The Effects of Acupressure on Blood Pressure and Disease Related Symptoms In Individuals With Hypertension: An Experimental Study
Öz
Objective: Taking symptoms under control is important to calm the individual with hypertension and reduce complications. This study aimed to determine the effects of acupressure on blood pressure, fatigue, insomnia and headache in patients with hypertension.
Material and Method: The research was an experimental study. Research data were collected between August 2017 and July 2018. The research sample consisted of acupressure intervention groups and a control group with 40 patients in each group for a total of 80 patients. Acupressure applied to their intervention groups for a total of seven sessions of 20 min each over one week, once a day on seven days a week. Data were collected by means of a personal information form, fatigue severity scale, numeric pain scale and Pittsburgh sleep quality index.
Results: In comparison with the control group, a significant reduction was seen over time in the levels of blood pressure, fatigue, headache and insomnia in the acupressure intervention groups (p<0.05).
Conclusion: Acupressure interventions were found to effective in reducing levels of blood pressure, fatigue, insomnia and headache. It was seen that in addition to their use in routine nursing care acupressure treatments can be accepted as effective nursing interventions that reduce blood pressure, fatigue, insomnia and headache of patients with hypertension.
Anahtar Kelimeler
Acupressure blood pressure fatique ınsomnia head pain hypertension
Etik Beyan
Ethical approval was obtained from an ethics committee within the scope of the study (Date: 08.08.2017, Ethics committee no: 2017-8/4).
Destekleyen Kurum
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Proje Numarası
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Teşekkür
We would like to thank all of the patients who participated in the study.
Kaynakça
- Agargun MY, Kara H, Anlar O. (1996). The validity and reliability of the Pittsburgh Sleep Quality Index. Turk Psikiyatri Dergisi, 7(2), 107-115.
- Albulushi A, De Silva TD, Kashoub M, Tawfek A, Shams A, Al-Riyami A, et al. (2024). Expanding horizons in pulmonary hypertension management: A systematic review and meta-analysis of non-pharmacological interventions. Current Problems in Cardiology, 102825.
- Alinaghizadeh M, Hawkins J, Abbassian A, Ayati MH. (2021). Effect of Persian acupressure (Ghamz) on patients with knee osteoarthritis: A single-blinded parallel clinical trial. Pain Management Nursing, 22(6), 820-827.
- Armutlu K, Korkmaz NC, Keser I, Sumbuloglu V, Akbiyik DI, Guney Z,et al. (2007). The validity and reliability of the Fatigue Severity Scale in Turkish multiple sclerosis patients. International Journal of Rehabilitation Research, 30(1), 81-85.
- Aslan FE. (2002). Pain assessment methods. Cumhuriyet University Journal of Nursing, 6, 9-16.
- Behkam S.(2024). Exploring acupuncture and its effects on chronic headache and musculoskeletal pain: A comprehensive narrative review. International Journal of Musculoskeletal Pain Prevention, 9(2), 1012-1018.
- Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193-213.
- Cha HS, Park H.(2020). Effects of auricular acupressure on Korean children who are obese. Journal of Pediatric Nursing, 51, e57-e63. Chang KM, Romadlon DS, Pin-Yuan CHEN, Hasan F, Shu-Liu GUO, Hsiao-Yean CHIU. (2024). Effectiveness of acupressure for fatigue alleviation in patients receiving hemodialysis: a systematic review and meta-analysis of randomized controlled trials. Journal of Nursing Research, 32(3), e334.
- Cingolani OH. (2019). Cardiovascular risks and organ damage in secondary hypertension. Endocrinology and Metabolism Clinics, 48(4), 657-666.
- Çeçen S, Lafcı D. (2021). The effect of hand and foot massage on fatigue in hemodialysis patients: A randomized controlled trial. Complementary Therapies in Clinical Practice, 43, 101344.
- Dragoman M, Fofie C, Bergen S, Chavkin W. (2022). Integrating self-managed medication abortion with medical care. Contraception, 108, 1-3.
- Gao G, Chen Z, Yan G, Bao M. (2024). Impact of hypertensive heart disease, risk factors, and age-period-cohort models across 204 nations and regions from 1990 to 2019: A global perspective from the 2019 global burden of disease study. Frontiers in Cardiovascular Medicine, 11, 1417523.
- Hmwe NTT, Browne G, Mollart L, Allanson V, Chan SWC. (2020). Older people's perspectives on use of complementary and alternative medicine and acupressure: a qualitative study. Complementary Therapies in Clinical Practice, 39, 101163.
- Khanghah AG, Rizi MS, Nabi BN, Adib M, Leili EKN. (2019). Effects of acupressure on fatigue in patients with cancer who underwent chemotherapy. Journal of Acupuncture and Meridian Studies, 12(4), 103-110.
- Kim JH, Jung HJ, Kim TH, Lee S, Kim JE, Kang KW et al. (2013). Auricular acupuncture for prehypertension and stage 1 hypertension: study protocol for a pilot multicentre randomised controlled trial. Trials, 14, 1-7.
- Korelo RIG, Moreira NB, de Carvalho Miguel BA, da Cruz CDG, de Souza NSP, de Macedo RMB et al. (2022). Effects of Auriculotherapy on treatment of women with premenstrual syndrome symptoms: A randomized, placebo-controlled clinical trial. Complementary Therapies in Medicine, 66, 102816.
- Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. (1989). The fatigue severity scale: application to patients with multiple sclerosis and systemic lupus erythematosus. Archives of Neurology, 46(10), 1121-1123. Kucukkelepce DS, Unver H, Nacar G, Tashan ST. (2021). The effects of acupressure and yoga for coping with premenstrual syndromes on premenstrual symptoms and quality of life. Complementary Therapies in Clinical Practice, 42, 101282.
- Lin GH, Chang WC, Chen KJ, Tsai CC, Hu SY,Chen LL. (2016). Effectiveness of acupressure on the Taichong acupoint in lowering blood pressure in patients with hypertension: a randomized clinical trial. Evidence‐Based Complementary and Alternative Medicine, 2016(1), 1549658.
- Lu TT, Lu CC, Li MX, Ke LX, Cai H,Yang KH. (2022). Reporting and methodological quality of meta-analyses of acupuncture for patients with migraine: a methodological investigation with evidence map. Journal of Integrative Medicine, 20(3), 213-220.
- Mai Q, Li X, Yang D, Zhang X, Peng K, Hao Y. (2022). Effects of acupressure on cancer-related pain management: A systematic review and meta-analysis of randomized controlled trials. European Journal of Integrative Medicine, 51, 102120.
- Mc Grath ER, Espie CA, Power A, Murphy AW, Newell J, Kelly C, et al. (2017). Sleep to lower elevated blood pressure: a randomized controlled trial (SLEPT). American Journal of Hypertension, 30(3), 319-327.
- Mendoza JA, Lasco G, Renedo A, Palileo-Villanueva L, Seguin M, Palafox B et al. (2022). (De) constructing ‘therapeutic itineraries’ of hypertension care: A qualitative study in the Philippines. Social Science & Medicine, 300, 114570.
- Satapathy SP, Panda SK, Panda PC, Lakra K, Panda SC, Dhawan P et al. (2022). Association of tobacco with hypertension in adult females: Evidence from National Family Health Survey-IV for an aspirational Indian state. Clinical Epidemiology and Global Health, 15, 101061.
- Simoncini M, Gatti A, Quirico PE, Balla S, Capellero B, Obialero R,et al. (2015). Acupressure in insomnia and other sleep disorders in elderly institutionalized patients suffering from Alzheimer’s disease. Aging Clinical and Experimental Research, 27, 37-42.
- Sokunbi G, Takai IU, Nwosu IB, Balarabe R. (2020). Effects of acupressure and acupuncture-like transcutaneous electrical nerve stimulation on sleep quality among pregnant women. Journal of Acupuncture and Meridian Studies, 13(6), 180-186. Tan JYB, Wang T, Kirshbaum MN, Zhao I, Eliseeva S, Polotan MJ et al. (2021). Acupoint stimulation for cancer-related fatigue: A quantitative synthesis of randomised controlled trials. Complementary Therapies in Clinical Practice, 45, 101490.
- Waits A, Tang YR, Cheng HM, Tai CJ,Chien LY. (2018). Acupressure effect on sleep quality: a systematic review and meta-analysis. Sleep Medicine Reviews, 37, 24-34.
- Wang Z, Hu X, Su J, Gao X, Xu N, Xing Y et al. (2017). The efficacy and safety stimulating a single acu-point shenmen (HT 7) for managing insomnia: A systematic review of randomized controlled trials. European Journal of Integrative Medicine, 15, 17-22.
- Yeh ML, Chang YC, Huang YY, Lee TY. (2015). A randomized controlled trial of auricular acupressure in heart rate variability and quality of life for hypertension. Complementary Therapies in Medicine, 23(2), 200-209. Yeni K, Tulek Z, Terzi M. (2022). Effect of self-acupressure on fatigue in patients with multiple sclerosis. Complementary Therapies in Clinical Practice, 47, 101572.
- Yeung WF, Yu BYM, Chung KF, Zhang ZJ, Lao L, Ho FYY et al. (2022). Self-administered acupressure for insomnia disorder: a randomized controlled trial. Phytomedicine, 99, 153993.
- Yuniarsih SM, Hasanah N, Martani RW, Afifah U. (2024). The effect of self-acupressure on reducing blood pressure, headache and sleep quality disorders in hypertensive patients. International Journal of Islamic and Complementary Medicine, 5(2), 168-176.
- Zeng H, Liu M, Wang P, Kang J, Lu F, Pan L. (2016). The effects of acupressure training on sleep quality and cognitive function of older adults: a 1‐year randomized controlled trial. Research in Nursing & Health, 39(5), 328-336.
- Zhang Q, Bai C, Chen Z, Li P, Wang S, Gao H. (2019). Smart Chinese medicine for hypertension treatment with a deep learning model. Journal of Network and Computer Applications, 129, 1-8.
Akupresurun Hipertansiyonu Olan Bireylerde Kan Basıncı ve Hastalığa Bağlı Semptomlara Etkisi: Deneysel bir çalışma
Öz
Giriş: Semptomları kontrol altına almak hipertansiyonlu bireyi sakinleştirmek ve komplikasyonları azaltmak için önemlidir. Bu çalışma hipertansiyonlu hastalarda akupresürün kan basıncı, yorgunluk, uykusuzluk ve baş ağrısı üzerindeki etkilerini belirlemeyi amaçlamıştır.
Materyal ve Yöntem: Araştırma deneysel bir çalışmadır. Araştırma verileri Ağustos 2017 ile Temmuz 2018 arasında toplanmıştır. Araştırma örneklemi akupresür müdahale grupları ve her grupta 40 hasta olmak üzere toplam 80 hastadan oluşan bir kontrol grubundan oluşmuştur. Müdahale gruplarına akupresür, haftada yedi gün, günde bir kez olmak üzere bir hafta boyunca her biri 20 dakikalık toplam yedi seans uygulanmıştır. Veriler kişisel bilgi formu, yorgunluk şiddet ölçeği, sayısal ağrı ölçeği ve Pittsburgh uyku kalitesi indeksi aracılığıyla toplanmıştır.
Bulgular: Kontrol grubuyla karşılaştırıldığında, akupresür müdahale gruplarında kan basıncı, yorgunluk, baş ağrısı ve uykusuzluk seviyelerinde zamanla anlamlı bir azalma görülmüştür (p<0,05).
Sonuç: Akupresür müdahalelerinin kan basıncı, yorgunluk, uykusuzluk ve baş ağrısı seviyelerini azaltmada etkili olduğu bulundu. Rutin hemşirelik bakımında kullanılmasına ek olarak akupresür tedavilerinin hipertansiyonlu hastaların kan basıncını, yorgunluğunu, uykusuzluğunu ve baş ağrısını azaltan etkili hemşirelik müdahaleleri olarak kabul edilebileceği görüldü.
Anahtar Kelimeler
Akupresür kan basıncı yorgunluk uykusuzluk baş ağrısı hipertansiyon
Proje Numarası
-
Kaynakça
- Agargun MY, Kara H, Anlar O. (1996). The validity and reliability of the Pittsburgh Sleep Quality Index. Turk Psikiyatri Dergisi, 7(2), 107-115.
- Albulushi A, De Silva TD, Kashoub M, Tawfek A, Shams A, Al-Riyami A, et al. (2024). Expanding horizons in pulmonary hypertension management: A systematic review and meta-analysis of non-pharmacological interventions. Current Problems in Cardiology, 102825.
- Alinaghizadeh M, Hawkins J, Abbassian A, Ayati MH. (2021). Effect of Persian acupressure (Ghamz) on patients with knee osteoarthritis: A single-blinded parallel clinical trial. Pain Management Nursing, 22(6), 820-827.
- Armutlu K, Korkmaz NC, Keser I, Sumbuloglu V, Akbiyik DI, Guney Z,et al. (2007). The validity and reliability of the Fatigue Severity Scale in Turkish multiple sclerosis patients. International Journal of Rehabilitation Research, 30(1), 81-85.
- Aslan FE. (2002). Pain assessment methods. Cumhuriyet University Journal of Nursing, 6, 9-16.
- Behkam S.(2024). Exploring acupuncture and its effects on chronic headache and musculoskeletal pain: A comprehensive narrative review. International Journal of Musculoskeletal Pain Prevention, 9(2), 1012-1018.
- Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193-213.
- Cha HS, Park H.(2020). Effects of auricular acupressure on Korean children who are obese. Journal of Pediatric Nursing, 51, e57-e63. Chang KM, Romadlon DS, Pin-Yuan CHEN, Hasan F, Shu-Liu GUO, Hsiao-Yean CHIU. (2024). Effectiveness of acupressure for fatigue alleviation in patients receiving hemodialysis: a systematic review and meta-analysis of randomized controlled trials. Journal of Nursing Research, 32(3), e334.
- Cingolani OH. (2019). Cardiovascular risks and organ damage in secondary hypertension. Endocrinology and Metabolism Clinics, 48(4), 657-666.
- Çeçen S, Lafcı D. (2021). The effect of hand and foot massage on fatigue in hemodialysis patients: A randomized controlled trial. Complementary Therapies in Clinical Practice, 43, 101344.
- Dragoman M, Fofie C, Bergen S, Chavkin W. (2022). Integrating self-managed medication abortion with medical care. Contraception, 108, 1-3.
- Gao G, Chen Z, Yan G, Bao M. (2024). Impact of hypertensive heart disease, risk factors, and age-period-cohort models across 204 nations and regions from 1990 to 2019: A global perspective from the 2019 global burden of disease study. Frontiers in Cardiovascular Medicine, 11, 1417523.
- Hmwe NTT, Browne G, Mollart L, Allanson V, Chan SWC. (2020). Older people's perspectives on use of complementary and alternative medicine and acupressure: a qualitative study. Complementary Therapies in Clinical Practice, 39, 101163.
- Khanghah AG, Rizi MS, Nabi BN, Adib M, Leili EKN. (2019). Effects of acupressure on fatigue in patients with cancer who underwent chemotherapy. Journal of Acupuncture and Meridian Studies, 12(4), 103-110.
- Kim JH, Jung HJ, Kim TH, Lee S, Kim JE, Kang KW et al. (2013). Auricular acupuncture for prehypertension and stage 1 hypertension: study protocol for a pilot multicentre randomised controlled trial. Trials, 14, 1-7.
- Korelo RIG, Moreira NB, de Carvalho Miguel BA, da Cruz CDG, de Souza NSP, de Macedo RMB et al. (2022). Effects of Auriculotherapy on treatment of women with premenstrual syndrome symptoms: A randomized, placebo-controlled clinical trial. Complementary Therapies in Medicine, 66, 102816.
- Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. (1989). The fatigue severity scale: application to patients with multiple sclerosis and systemic lupus erythematosus. Archives of Neurology, 46(10), 1121-1123. Kucukkelepce DS, Unver H, Nacar G, Tashan ST. (2021). The effects of acupressure and yoga for coping with premenstrual syndromes on premenstrual symptoms and quality of life. Complementary Therapies in Clinical Practice, 42, 101282.
- Lin GH, Chang WC, Chen KJ, Tsai CC, Hu SY,Chen LL. (2016). Effectiveness of acupressure on the Taichong acupoint in lowering blood pressure in patients with hypertension: a randomized clinical trial. Evidence‐Based Complementary and Alternative Medicine, 2016(1), 1549658.
- Lu TT, Lu CC, Li MX, Ke LX, Cai H,Yang KH. (2022). Reporting and methodological quality of meta-analyses of acupuncture for patients with migraine: a methodological investigation with evidence map. Journal of Integrative Medicine, 20(3), 213-220.
- Mai Q, Li X, Yang D, Zhang X, Peng K, Hao Y. (2022). Effects of acupressure on cancer-related pain management: A systematic review and meta-analysis of randomized controlled trials. European Journal of Integrative Medicine, 51, 102120.
- Mc Grath ER, Espie CA, Power A, Murphy AW, Newell J, Kelly C, et al. (2017). Sleep to lower elevated blood pressure: a randomized controlled trial (SLEPT). American Journal of Hypertension, 30(3), 319-327.
- Mendoza JA, Lasco G, Renedo A, Palileo-Villanueva L, Seguin M, Palafox B et al. (2022). (De) constructing ‘therapeutic itineraries’ of hypertension care: A qualitative study in the Philippines. Social Science & Medicine, 300, 114570.
- Satapathy SP, Panda SK, Panda PC, Lakra K, Panda SC, Dhawan P et al. (2022). Association of tobacco with hypertension in adult females: Evidence from National Family Health Survey-IV for an aspirational Indian state. Clinical Epidemiology and Global Health, 15, 101061.
- Simoncini M, Gatti A, Quirico PE, Balla S, Capellero B, Obialero R,et al. (2015). Acupressure in insomnia and other sleep disorders in elderly institutionalized patients suffering from Alzheimer’s disease. Aging Clinical and Experimental Research, 27, 37-42.
- Sokunbi G, Takai IU, Nwosu IB, Balarabe R. (2020). Effects of acupressure and acupuncture-like transcutaneous electrical nerve stimulation on sleep quality among pregnant women. Journal of Acupuncture and Meridian Studies, 13(6), 180-186. Tan JYB, Wang T, Kirshbaum MN, Zhao I, Eliseeva S, Polotan MJ et al. (2021). Acupoint stimulation for cancer-related fatigue: A quantitative synthesis of randomised controlled trials. Complementary Therapies in Clinical Practice, 45, 101490.
- Waits A, Tang YR, Cheng HM, Tai CJ,Chien LY. (2018). Acupressure effect on sleep quality: a systematic review and meta-analysis. Sleep Medicine Reviews, 37, 24-34.
- Wang Z, Hu X, Su J, Gao X, Xu N, Xing Y et al. (2017). The efficacy and safety stimulating a single acu-point shenmen (HT 7) for managing insomnia: A systematic review of randomized controlled trials. European Journal of Integrative Medicine, 15, 17-22.
- Yeh ML, Chang YC, Huang YY, Lee TY. (2015). A randomized controlled trial of auricular acupressure in heart rate variability and quality of life for hypertension. Complementary Therapies in Medicine, 23(2), 200-209. Yeni K, Tulek Z, Terzi M. (2022). Effect of self-acupressure on fatigue in patients with multiple sclerosis. Complementary Therapies in Clinical Practice, 47, 101572.
- Yeung WF, Yu BYM, Chung KF, Zhang ZJ, Lao L, Ho FYY et al. (2022). Self-administered acupressure for insomnia disorder: a randomized controlled trial. Phytomedicine, 99, 153993.
- Yuniarsih SM, Hasanah N, Martani RW, Afifah U. (2024). The effect of self-acupressure on reducing blood pressure, headache and sleep quality disorders in hypertensive patients. International Journal of Islamic and Complementary Medicine, 5(2), 168-176.
- Zeng H, Liu M, Wang P, Kang J, Lu F, Pan L. (2016). The effects of acupressure training on sleep quality and cognitive function of older adults: a 1‐year randomized controlled trial. Research in Nursing & Health, 39(5), 328-336.
- Zhang Q, Bai C, Chen Z, Li P, Wang S, Gao H. (2019). Smart Chinese medicine for hypertension treatment with a deep learning model. Journal of Network and Computer Applications, 129, 1-8.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Hizmetleri ve Sistemleri (Diğer) |
| Bölüm | Orijinal Araştırma Makaleleri |
| Yazarlar | |
| Proje Numarası | - |
| Erken Görünüm Tarihi | 29 Nisan 2025 |
| Yayımlanma Tarihi | 30 Nisan 2025 |
| Gönderilme Tarihi | 7 Ocak 2025 |
| Kabul Tarihi | 18 Mart 2025 |
| Yayımlandığı Sayı | Yıl 2025 |
Van Health Sciences Journal (Van Sağlık Bilimleri Dergisi) başlıklı eser bu Creative Commons Atıf-Gayri Ticari 4.0 Uluslararası Lisansı ile lisanslanmıştır.
