Effect of acupressure applied to hemodialysis patients on fatigue: a systematic review and meta-analysis

IF 1.9 4区医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE

Explore-The Journal of Science and Healing Pub Date : 2025-05-21 DOI:10.1016/j.explore.2025.103193

Derya Tülüce , Zehra Bayram , Songül Karadağ

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引用次数: 0

Abstract

Objective

This study aimed to assess the effect of acupressure application to hemodialysis patients on fatigue and to provide guidance to future studies.

Methods

Between 2004 and May 2022, the PubMed, EBSCO (Medline, CINAHL), EMBASE (OVID) Web of Science, Türkiye Clinics (Turkey citation index), and TR Index were searched considering the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. It included randomized and non-randomized controlled trials. It also covered meta-analysis-related studies in Turkish and English and evaluated them based on the Joanna Briggs Institute checklist. The study used ('hemodialysis' OR 'dialysis' OR 'renal dialysis') AND ('fatigue' OR 'tiredness' OR 'weariness' OR 'exhaustion') AND ('acupressure') as the keywords and utilized RewMan5 and CMA programs for analysis. Heterogeneity was expressed through I² and Q statistics. Random effect model was used, and Kendall’s Tau were used for publication bias.

Results

The meta-analysis that covered five (5) research articles published between 2004 and 2022 consisted of 475 study samples (intervention: control: placebo). Two independent researchers evaluated the full texts of these articles for quality purposes. Considering the hemodialysis patients, there was no significant difference between their average scores in studies that utilized the fatigue VAS scale (Z = 1.28; 95 % CI = –1.69, 0.36; p = 0.20), whereas there was a positive change in average PFS scores of the acupressure applied group in studies that performed the Piper Fatigue Scale (PFS) (Z = 3.58; 95 % CI = –1.15, –0.34; p = 0.0003).

Conclusion

The systematic review and meta-analysis concluded that the acupressure applied to hemodialysis patients revealed an effective outcome on fatigue.

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穴位按压对血液透析患者疲劳的影响：系统回顾和荟萃分析

目的探讨穴位按压对血液透析患者疲劳的影响，为后续研究提供指导。方法选取2004年至2022年5月PubMed、EBSCO （Medline， CINAHL）、EMBASE (OVID) Web of Science、t rkiye Clinics（土耳其引文索引）和TR index，根据系统评价和meta分析清单的首选报告项目进行检索。它包括随机和非随机对照试验。它还涵盖了土耳其语和英语的元分析相关研究，并根据乔安娜布里格斯研究所的清单对它们进行了评估。本研究使用（“血液透析”或“透析”或“肾透析”）、（“疲劳”或“疲劳”或“疲倦”或“疲劳”或“疲劳”）和（“穴位按压”）作为关键词，并利用RewMan5和CMA程序进行分析。异质性通过I2和Q统计量表示。采用随机效应模型，发表偏倚采用Kendall’s Tau。荟萃分析涵盖了2004年至2022年间发表的5篇研究论文，包括475个研究样本（干预：对照组：安慰剂）。两位独立研究人员对这些文章的全文进行了质量评估。考虑到血液透析患者，使用疲劳VAS量表的研究中，他们的平均得分没有显著差异(Z = 1.28；95% ci = -1.69, 0.36；p = 0.20)，而在进行Piper疲劳量表（PFS）的研究中，穴位按压组的平均PFS评分有正变化(Z = 3.58；95% ci = -1.15, -0.34；P = 0.0003)。结论系统评价和荟萃分析表明，穴位按压对血液透析患者疲劳有较好的治疗效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Explore-The Journal of Science and Healing 医学-全科医学与补充医学

CiteScore

3.00

自引率

8.30%

发文量

179

审稿时长

25 days

期刊介绍： EXPLORE: The Journal of Science & Healing addresses the scientific principles behind, and applications of, evidence-based healing practices from a wide variety of sources, including conventional, alternative, and cross-cultural medicine. It is an interdisciplinary journal that explores the healing arts, consciousness, spirituality, eco-environmental issues, and basic science as all these fields relate to health.