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Chun and Park: Effects of the Auricular Acupressure on Pruritus and Fatigue in Hemodialysis Patients
Original Article

Korean Journal of Adult Nursing 2016; 28(4): 436-446.

Published online: 31 August 2016

DOI: https://doi.org/10.7475/kjan.2016.28.4.436

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

Youngmi Chun, Ph.D., APN1, Sangyoun Park, Ph.D., RN2

1Assistant Professor, College of Nursing, Taegu Science University, Daegu, Korea.

2An Emeritus Professor, College of Nursing, Kyungpook National University, Daegu, Korea.

Corresponding author: Chun, Youngmi. College of Nursing, Taegu Science University, 47 Youngsong-ro, Buk-gu, Daegu 41453, Korea. Tel: +82-53-320-1064, Fax: +82-53-320-1761, jerry1032@hanmail.net

Received 5 June 2016       Revised 5 August 2016       Accepted 23 August 2016

© 2016 Korean Society of Adult Nursing

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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

Figures and Tables

Figure 1

Study design.

kjan-28-436-g001
Figure 2

Flowchart of the study.

kjan-28-436-g002
Table 1

Homogeneity Test (N=41)

kjan-28-436-i001

Exp.=experimental group; Cont.=control group; HTN=hypertension; DM=diabetes mellitus; Kt/V=clearance[mL/min]×dialysis time[min]/volume of distribution[L]; †Body weight increased more than 1kg between hemodialysis; ‡Fisher's exact probability test.

Table 2

Comparison of Pruritus between Experimental Group and Control Group (N=41)

kjan-28-436-i002

Exp.=experimental group; Cont.=control group; G=group; t=time; G × t=group × time.

Table 3

Comparison of Fatigue between Experimental Group and Control Group (N=41)

kjan-28-436-i003

Exp.=experimental group; Cont.=control group; G=group; t=time; G × t=group × time.

Notes

The manuscript is a revision of the first author's doctoral dissertation from Kyungpook National University.

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