Application Of Acupressure Research Articles

The effect of acupressure and massage on labor pain and birth satisfaction: a randomized controlled trial

ObjectiveThis randomized controlled trial was conducted to determine the effect of acupressure and massage used for the management of labor pain in the latent, active, and transition phases of the first stage of labor on labor pain and birth satisfaction. MethodsThe study was conducted with 66 pregnant women who met the sampling criteria and participated voluntarily at a public hospital in Nicosia. The participants were randomly assigned to one of three groups: a massage group, an acupressure group, or a control group. Participants in the massage group received 10 min of sacral massage during contraction and 10 min of endorphin massage during rest, for a total of 30 min of massage per phase. Participants in the acupressure group received 3 min of acupressure to the LI 4 point at the same dilation intervals, when the contraction was most intense. The control group received no intervention. Pain perceived by the pregnant woman was evaluated with the Visual Comparison Scale (VAS) at the beginning and end of each phase. Postpartum, the Birth Satisfaction Scale was applied. ResultsMassage application was found to be more effective in reducing labor pain than acupressure or the control group. Massage and acupressure did not negatively affect APGAR scores. The lowest oxytocin use was found in the massage group. The group with the highest birth satisfaction scores was also the massage group. ConclusionMassage application is more effective than acupressure application in reducing labor pain and increasing birth satisfaction.

Acupressure: a possible therapeutic strategy for anxiety related to COVID-19: a meta-analysis of randomized controlled trials.

From the end of 2019 to December 2023, the world grappled with the COVID-19 pandemic. The scope and ultimate repercussions of the pandemic on global health and well-being remained uncertain, ushering in a wave of fear, anxiety, and worry. This resulted in many individuals succumbing to fear and despair. Acupoint massage emerged as a safe and effective alternative therapy for anxiety relief. However, its efficacy was yet to be extensively backed by evidence-based medicine. This study aimed to enhance the clinical effectiveness of acupoint massage and extend its benefits to a wider population. It undertakes a systematic review of the existing randomized controlled trials (RCTs) assessing the impact of acupoint massage on anxiety treatment, discussing its potential benefits and implications. This research aims to furnish robust evidence supporting anxiety treatment strategies for patients afflicted with COVID-19 disease and spark new approaches to anxiety management. This study evaluates the evidence derived from randomised controlled trials (RCTs), quantifies the impact of acupressure on anxiety manifestations within the general population, and proposes viable supplementary intervention strategies for managing COVID-19 related anxiety. This review included RCTs published between February 2014 and July 2023, that compared the effects of acupressure with sham control in alleviating anxiety symptomatology as the outcome measure. The studies were sourced from the multiple databases, including CINAHL, EBM Reviews, Embase, Medline, PsycINFO, Scopus and Web of Science. A meta-analysis was performed on the eligible studies, and an overall effect size was computed specifically for the anxiety outcome. The Cochrane Collaboration Bias Risk Assessment Tool (RevMan V5.4) was employed to assess bias risk, data integration, meta-analysis, and subgroup analysis. The mean difference, standard mean deviation, and binary data were used to represent continuous outcomes. Of 1,110 studies of potential relevance, 39 met the criteria for inclusion in the meta-analysis. The majority of the studies reported a positive effect of acupressure in assuaging anticipatory anxiety about treatment. Eighteen studies were evaluated using the STAI scale. The acupressure procedures were thoroughly documented, and studies exhibited a low risk of bias. The cumulative results of the 18 trials showcased a more substantial reduction in anxiety in the acupressure group compared to controls (SMD = -5.39, 95% CI -5.61 to -5.17, p < 0.01). A subsequent subgroup analysis, based on different interventions in the control group, demonstrated improvement in anxiety levels with sham acupressure in improving changes in anxiety levels (SMD -1.61, 95% CI: -2.34 to -0.87, p < 0.0001), and blank controls (SMD -0.92, 95% CI: -2.37 to 0.53, p = 0.22). In the clinical research of traditional Chinese medicine treatment of anxiety, acupressure demonstrated effectiveness in providing instant relief from anxiety related to multiple diseases with a medium effect size. Considering the increasing incidence of anxiety caused by long COVID, the widespread application of acupressure appears feasible. However, the results were inconsistent regarding improvements on physiological indicators, calling for more stringent reporting procedures, including allocation concealment, to solidify the findings.

Effects of Acupressure on Maternal and Neonatal Obstetric Outcomes during Labor: Study Protocol.

A Cochrane review found that there is insufficient evidence to determine the effectiveness of acupressure for pain relief. One of the problems detected is the methodological variability reported. To assess the impact of the application of acupressure on obstetric and neonatal outcomes of labor, pain experience, and mother's satisfaction with the experience. Design of a protocol to carry out a two-arm multicenter single-blinded randomized controlled trial. Intervention (pressure on LI4 of the left hand, B6 of the left leg, GB21 of the left shoulder, and then the same sequence on the right side) and placebo (application of the technique on points not identified by acupuncture as key points) will be performed by a single researcher. The recruitment began in April 2021 and, to date, there has been the participation of 40 women, divided into 17 included in the experimental group and 23 in the control. Communication of future results will be made in accordance with the CONSORT checklist. The designed protocol could methodologically improve some aspects of previous studies while maintaining adequate statistical power. The effectiveness of acupressure for one or more outcomes proposed (time and pain in labor) could support the inclusion of a new therapeutic tool in the clinical practice of midwives that would allow them to assist pregnant women, improving their experience both physically and psycho-emotionally.

Effectiveness of acupressure therapy in reducing first trimester hyperemesis Gravidum: Case Study

Nausea and vomiting during pregnancy is a common condition affecting up to 70% of pregnant women. Emergency treatment of Hyperemesis gravidarum will focus on correction of dehydration and/or electrolyte disturbances and control of nausea and vomiting to allow for adequate oral intake. Application of acupressure on the P6 (Nei Guan) meridian point is known to treat vomiting and other stomach problems in traditional Chinese medicine practice Objective: To determine the Effectiveness of Accupresure Therapy in Reducing Hyperemesis Gravidum Trimester I. Methods: The method used in this study used a case study with pre and post intervention with the Pregnancy-Unique Quantification of Emesis questionnaire (PUQE-24). The patient was given accupresure therapy for 15 minutes every day for 3 days. Results: there was a change in the hyperemesis gravidarum score felt by the patient from a score of 10 (moderate level of nausea and vomiting) be 6 (mild level of nausea and vomiting) after being given acupressure therapy. Conclusion: Accupresure therapy with appropriate methods and procedures can be an alternative to reduce Hyperemesis Gravidum in First Trimester Women.

#3369 THE EFFECT OF ACUPRESSURE APPLIED TO DIFFERENT FISTULA AREA ON FISTULE NEEDLE ENTRY PAIN

Abstract Background and Aims This study was conducted to determine the effectiveness of acupressure application on Hegu point on the severity of acute pain caused by fistula needle in patients with brescia-cimino, snuff-box and antecubital fistula. Method This study was randomized control study which was conducted with 66 intervention and 65 control participants, recruited from a dialysis centre of a foundation university in Turkey between October 2021 and February 2022. Simple randomization was used for sample selection in the study. The participants in the intervention group were divided into 3 groups according to the fistula area. The first group was consisted of participants with brescia-cimino fistula, the second group was consisted of participants with snuff-box fistula, and the third group was consisted of participants with antecubital fistula. The of all 22 participants were assigned to each group in the intervention group. Acupressure was applied 3 minute before needle placement in the fistula area of the participants in the intervention group. No intervention was made in the control group in the study. Data were collected usıng Descriptive Information Form and pain scale (Numeric Analog Scale-NRS). NRS was used to determine the severity of acute pain experienced by patients during fistula needle insertion. Since the data of the study showed normal distribution, the data were analyzed with parametric tests. The independent sample t-test was used to examine the homogeneity of the data between the two groups. Spearman correlation analyses were used to compare categorical variables. Statistical significance was assumed at p &amp;lt;0,05. Results In the study, the groups are similar to each other (p&amp;gt;0.05). In the study, the mean age of the participants in the intervention group was 60.50±15.19, and 40.9% of them were in the 61-75 age group. The mean duration of hemodialysis was 7.31±3.31 (min:1-max:20). Of the participants, 43.9% had antecubital, 33.3% had a brescia-cimino fistula and 27.7% had a snuff-box fistula. The mean age of the participants in the control group was 60.84±15.34 years, and 33.8% of them were in the 61-75 age group. The mean duration of hemodialysis was 7.27±4.29 (min:1-max:20). 35.4% of the participants had antecubital, 30.8% had brescia-cimino fistula and 33.8% had snuff-box fistula. While there was no decrease in the severity of acute pain during fistula needle insertion in the participants in the control group, a significant decrease was found in the mean acute pain severity scores experienced by the patients in the intervention group, where acupressure was applied to the Hegu (LI4) acupuncture point (p&amp;lt;0.05, Table 1). In the study, there was a difference within the groups in terms of the mean acute pain severity scores of different fistula areas in the intervention group but, there was no difference in acute pain severity scores between the groups in three different fistula areas. Conclusion The results of this study support that acupressure applied to the Hegu acupuncture point was effectiveness in reducing acute pain at fistula needle insertion in different dialysis fistula area. In addition, the results of the study provide a practical and cost-effective reference for dialysis nurses in acute pain management.

Self-administered acupressure for veterans with chronic back pain: Study design and methodology of a type 1 hybrid effectiveness implementation randomized controlled trial

BackgroundChronic low back pain is prevalent and disabling in Veterans, but effective pain management is challenging. Clinical practice guidelines emphasize multimodal pain management including evidence-based complementary and integrative health treatments such as acupressure as a first line of care. Unfortunately, the ability to replicate interventions, cost, resources, and limited access are implementation barriers. Self-administered acupressure has shown positive effects on pain and can be practiced anywhere with little to no side effects. Methods/designThe aims of this Type 1 hybrid effectiveness implementation randomized controlled trial are 1) to determine effectiveness of a self-administered acupressure protocol at improving pain interference and secondary outcomes of fatigue, sleep quality, and disability in 300 Veterans with chronic low back pain, and 2) evaluate implementation barriers and facilitators to scale-up acupressure utilization within Veterans Health Administration (VHA). Participants randomized to the intervention will receive instruction on acupressure application using an app that facilitates daily practice for 6 weeks. During weeks 6 through 10, participants will discontinue acupressure to determine sustainability of effects. Participants randomized to waitlist control will continue their usual care for pain management and receive study materials at the end of the study period. Outcomes will be collected at baseline and at 6- and 10-weeks post baseline. The primary outcome is pain interference, measured by the PROMIS pain interference scale. Using established frameworks and a mixed methods approach, we will evaluate intervention implementation. DiscussionIf acupressure is effective, we will tailor strategies to support implementation in the VHA based on study findings.Trial Registration Number: NCT05423145

Effect of acupressure applied to L4 point on the severity of fistula needle pain in patients: A randomised control trial.

Patients usually feel pain when a needle is inserted into the fistula. This acute pain can be relieved by acupressure, which is a nonpharmacological application method. This study was designed to explore the effect of acupressure application to the Hegu point on the severity of acute pain caused by fistula needle insertion in patients with antecubital arteriovenous fistula. It is a randomised control study. The study was conducted with 32 intervention and 32 control patients, recruited from a dialysis centre of a foundation university in Turkey between October 2021and January 2022. Acupressure was applied 3 minbefore needle placement in the fistula area of the patients in the experimental group. While there was no decrease in the severity of acute pain during fistula needle insertion in the patients in the control group, there was a significant decrease in the mean acute pain severity scores experienced by the patients in the experimental group, whose Hegu point acupressure was applied. The results of this study support the effectiveness of Hegu point acupressure as an effective and low-cost way to reduce the acute pain of needle insertion put on dialysis patients with a fistula. In addition, the results provide a practical reference for acute pain management for dialysis nurses.

Auricular Acupressure Effect on Autonomic Responses Evoked by a Cold Pressor Test in Healthy Volunteers: A Pilot Study.

This pilot study was conducted to investigate changes in the pulse rate and blood pressure in healthy volunteers after applying auricular acupressure at the "heart acupoint." A total of 120 healthy volunteers with hemodynamic indexes within normal limits were randomly allocated into 4 groups to receive auricular acupressure treatment either at the heart acupoint of the left or the right, or in both ears, and one control group without applying auricular acupressure. Before the application of auricular acupressure, there were no statistical differences in pulse rate and blood pressure increments among the four groups during the first cold pressor test. In groups in which auricular pressure was applied, the pulse rate was significantly reduced after the application of auricular acupressure in three groups; however, no statistically significant difference was detected among the groups. Changes in blood pressure were not statistically significant in or among the different groups after applying auricular acupressure. The average recorded pulse rate values during the second cold pressor test (after auricular acupressure) were significantly lower compared to the corresponding values taken during the first cold pressor test (before auricular acupressure) (p < 0.05); however, pulse rate increments during the two cold pressor tests (with and without auricular acupressure) were similar (p > 0.05). These findings suggest that auricular acupressure could be used as an adjunctive nonpharmacological method for reducing the pulse rate.

Effect of acupressure application on patients’ nausea, vomiting, pain, and sleep quality after laparoscopic cholecystectomy: A randomized placebo-controlled study

Background and objectivesNausea, vomiting, pain and insomnia in the postoperative period may cause discomfort, and this may adversely affect the patient's compliance with the treatment. This study was conducted to determine the effect of acupressure on nausea, vomiting, pain, and sleep quality after laparoscopic cholecystectomy. MethodsThis was a randomized controlled experimental study with a placebo group. The sample comprised 188 patients who underwent laparoscopic cholecystectomy (control:64;experimental:64;and placebo:60). Acupressure was performed on the experimental and placebo groups with a wristband for 24 hours. The data were collected at the 0th, 2nd, 6th, 12th, and 24th postoperative hours. Data were collected using the patient introduction form, numeric nausea scale, visual analog scale(VAS), verbal category scale(VCS), and Richards-campbell sleep questionnaire(RCSQ). ResultThe difference between the mean scores of nausea severity and the presence of nausea at the postoperative 0–2, 2–6, and 12–24 hours was statistically significant between the groups and the presence and the severity of nausea was lower in the experimental group (p<0.05). Although not statistically significant, less vomiting was observed in the experimental group patients compared to the control group patients at postoperative 0–2, 2–6, and 12–24 hours. There was no significant difference between the mean VAS and VCS scores of the groups at postoperative 2nd, 6th, and 24th hours (p >0.05). The mean RCSQ total scores of the patients in the experimental group were significantly higher (p<0.001). ConclusionAcupressure applied to the PC6 point after laparoscopic cholecystectomy reduced postoperative nausea and vomiting and positively affected sleep quality.

Effect of Acupressure on Dental Anxiety in Children: a Pilot Study for a Randomized Clinical Trial.

Anxiety is an important problem in children in dental clinics. Acupressure may be a useful tool to assist in dental procedures in anxious children. This pilot study was performed to examine the effects of acupressure on dental anxiety in children undergoing restorative procedures. Fourteen children aged 7-10 years and with at least one primary molar with caries on the dentine were included in the study. The participants also needed to score at least one point on the modified Venham Picture Test (VPTm) for the determination of anxiety. The children were randomly allocated to two groups: group A - non-documented points for the reduction of anxiety and induction of relaxation; group B - documented points (EX-HN3, Shen Men of auricular acupuncture). The anxiety scale was administered on three occasions: prior to the application of acupressure; immediately after sitting in the dental chair to undergo restorative treatment; and after removal of acupressure at the end of the restorative procedure. Heart rate (HR) was measured when each child sat in the dental chair, after the removal of carious tissue, and after the removal of acupressure. After the procedure, HR (as an indicator of anxiety) was statistically significantly lower in group B than group A (p = 0.02). However, there was no significant difference between the groups regarding anxiety before and during the restorative procedure (VPTm and HR: p > 0.05). The children who received acupressure on documented points for the reduction of anxiety had a significantly lower HR after the restorative procedure. No significant between-group difference was found regarding anxiety measured using a psychometric evaluation (VPTm).

Implementation of Acupressure as Adjunct Therapy to Reduce Postoperative Nausea and Vomiting

<h3>Background Information</h3> Postoperative nausea and vomiting (PONV) is a common surgical issue that can result in complications such as, electrolyte imbalance, dehydration, pulmonary aspiration, and wound dehiscence. Additionally, PONV can delay hospital discharge, subsequently affecting hospital costs. Substantial research suggests that utilizing a multimodal approach combining prophylactic pharmacologic antiemetics with non-pharmacological therapies can reduce PONV, therefore decreasing the need to utilize multiple doses of rescue antiemetic therapy. Studies have also demonstrated that acupressure can shorten the time from extubation to "ready for discharge" from PACU. Acupressure can produce additive effects with minimal side effects and without potential for adverse drug reactions. <h3>Objectives of Project</h3> The objectives of the project include: (1) Provide education to nursing staff regarding the benefits of acupressure therapy for patients; (2) Educate nurses on the application of acupressure (3) Reduce patient's nausea by adding acupressure into treatment regimen <h3>Process of Implementation</h3> Six perioperative nurses designated as super-users, were instructed by a licensed acupressure provider on the utilization of acupressure for postoperative nausea and vomiting. Instruction was provided on the application of stimulation to specific points or defined pathways on the body (acupressure) that can relieve nausea. Educational sessions with the licensed acupressure provider were comprised of Zoom interactive web sessions, live in-person training, and evaluation of technique at patient bedside. Once deemed competent, the super-users provided acupressure for ambulatory PACU patients who were identified as being at high risk for PONV or for patients who were reported to be experiencing PONV. Super-users assessed severity of nausea before and after the implementation of acupressure to determine effectiveness by using the Edmonton scale. <h3>Statement of Successful Practice</h3> 45 out of 48 patients who received acupressure stated that "they felt less nauseous after acupressure". The evaluation of their Edmonton scores indicated that acupressure, along with nausea medications, reduced PONV. <h3>Implications for Advancing the Practice of Perianesthesia Nursing</h3> Acupressure is a non-invasive nursing intervention that provides a non-pharmacologic alternative in the treatment of PONV. Application of acupressure could be incorporated into new-hire orientation for perianesthesia nurses, in education for the treatment of PONV. Utilization of acupressure could decrease the use of pharmacologic therapy, reduce the postoperative complications, and ultimately improve patient outcomes.

MO780: Effect of Acupressure Applied to Li4 Point on Fistula Needle Pain Intensity in Haemodialysis Patients

Abstract BACKGROUND AND AIMS Arteriovenous fistula (AVF) is the most reliable method for vascular access, which is vital for haemodialysis patients. To perform haemodialysis therapy, AVF cannulation is by puncture with thick needles three to four times a week. Patients usually feel pain while a needle is inserted into the fistula [1]. This acute pain can be relieved by acupressure, which is a non-pharmacological application method. It is stated in the literature that acupressure is especially effective in acute pain management. This study was designed to evaluate the effect of acupressure application to the LI4 point on the severity of acute pain caused by fistula needle insertion in patients with antecubital arteriovenous fistula [2–3]. METHOD This study was conducted as a randomized controlled experimental study in a total of 64 patients who received haemodialysis treatment between 15 November 2021 and 5 January 2022 in the Dialysis Centre of a foundation university in Turkey. Inclusion criteria for the study; have an antecubital fistula; ≥18 years; can speak Turkish, not using analgesics in the last 6 h; no extremity pain; no bleeding or coagulation problems and volunteering to participate in the study. In the study, data were collected using the patient identification form and the Visual Analogue Scale (VAS) for measuring the pain intensity of the individual. In the experimental group, in the first dialysis session of the week, a needle was inserted into the patient's arteriovenous fistula by the nurse, and the pain intensity was measured with VAS. In the second and third sessions of the same week, finger acupressure was applied for 3 min before the fistula needle insertion and the patient's pain intensity was evaluated with VAS after needle insertion. Fistula needle insertion was performed by the same nurse in all patients. Descriptive statistics, including mean, standard deviation, frequency distribution; Wilcoxon, Mann–Whitney U and Friedman test were used. P &amp;lt; 0.05 was considered as significant level. RESULTS In this study, data were found to be similar in terms of age, gender, education level, duration of dialysis treatment and VAS mean score. While there was no decrease in the severity of acute pain during fistula needle insertion of the patients in the control group, there was a significant decrease in the mean acute pain severity scores experienced by the patients in the experimental group, whose LI4 point acupressure was applied during fistula needle insertion (P &amp;lt; 0.05) (Table). CONCLUSION The results of this study support the effectiveness of LI 4 acupressure point can be conducted as an effective and low-cost way to reduce the acute pain of needle insertion in fistulas in dialysis patients. In addition, the results provide a practical reference to acute pain management for dialysis nurses.

Effect of Acupressure Applied After Cesarean Section Under Spinal Anesthesia Postpone the Duration of Taking Analgesics and on The Gastrointestinal System: A Randomized Controlled Trial

ObjectivesCesarean deliveries are one of the primary conditions associated with postoperative decreased motility of the gastrointestinal system and are characterized by acute pain and distention. The aim of the present study was to investigate the application of acupressure and the administration of analgesics for women who underwent cesarean section under spinal anesthesia could be delayed and how spontaneous gastrointestinal system motility could be achieved in the postoperative period. DesignRandomized controlled trial SettingPrivate Medipol Nisa Hospital, Istanbul, Turkey InterventionThis trial was conducted with 112 primipara pregnant women who delivered via cesarean section under spinal anesthesia and were randomly assigned into the acupressure (n=52) and control (n=60) groups. The participants in the acupressure group (n=52) were treated for 20 minutes. The participants in the control group (n=60) were treated per the hospital protocol (analgesics for pain, flatulation and defecation, no pharmacological or non-pharmacological application was performed). ResultsThe time that elapsed for the administration of analgesics was significantly later in the acupressure group than in the control group (p <.001). The first occurrence of flatulation and defecation were significantly earlier in the acupressure group (19 and 23 hours, respectively) than in the control group (34 and 27 hours, respectively) (p <.001). ConclusionAcupressure is an easy, non-invasive method that postpones the administration of analgesics in the postoperative period and prevents flatulence and constipation caused by the decreased motility of GIS.

Effect of the Timing of Acupressure Application to P6 on Postoperative Nausea and Vomiting in Laparoscopic Cholecystectomy

Effect of the Timing of Acupressure Application to P6 on Postoperative Nausea and Vomiting in Laparoscopic Cholecystectomy

Клинические и патогенетические аспекты применения акупрессуры в комплексной реабилитации пациентов с хроническим панкреатитом в сочетании с сахарным диабетом 2 типа

Актуальность. В комплексном лечении и реабилитации пациентов с наиболее распространенными заболеваниями с успехом используют различные методы рефлексотерапии (РТ). Среди них достойное место занимает акупрессура (АП) — массаж, выполняемый методом надавливания подушечками пальцев в зонах биологически активных точек с помощью общепринятых приемов. Существуют отдельные публикации, посвященные положительным результатам применения РТ при хроническом панкреатите (ХП) и сахарном диабете (СД) 2 типа, однако они требуют дальнейшей разработки и доказательности. Цель исследования: изучить эффективность комплексной реабилитации больных хроническим панкреатитом с сопутствующим сахарным диабетом с включением в нее курса акупрессуры в сочетании с питьевыми минеральными водами (ПМВ) Сходницкого месторождения по влиянию на клиническое течение, параметры эндогенной интоксикации и состояние про- и антиоксидантного статуса. Материалы и методы. Обследовано 53 пациента с ХП и сопутствующим СД. Средний возраст пациентов составил (52,86 ± 0,83) года; средняя продолжительность заболевания — (10,96 ± 0,39) года. Больных разделили на две группы в зависимости от комплексов реабилитационного лечения. Первая группа (30 больных) получала комбинацию общепринятого лечения по протоколу (ОЛ) с включением адеметионина (сублингвальные таблетки агепта по 400 мг) в течение одного месяца и курса питьевых минеральных вод по предложенной методике (ОЛ + ПМВ). Вторая группа (23 пациента) дополнительно к ОЛ + ПМВ получала курс АП по разработанной авторами схеме на основе рекомендаций киевской (Мачерет Е.Л. и др.) и пекинской школ РТ (Конг Лин) из 11 сеансов (ОЛ + ПМВ + АП). Результаты. Улучшение самочувствия пациентов и уменьшение интенсивности симптомов и синдромов ХП у пациентов под влиянием реабилитационных программ констатировали в обеих группах на основе анализа количества пациентов с имеющимися клиническими признаками в динамике лечения и по данным тестирования по специальному опроснику GSRS. Высокая эффективность предложенной программы с акупрессурой доказана по уменьшению количества пациентов с болевым синдромом на 50 % в I группе и на 68,97 % — во второй; по динамике возрастания суммарного показателя качества жизни по опроснику GSRS — соответственно в 1,7 и 2,2 раза (p &lt; 0,001); по динамике снижения индекса эндотоксикоза — на 31,61 и 53,40 % соответственно (p &lt; 0,001); по динамике роста уровня антиоксидантной системы защиты глутатиона (SH-групп) — на19,45 и 36,08 % (p &lt; 0,001). Выводы. Включение курса акупрессуры по предложенной схеме из 11 сеансов в программу месячной комплексной реабилитации с применением гепатотропного сублингвального препарата адеметионина и курса питьевых минеральных вод Сходницкого месторождения в течение 14 дней при хроническом панкреатите в коморбидности с сахарным диабетом 2 типа привело к более высокому уровню эффективности. Это доказало целесообразность использования курса акупрессуры в реабилитации таких пациентов.

The Effect of Acupressure on Clinical Stress Management in Nursing Students: A Randomised Controlled Study.

Nursing students experience clinical stress frequently and severely. The application of acupressure is reported to be effective in stress management. This study was conducted to determine the effects of acupressure on reducing the stress of nursing students in clinical practice. This study was carried out using a single-blind randomized controlled experimental design. The experimental and control groups were randomly determined by using a previously prepared randomization checklist. A Participant Information Form, VAS, and the State Anxiety Inventory were applied to all students before practice. Acupressure was performed on the HT7 point and Yintang point (EX-HN3), respectively, every five minutes for a total of 30 minutes in the experimental group. The level of stress experienced by the students in the experimental group before the intervention according to VAS was 6.95 ± 1.57, and it was determined as 2.82 ± 1.94 after the third application (p < 0.05). The mean clinical stress score before the application was 46.54 ± 3.81, and after the 3rd week of application, it was 25.15 ± 5.26 (p < 0.05). It was observed that the students' stress levels decreased in all measurements made after the acupressure intervention. This study determined that acupressure effectively reduces the stress levels of nursing students, and it may be applied in clinical stress management.

Application of Acupressure in Reducing Pruritus Scale in Hemodialysis Patients

Pruritus is a common problem in patients with chronic kidney disease who undergo dialysis. It is characterized by an uncomfortable sensation that leads to scratching. Acupressure is a complementary method used to manage various symptoms and health problems, including pruritus. This study aims to identify the effect of acupressure at the LI-11 point in reducing pruritus in a hemodialysis patient. This study used pre-experimental research with pre- and post-test without control. This study occurs in a hemodialysis unit in Central Jakarta, Indonesia. The sample was comprised of 19 respondents in the hemodialysis unit who met the inclusion criteria and completed the study. Respondents received acupressure in the LI-11 point two times per week for four weeks for a total of eight sessions. Data were collected using individual characteristics questionnaire, pruritus characteristics, and Visual Analog Scale (VAS) for pruritus. The data analysis used was a dependent t-test. The majority of respondents were male with duration of hemodialysis 5 hours, mean of age 53 years, mean of length of HD is 53 months, mean of Hb level is 9.67 gr/dl, mean of urea level is 117.05 mg/dl, mean of creatinine is 10.26 mg/dl. The results indicate that acupressure has a significant effect in reducing of pruritus scale (p-value 0,000). This study recommends nurses to be able to use acupressure therapy to reduce the scale of pruritus experienced by hemodialysis patients.&#x0D; &#x0D; Keywords: acupressure, pruritus, hemodialysis

The effect on gastrointestinal system functions, pain and anxiety of acupressure applied following laparoscopic cholecystectomy operation: A randomised, placebo-controlled study

The aim of this randomised, placebo-controlled, 3-way blinded study was to determine the effect on GIS symptoms, pain and anxiety of acupressure applied for a total of 12 min, as 3 min at each of the ST25, CV12, TH6, and HT7 acupuncture points, at 0, 4 and 8 h after laparoscopic cholecystectomy operation. The research data were collected using a patient data collection form, the Numeric Pain Intensity Scale and the State-Trait Anxiety Inventory. The patients were evaluated in respect of the time to first flatus and defecation, pain and the State-Trait Anxiety points at 0, 4, and 8 h postoperatively. The application of acupressure was determined to have signficantly reduced acute postoperative pain and shortened the time to defecation (p < 0.05). The application of acupressure can be recommended in the nursing interventions following laparoscopic cholecystectomy to reduce acute pain and shorten the time to defecation.

Effect of Vitamin B6 and Acupressure on Vomiting Symptoms in Pregnant Women with Hyperemesis Gravidarum

Introduction: Hyperemesis Gravidarum (HG) is a common early pregnancy syndrome that usually occurs around 6 weeks of pregnancy. The patient may cause dehydration, electrolyte metabolism disorders and abnormal fat metabolism, causing increased risk of pregnancy-induced. Objective: The effects of vitamin B and acupressure application combined with psychological adjuvant therapy on vomiting symptoms and mental health in pregnant women with severe vomiting. Methods: Study Type: Randomized Control Trial Duration of Study: Twelve Months from January 2019 to December 2019 Sampling Technique: The data has been collected from the subject index coming to the gynecology OPD of Gulab Devi Teaching Hospital, Lahore, Pakistan. Control group: aged 20 to 37 years, with an average of (26.12±2.44) years; 8 to 17 weeks of gestation, with an average of (9.18±1.77) weeks. Sample Selection Inclusion Criteria: All persons who have 1) meet the diagnostic criteria for HG; 2) 20 to 40 years of age; 3) both signed informed consent. Exclusion Criteria: vomiting caused by medical diseases such as hydatidiform mole, gastrointestinal disease, viral hepatitis, cholecystitis. This study was approved by the Medical Ethics Committee of Gulab Devi Teaching hospital. Pregnant women who were enrolled were divided into control group and experimental group according to the random number table method, with 48 cases in each group. Study Tools: Questionnaire and Interview Sample size (n)=96. Results: After 7 days of treatment the effective percentage rate in the experimental group was higher as compare to the control group in terms of clinical efficacy, SAS and SDS scores, antiemetic and hospitalization time and cost was much lower and within limits in the experimental group as compare to control group. Discussion: In addition to physiological treatment such as fluid replacement, psychological treatment should not be ignored. Conclusion: vitamin B6 and acupressure application combined with psychological adjunctive treatment of HG had a significant effect and could significantly relieve pregnant women Anxiety, depression and promote the recovery of pregnant women.

Application of Acupressure in Midwifery; a Narrative Review Study

Application of Acupressure in Midwifery; a Narrative Review Study