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Original Article

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

Youngmi Chun, Ph.D., APN1, Sangyoun Park, Ph.D., RN2
Korean Journal of Adult Nursing 2016;28(4):436-446.
Published online: August 31, 2016

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: June 5, 2016   • Revised: August 5, 2016   • Accepted: August 23, 2016

© 2016 Korean Society of Adult Nursing

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.

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  • 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.
  • Key Words: Acupressure; Ear; Pruritus; Fatigue; Renal dialysis

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

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Figure 1

Study design.

kjan-28-436-g001.jpg
Figure 2

Flowchart of the study.

kjan-28-436-g002.jpg
Table 1

Homogeneity Test (N=41)

kjan-28-436-i001.jpg

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.jpg

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.jpg

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

Figure & Data

References

    Citations

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    Effects of the Auricular Acupressure on Pruritus and Fatigue in Hemodialysis Patients
    Korean J Adult Nurs. 2016;28(4):436-446.   Published online August 31, 2016
    DOI: https://doi.org/10.7475/kjan.2016.28.4.436
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    Effects of the Auricular Acupressure on Pruritus and Fatigue in Hemodialysis Patients
    Korean J Adult Nurs. 2016;28(4):436-446.   Published online August 31, 2016
    DOI: https://doi.org/10.7475/kjan.2016.28.4.436
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    Figure

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    Effects of the Auricular Acupressure on Pruritus and Fatigue in Hemodialysis Patients
    Image Image
    Figure 1 Study design.
    Figure 2 Flowchart of the study.

    Figure 1

    Figure 2

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

    Homogeneity Test (N=41)

    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.

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

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

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

    Exp.=experimental group; Cont.=control group; G=group; t=time; G × t=group × time.
    Table 1 Homogeneity Test (N=41)

    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)

    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)

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

    Table 1

    Table 2

    Table 3

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