. Sleep disorders. Timepoint: After 28 days of intervention. Method of measurement: Petersborg Questionnaire. Fatigue. Timepoint: After 28 days of intervention. Method of measurement: Visual Analogue Scale. Faculty Grant Approved 2020-10-19 Ethics Committee of Ahwaz Jundishapur University of Medical Sciences Esfand St., Golestan Blvd. Ahvaz Khouzestan Iran (Islamic Republic of)