Tsay Shiow-Luan, Chen Mei-Li
Graduate Institute of Nursing, National Taipei College of Nursing, 365 Ming Te Road, Pei-Tou, Taipei, Taiwan, ROC.
Int J Nurs Stud. 2003 Jan;40(1):1-7. doi: 10.1016/s0020-7489(02)00019-6.
The purpose of the study is to test the effectiveness of acupressure on sleep quality of end-stage renal disease patients. The study was a randomized controlled trial; qualified patients in the dialysis centers of four major hospitals were randomly assigned into an acupressure group, a sham acupressure group, and a control group. A total of 98 participants were included in the study. The main outcomes measured were the Pittsburgh sleep quality index (PSQI) and the sleep log. Data were collected at pretreatment and following treatment. Primary statistical analysis was by means of Analysis of Covariance, the Kruskal-Wallis Test and repeated measure ANOVA. The results indicated that PSQI scores of the acupressure group have a significantly greater improvement (p < 0.01) than the control group. However, there were no differences between the acupressure group and the sham group or the sham group and the control group (p > 0.05). Subscales of PSQI were further analyzed. Results demonstrated significant differences between the acupressure group and the control group in subjective sleep quality (p = 0.009), sleep duration (p = 0.004), habitual sleep efficiency (p = 0.001), and sleep sufficiency (p = 0.004). Significant differences in the subscale of subjective sleep quality (p = 0.003) between the sham acupressure group and the control group were also observed. Sleep log data showed that the acupressure group significantly decreased awake time and improved quality of sleep over time more than the control group (p < 0.01). The improvement could be seen as soon as the acupoints massage was implemented, and it was maintained through the post intervention.
本研究的目的是测试穴位按压对终末期肾病患者睡眠质量的有效性。该研究为随机对照试验；四大医院透析中心的合格患者被随机分为穴位按压组、假穴位按压组和对照组。共有98名参与者纳入研究。主要测量指标为匹兹堡睡眠质量指数（PSQI）和睡眠日志。在治疗前和治疗后收集数据。主要统计分析采用协方差分析、Kruskal-Wallis检验和重复测量方差分析。结果表明，穴位按压组的PSQI评分改善程度显著高于对照组（p<0.01）。然而，穴位按压组与假穴位按压组之间以及假穴位按压组与对照组之间无差异（p>0.05）。对PSQI的子量表进行了进一步分析。结果显示，穴位按压组与对照组在主观睡眠质量（p = 0.009）、睡眠时间（p = 0.004）、习惯性睡眠效率（p = 0.001）和睡眠充足度（p = 0.004）方面存在显著差异。假穴位按压组与对照组在主观睡眠质量子量表上也存在显著差异（p = 0.003）。睡眠日志数据显示，与对照组相比，穴位按压组随时间推移显著减少了清醒时间并改善了睡眠质量（p<0.01）。穴位按摩实施后即可看到改善效果，并在干预后持续存在。
