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The effect of acupressure on the severity of pruritus and laboratory parameters in patients undergoing hemodialysis: A randomized clinical trail

Fatemeh Karjaliana, Marzieh Momennasabb*, Amin Kordi Yoosefinejadc, Shahrokh Ezzatzadegan Jahromid

aStudent research committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
bDepartment of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
cPhysical therapy Department, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
dNephrology-urology research center, Shiraz University of Medical Sciences, Shiraz, Iran

Correspondence to:
Marzieh Momennasab
Received: December 12, 2018; Revised: May 17, 2020; Accepted: May 18, 2020

http://creativecommons.org/licenses/by-nc-nd/4.0/

Published online June 1, 2020 https://doi.org/10.1016/j.jams.2020.05.002

Copyright © Medical Association of Pharmacopuncture Institute.

Abstract

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Objectives

The aim of this study is to determine the effect of acupressure on the severity of pruritus and some laboratory parameters in patients undergoing hemodialysis.

Materials and Methods

The present clinical trial was conducted on 90 hemodialysis patients. Pressure was applied on SP6, SP10, ST36, and LI11 points in the intervention group and on ineffective points for the sham control group. The severity of itching was measured using the Numeric Rating Scale.

Results

There was a significant reduction in the severity of pruritus over the course of the study in the intervention and sham control groups (P=0.001). Also significant differences were observed at the end of the intervention in terms of serum phosphorus (P=0.045) and parathyroid hormone (P=0.004) levels between groups.

Conclusion

Acupressure can improve the severity of pruritus dramatically in hemodialysis patients, but has no effect on laboratory parameters, except for serum phosphorus and parathyroid hormone levels.

Keywords

acupressure, pruritus, hemodialysis, laboratory parameters

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Research Article

2020; ():

Published online June 1, 2020 https://doi.org/10.1016/j.jams.2020.05.002

Copyright © Medical Association of Pharmacopuncture Institute.

The effect of acupressure on the severity of pruritus and laboratory parameters in patients undergoing hemodialysis: A randomized clinical trail

Fatemeh Karjaliana, Marzieh Momennasabb*, Amin Kordi Yoosefinejadc, Shahrokh Ezzatzadegan Jahromid

aStudent research committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
bDepartment of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
cPhysical therapy Department, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
dNephrology-urology research center, Shiraz University of Medical Sciences, Shiraz, Iran

Correspondence to:Marzieh Momennasab

Received: December 12, 2018; Revised: May 17, 2020; Accepted: May 18, 2020

http://creativecommons.org/licenses/by-nc-nd/4.0/

Abstract

Objectives

The aim of this study is to determine the effect of acupressure on the severity of pruritus and some laboratory parameters in patients undergoing hemodialysis.

Materials and Methods

The present clinical trial was conducted on 90 hemodialysis patients. Pressure was applied on SP6, SP10, ST36, and LI11 points in the intervention group and on ineffective points for the sham control group. The severity of itching was measured using the Numeric Rating Scale.

Results

There was a significant reduction in the severity of pruritus over the course of the study in the intervention and sham control groups (P=0.001). Also significant differences were observed at the end of the intervention in terms of serum phosphorus (P=0.045) and parathyroid hormone (P=0.004) levels between groups.

Conclusion

Acupressure can improve the severity of pruritus dramatically in hemodialysis patients, but has no effect on laboratory parameters, except for serum phosphorus and parathyroid hormone levels.

Keywords: acupressure, pruritus, hemodialysis, laboratory parameters

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