Browse > Article
http://dx.doi.org/10.7475/kjan.2016.28.4.436

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

Chun, Youngmi (College of Nursing, Taegu Science University)
Park, Sangyoun (College of Nursing, Kyungpook National University)
Publication Information
Korean Journal of Adult Nursing / v.28, no.4, 2016 , pp. 436-446 More about this Journal
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.
Keywords
Acupressure; Ear; Pruritus; Fatigue; Renal dialysis;
Citations & Related Records
Times Cited By KSCI : 10  (Citation Analysis)
연도 인용수 순위
1 Park JS, Hong YS, Lee KH, Kim KK, Lee HR. Comparative research of pruritus group and non pruritus group in hemodialysis patients. The Journal of Korean Biological Nursing Science. 2009;11(1):59-67.
2 Sim HS, Seo JK, Lee SK. A clinical study on uremic pruritus in hemodialysis patients. The Journal of Korean Dermatological Association. 2009;47(10):1127-34.
3 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 International. 2006;69(9):1626-32.   DOI
4 Szepietowski JC, Sikora M, Kusztal M, Salomon J, Magott M, Szepietowski T. Uremic pruritus, a clinical study of maintenance hemodialysis patients. The Journal of Dermatology. 2002;29(10):621-7.   DOI
5 Horigan AE. Fatigue in hemodialysis patients: a review of current knowledge. Journal of Pain & Symptom Management. 2012;44(5):715-24. http://dx.doi.org/10.1016/j.jpainsymman.2011.10.015   DOI
6 Seo NS, Kang SJ, Kim JH, Kim SJ. Relationships between fatigue, sleep disturbance, stress, self-efficacy and depression in hemodialysis patients. Journal of Korean Clinical Nursing Research. 2013;19(2):285-97.
7 Ada S, Seckin D, Budakoglu I, Ozdemir FN. Treatment of uremic pruritus with narrow band B phototherapy. Journal of the American Academy of Dermatology. 2005;53(1):149-51.   DOI
8 Millikan LE. Alternative therapy in pruritus. Dermatologic Therapy. 2003;16(2):175-80.   DOI
9 Kang SJ, Kim NY. The effects of aroma hand massage on pruritus, fatigue and stress of hemodialysis patients. Korean Journal of Adult Nursing. 2008;20(6):883-94.
10 So HS, Kim AY, Kim EA. Effects of a pruritus intervention program on pruritus and sleep satisfaction for hemodialysis patients. Journal of Korean Academy of Nursing. 2007;37(4):467-77.   DOI
11 Park JY, Hong HS. The effects of cool dialysis on pruritus of chronic renal failure patients. Journal of Korean Biologic Nursing Science. 2010;12(1):31-8.
12 Chou CY, Cheng YW, Kao MT, Huang CC. Acupuncture in heamodialysis patient at the quchi acupoint for refractory uraemic pruritus. Nephrology Dialysis Transplantation. 2005;20(9):1912-5.   DOI
13 Park EJ. The effect of auricular acupressure on sleep, serotonin, $TNF-{\alpha}&IL-6$ of hemodialysis patients [dissertation]. Kyengnam: Kyeongsang National University; 2007. p. 1-84.
14 Lee YH, Kim SY. Effects of auricular acupressure therapy on insomnia in hemodialysis patients. The Journal of Korean Academic Society of Rehabilitation of Nursing. 2007;10(1):21-8.
15 Nationwide University of Korean Medicine Acupuncture․ Acupressure Research. Acupuncture. Seoul: Jipmoon; 1994.
16 Sok SH, Kim KB. Applied effects of auricular acupuncture therapy on insomnia of taeumin in elderly women. Journal of East-West Nursing Research. 2008;14(2):1-7.
17 Mathur VS, Lindberg J, Germain M, Block G, Tumlin J, Smith M, et al. A longitudinal study of uremic pruritus in hemodialysis patients. Clinical Journal of the American Society of Nephrology. 2010;5:1-10.   DOI
18 Tack BB. Dimensions and correlates of fatigue in older adults with rheumatoid arthritis [dissertation]. San-Francisco: University of California; 1991.
19 Choi EY. Prediction model of fatigue for hemodialysis patients [dissertation]. Seoul: Kyung Hee University; 2005. p. 1-132.
20 Kim HC, Park SB, Park WG, Im H, Han SY, Won GS, et al. Nephrology for block lecture. 3rd ed. Seoul: E-Public; 2013.
21 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
22 Levine JD, Gormley J, Fields HL. Observations on the analgesics effects of needle puncture (acupuncture). Pain. 1976;2:149-59.   DOI
23 Cho HK. Sintongbangtong ear health therapy. Seoul: Daechung; 2006.
24 Oleson T. Auriculotherapy manual: Chinese and western systems of ear acupuncture. 3rd ed. Oxford: Elsevier; 2003.
25 Ro SO, Lee HY, Lee JO, Kim MY. Effects of auricular acupressure on menstrual pain, dysmenorrhea, and academic stress in women college students. Korean Journal of Adult Nursing. 2013;25(3):356-61. http://dx.doi.org/10.7475/kjan.2013.25.3.356   DOI
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. Academic Emergency Medicine. 2006;13(1):19-23.   DOI
27 Tsay SL, Cho YC, Chen ML. Acupressure and transcutaneous electrical acupoint stimulation in improving fatigue, sleep quality and depression in hemodialysis patients. The American Journal of Chinese Medicine. 2004;32:407-16.   DOI
28 Sok SH, Kim KB. The effect of auricular acupuncture pressure therapy on insomnia of elderly people. The Journal of Korean Academic Society of Adult Nursing. 2000;12(2):222-33.
29 Lee JO, Kwon YS. Effects of auriculotherapy on sleep disorders in the elderly. Journal of East-West Nursing Research. 2009;15(1):1-8.