TY - JOUR
T1 - Effects of Acupressure on Sleep Quality and Psychological Distress in Nursing Home Residents
T2 - A Randomized Controlled Trial
AU - Chen, I. Hui
AU - Yeh, Tzu Pei
AU - Yeh, Yueh Chen
AU - Chi, Mei Ju
AU - Chen, Mei Wen
AU - Chou, Kuei Ru
AU - Lien, Yin Yi
AU - Yuan, Chih Fen
N1 - Publisher Copyright:
© 2019 AMDA – The Society for Post-Acute and Long-Term Care Medicine
PY - 2019/7/1
Y1 - 2019/7/1
N2 - Objective: To compare the efficacy of acupressure with sham acupressure in older-adult nursing home residents presenting with poor sleep quality and psychological distress. Design: Prospective, randomized, double-blind, sham-controlled trial. Setting and participants: Sixty-two nursing home residents with poor sleep quality and psychological distress participated in this study. Participants were randomly assigned to an experimental group (n = 31) receiving acupressure at true acupoints (Baihui, Juque, Neiguan, Tianzhu, and Yongchung) or control group (n = 31) receiving acupressure at sham points. All participants received 20 minutes of acupressure before sleeping 3 times a week for 8 weeks. All participants were blinded to group allocation. Measures: Sleep quality and psychological distress were measured using the Pittsburgh Sleep Quality Index and the Kessler Psychological Distress scale, respectively. Both groups' outcomes were assessed by assessors blinded to group allocation at the baseline, the end of the intervention, and 1 month after the intervention. Results: The experimental group demonstrated significantly more improvement in sleep quality than did the control group at the end of the intervention (10.5 vs 13.3) and 1 month after the intervention (8.3 vs 14.2; both P ≤.001). Moreover, the experimental group had lower psychological distress levels than did the control group at 1 month after the intervention (14.6 vs 17.9, P =.05). Furthermore, significant differences in mean sleep quality (F = 60.8, P <.001) and psychological distress (F = 24.6, P <.001) were observed in the experimental group between the measurements at baseline and after the intervention. Conclusions: Acupressure at true acupoints improves sleep quality, reduces psychological distress, and provides more clinically beneficial effects compared with that at sham points. Future studies should examine whether these effects are maintained in the long term.
AB - Objective: To compare the efficacy of acupressure with sham acupressure in older-adult nursing home residents presenting with poor sleep quality and psychological distress. Design: Prospective, randomized, double-blind, sham-controlled trial. Setting and participants: Sixty-two nursing home residents with poor sleep quality and psychological distress participated in this study. Participants were randomly assigned to an experimental group (n = 31) receiving acupressure at true acupoints (Baihui, Juque, Neiguan, Tianzhu, and Yongchung) or control group (n = 31) receiving acupressure at sham points. All participants received 20 minutes of acupressure before sleeping 3 times a week for 8 weeks. All participants were blinded to group allocation. Measures: Sleep quality and psychological distress were measured using the Pittsburgh Sleep Quality Index and the Kessler Psychological Distress scale, respectively. Both groups' outcomes were assessed by assessors blinded to group allocation at the baseline, the end of the intervention, and 1 month after the intervention. Results: The experimental group demonstrated significantly more improvement in sleep quality than did the control group at the end of the intervention (10.5 vs 13.3) and 1 month after the intervention (8.3 vs 14.2; both P ≤.001). Moreover, the experimental group had lower psychological distress levels than did the control group at 1 month after the intervention (14.6 vs 17.9, P =.05). Furthermore, significant differences in mean sleep quality (F = 60.8, P <.001) and psychological distress (F = 24.6, P <.001) were observed in the experimental group between the measurements at baseline and after the intervention. Conclusions: Acupressure at true acupoints improves sleep quality, reduces psychological distress, and provides more clinically beneficial effects compared with that at sham points. Future studies should examine whether these effects are maintained in the long term.
KW - Alternative therapy
KW - older adults
KW - psychological distress
KW - residential facilities
KW - sleep quality
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U2 - 10.1016/j.jamda.2019.01.003
DO - 10.1016/j.jamda.2019.01.003
M3 - Article
AN - SCOPUS:85061726567
SN - 1525-8610
VL - 20
SP - 822
EP - 829
JO - Journal of the American Medical Directors Association
JF - Journal of the American Medical Directors Association
IS - 7
ER -
