Korean J Adult Nurs.  2016 Aug;28(4):436-446. 10.7475/kjan.2016.28.4.436.

Effects of the Auricular Acupressure on Pruritus and Fatigue in Hemodialysis Patients

Affiliations
  • 1College of Nursing, Taegu Science University, Daegu, Korea. jerry1032@hanmail.net
  • 2College of Nursing, Kyungpook National University, Daegu, Korea.

Abstract

PURPOSE
The purpose of this study was to identify the effect of auricular acupressure on pruritus and fatigue in hemodialysis patients.
METHODS
The study design was a randomized control group pre-post test. Initially, forty- four patients were randomly assigned to one of two groups. There was a loss of three participants assigned to the treatment group. The period of data collection was from December 2014 to March 2015. Both groups completed a pre-test. The treatment group received auricular acupressure once a week for ten weeks. Data were collected from the treatment group at two time periods: five weeks and ten weeks following initiation of the treatment protocol. Data were collected from the control group at week 5 and week 10. Data analysis was performed using IBM SPSS Statistics 21.0 program, specifically with the independent t-test and the Repeated Measures of ANOVA.
RESULTS
Auricular acupressure was effective in reducing pruritus (F=13.93, p<.001) and fatigue (F=18.33, p<.001).
CONCLUSION
Auricular acupressure is a non-invasive simple method that can be used for the relief of symptoms reported by hemodialysis patients. This treatment modality could be used in several clinical areas.


MeSH Terms

Acupressure*
Clinical Protocols
Data Collection
Ear
Evaluation Studies as Topic
Fatigue*
Humans
Methods
Pruritus*
Renal Dialysis*
Statistics as Topic

Figure

  • Figure 1 Study design.

  • Figure 2 Flowchart of the study.


Reference

1. Kim HC, Park SB, Park WG, Im H, Han SY, Won GS, et al. Nephrology for block lecture. 3rd ed. Seoul: E-Public;2013.
2. ESRD Registry Committee, Korean Society of Nephrology. Current renal replacement in Korea-Insan Memorial Dialysis Registry, 2013- [Internet]. Seoul: Korean Society of Nephrology;2014. cited 2014 May 22. Available from: http://www.ksn.or.kr/journal/2014/index.html.
3. Park JS, Hong YS, Lee KH, Kim KK, Lee HR. Comparative research of pruritus group and non pruritus group in hemodialysis patients. J Korean Biol Nurs Sci. 2009; 11(1):59–67.
4. Sim HS, Seo JK, Lee SK. A clinical study on uremic pruritus in hemodialysis patients. Korean J Dermatol. 2009; 47(10):1127–1134.
5. Narita I, Alchi B, Omori K, Sato F, Ajiro J, Saga D, et al. Etiology and prognostic significance of severe uremic pruritus in chronic hemodialysis patients. Kidney Int. 2006; 69(9):1626–1632.
Article
6. Szepietowski JC, Sikora M, Kusztal M, Salomon J, Magott M, Szepietowski T. Uremic pruritus, a clinical study of maintenance hemodialysis patients. J Dermatol. 2002; 29(10):621–627.
Article
7. Horigan AE. Fatigue in hemodialysis patients: a review of current knowledge. J Pain Symptom Manage. 2012; 44(5):715–724. DOI: 10.1016/j.jpainsymman.2011.10.015.
Article
8. Seo NS, Kang SJ, Kim JH, Kim SJ. Relationships between fatigue, sleep disturbance, stress, self-efficacy and depression in hemodialysis patients. J Korean Clin Nurs Res. 2013; 19(2):285–297.
9. Ada S, Seckin D, Budakoglu I, Ozdemir FN. Treatment of uremic pruritus with narrow band B phototherapy. J Am Acad Dermatol. 2005; 53(1):149–151.
10. Millikan LE. Alternative therapy in pruritus. Dermatol Ther. 2003; 16(2):175–180.
Article
11. Kang SJ, Kim NY. The effects of aroma hand massage on pruritus, fatigue and stress of hemodialysis patients. J Korean Acad Adult Nurs. 2008; 20(6):883–894.
12. So HS, Kim AY, Kim EA. Effects of a pruritus intervention program on pruritus and sleep satisfaction for hemodialysis patients. J Korean Acad Nurs. 2007; 37(4):467–477.
Article
13. Park JY, Hong HS. The effects of cool dialysis on pruritus of chronic renal failure patients. J Korean Biol Nurs Sci. 2010; 12(1):31–38.
14. Che-Yi C, Wen CY, Min-Tsung K, Chiu-Ching H. Acupuncture in heamodialysis patient at the quchi acupoint for refractory uraemic pruritus. Nephrol Dial Transplant. 2005; 20(9):1912–1915.
15. Park EJ. The effect of auricular acupressure on sleep, serotonin, TNF-α&IL-6 of hemodialysis patients [dissertation]. Kyengnam: Kyeongsang National University;2007. 1–84.
16. Lee YH, Kim SY. Effects of auricular acupressure therapy on insomnia in hemodialysis patients. Korean J Rehabil Nurs. 2007; 10(1):21–28.
17. Nationwide University of Korean Medicine Acupuncture · Acupressure Research. Acupuncture. Seoul: Jipmoon;1994.
18. Sok SH, Kim KB. Applied effects of auricular acupuncture therapy on insomnia of taeumin in elderly women. J East West Nurs Res. 2008; 14(2):1–7.
19. Mathur VS, Lindberg J, Germain M, Block G, Tumlin J, Smith M, et al. A longitudinal study of uremic pruritus in hemodialysis patients. Clin J Am Soc Nephrol. 2010; 5:1410–1419.
Article
20. Tack BB. Dimensions and correlates of fatigue in older adults with rheumatoid arthritis [dissertation]. San-Francisco: University of California;1991.
21. Choi EY. Prediction model of fatigue for hemodialysis patients [dissertation]. Seoul: Kyung Hee University;2005. 1–132.
22. Cho HK. Sintongbangtong ear health therapy. Seoul: Daechung;2006.
23. Oleson T. Auriculotherapy manual: Chinese and western systems of ear acupuncture. 3rd ed. Oxford: Elsevier;2003.
24. Ro SO, Lee HY, Lee JO, Kim MY. Effects of auricular acupressure on menstrual pain, dysmenorrhea, and academic stress in women college students. Korean J Adult Nurs. 2013; 25(3):356–361. DOI: 10.7475/kjan.2013.25.3.356.
Article
25. Levine JD, Gormley J, Fields HL. Observations on the analgesics effects of needle puncture (acupuncture). Pain. 1976; 2:149–159.
26. Barker R, Kober A, Hoerauf K, Latzke D, Adel S, Kain ZN, et al. Out-of-hospital auricular acupuncture in elder patients with hip fractures: a randomized double-blinded trial. Acad Emerg Med. 2006; 13(1):19–23.
27. Tsay SL, Cho YC, Chen ML. Acupressure and transcutaneous electrical acupoint stimulation in improving fatigue, sleep quality and depression in hemodialysis patients. Am J Chin Med. 2004; 32:407–416.
Article
28. Sok SH, Kim KB. The effect of auricular acupuncture pressure therapy on insomnia of elderly people. J Korean Acad Adult Nurs. 2000; 12(2):222–233.
29. Lee JO, Kwon YS. Effects of auriculotherapy on sleep disorders in the elderly. J East West Nurs Res. 2009; 15(1):1–8.
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