Comparing the Effect of Acupressure and Foot Reflexology on Anxiety and Depression in Hemodialysis Patients: A Clinical Trial

Abstract

Background: Depression and anxiety are common problems with multiple complications in hemodialysis patients. Objectives: This study aimed to compare the effect of acupressure and reflexology on anxiety and depression in hemodialysis patients. Methods: A clinical trial was carried out on 60 patients who had referred to the Special Patients Clinic, Zabol, between January and March 2017. Patients were randomly divided into three groups, acupressure group (n = 20), reflexology group (n = 20), and control group(n=20). DatacollectiontoolsincludedtheSpielbergerState-Traitanxietyinventory(STAI)andtheBeckdepressioninventory-II (BDI-II). Data were analyzed in SPSS-19 using descriptive and analytical statistics. Results: Before the intervention, there was no significant difference between the three groups in terms of depression (P = 0.051) andanxiety(P=0.11). Thecomparisonof themeanscoresof depressionandanxietybetweenthethreegroupsaftertheintervention revealed a significant difference between the three groups in terms of both variables (P < 0.001). Statistical analysis indicated that thedepressionandanxietyscoresdifferedsignificantlyaftertheinterventionbetweenthetwoexperimentalgroupsandthecontrol group (P < 0.001). Conclusions: The results demonstrated that acupressure and reflexology could have positive impacts on mitigating the patients’ depressionandanxiety. Thankstotheeaseof application,thesemethodscanbeusedbynursestoreduceanxietyanddepressionin patients undergoing hemodialysis.