Clinical trial NCT05892679: The Effect of Acupressure in Hemodialysis Patients
Official title: The Effect of Acupressure on Fatigue, Quality of Life and Comfort in Hemodialysis Patients. Randomized Controlled Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Fatigue
Comfort
Quality of Life
Keywords: acupressure
hemodialysis patients
Fatigue
Comfort
Quality of Life
Lead sponsor: Mersin University
Sponsor class: OTHER
First posted: 2023-06-07
Enrollment: 60
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Prospective, randomized controlled study
Primary purpose: SUPPORTIVE_CARE

Brief summary: This randomized controlled study evaluates the effect of acupressure application on fatigue, quality of life and comfort in hemodialysis patients. In our research, it is aimed to reduce fatigue, increase the quality of life and comfort level in hemodialysis patients with acupressure applied.

Detailed description: In the study, 60 hemodialysis patients were randomly assigned to the study and control groups. The study group (n=30) Acupressure is formulated according to the standards of the World Health Organization and in a certain order to the points of Stomach 36 (St 36), Gall Bladder 34 point (GB 34), Spleen 6 point (SP 6) and Kidney 1 point (K 1) will be applied. Consideration will be given to the appropriate pressure intensity and duration. Since the reactions of individuals will be different from each other, the stiffness and pressure will be adjusted according to the sensitivity of the individual in order not to cause tissue damage. Pressures will be applied manually by a single practitioner. Considering the anatomical area where the point is located, the most suitable thumb, index and/or middle finger will be used for application to the relevant point. Successive compressions will be applied at a frequency that does not disturb the patient, does not cause pain, and has a calming effect. Considering the studies done, a person will be given acupressure three times a week for four weeks. No intervention will be made to the control group (n=30). In order to avoid ethical problems both groups will be given an informative training on acupressure and fatigue, increase the quality of life and comfort level in hemodialysis patients at the end of the study. The primary outcome of the study is the effect of acupuncture on fatigue in hemodialysis patients. The secondary result of the study is the effect of acupuncture on quality of life and comfort level in hemodialysis patients.

The results will be collected before the acupressure and in the 4th week of the last intervention.

Eligibility criteria: Inclusion Criteria:

* Written and verbal consent was obtained to participate in the study,
* Can read, write, speak and understand Turkish,
* Are older than 18 years,
* Have received HD treatment for at least 6 months,
* Receiving HD treatment 3 times a week,
* Fatigue severity ≥4, using a single-item fatigue index ranging from 0 to 10 points,
* Absence of lower extremity wounds
* Any complementary therapy
* Conscious, fully oriented and cooperative and open to communication,
* No visual, hearing and perception problems,
* Any psychiatric patient

Exclusion Criteria:

* Wound or amputation of lower extremities, rheumatoid arthritis or limb fracture
* Any psychiatric disease,
* Patients with hepatitis B and hepatitis C,
* Using any of the complementary and integrated methods
* Those who receive HD treatment twice a week

Primary outcomes:
measure: Fatigue to be evaluated using the Piper Fatigue Scale
timeFrame: Change from before implementation and 4th week of practice
Secondary outcomes:
measure: Life Quality to be evaluated using Kidney Disease and Quality of Life Short Form (KDQOL-SF 1.3)
timeFrame: Change from before implementation and 4th week of practice
measure: Comfort to be evaluated using Hemodialysis Comfort Scale
timeFrame: Change from before implementation and 4th week of practice
Other outcomes:
Locations:
city: Mersin
country: Turkey
facility: Turkey Mersin University
Study officials:
References: