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KMID : 0388320240310010069
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Journal of Korean Academy of Fundamental Nursing
2024 Volume.31 No. 1 p.69 ~ p.79
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The Effects of Auricular Acupressure on Pruritus, Skin Dryness, and Depression in Hemodialysis Patients
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Choi Eun-Young
Park Kyung-Sook
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Abstract
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Purpose: This study investigated the effects of auricular acupressure therapy on pruritus, skin dryness, anddepression in hemodialysis patients.
Methods: This was a randomized control group pre-post experimental study.
Fifty-four patients undergoing maintenance hemodialysis at a single center voluntarily participated in the study.
Twenty-seven participants were randomly assigned to the experimental group, to whom auricular acupressurewas applied to five designated acupoints (shenmen, heart, kidney, lung, and occiput) for 5 weeks. The controlgroup (n=27) received no intervention for the first 5 weeks, and the auricular acupressure intervention wasadministered due to ethical considerations after 5 weeks. Pruritus, pruritus-related sleep disturbance, anddepression were scored accordingly. Skin dryness was assessed by measuring transepidermal water loss (TEWL)and stratum corneum hydration (SCH) levels.
Results: Auricular acupressure therapy significantly reducedpruritus (z=-3.97, p<.001) and pruritus-related sleep disturbance (z=-2.97, p=.003) in the experimental group.
TEWL showed a significant reduction in the arm (z=-2.23, p=.026) and body (z=-1.97, p=.049) but not in the leg.
There were no differences in SCH levels and depression (z=-0.35, p=.721).
Conclusion: Auricular acupressuretherapy effectively alleviated pruritus and skin dryness. This study confirmed the safety and effectiveness ofauricular acupressure therapy as a viable intervention for pruritus in hemodialysis patients.
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KEYWORD
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Acupressure, Depression, l Hemodialysis, Pruritus
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