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E-ISSN : 2148-9696
Crescent Journal of
Medical and Biological Sciences
Jan 2020, Vol 7, Issue 1
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Original Article
The Effect of Acupressure on the Severity of Nausea During Hemodialysis
Mohammad Reza Asgari1, Fatemeh Asghari2, Ali Asghar Ghods1, Raheb Ghorbani3, Nahid Hoshmand Motlagh1
1Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran
2Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran
3Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran

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Keywords : Hemodialysis, Nausea, Acupressure
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Objectives: Most patients bearing chronic renal failure (CRF) in the end stage renal disease (ESRD) need hemodialysis to survive. Although there are many advanced hemodialysis equipment,  some of them still have complications. Nausea is general complicacy during hemodialysis, which leads to unsightly feeling. The study was conducted to investigate the effect of acupressure on the severity of nausea during hemodialysis.

Materials and Methods: This is a single-blind clinical trial, which was conducted on 60 patients in the dialysis wards of selected hospitals. The sampling method was easy, accessible and purposive. The order of interventions was selected randomly. The nausea severity was measured during hemodialysis in one group, in 3 different conditions of routine care, placebo administration, and acupressure. The Verbal Numerical Rating Scale was used to measure the nausea severity. To determine the difference in mean of nausea severity in different conditions, repeated measures ANOVA test was used and the post hoc test of Bonferroni was used for two by two comparisons in different conditions.

Results: The mean of nausea severity was 1.15±2.08 in the routine care; while it was 0.55±1.44 in placebo administration condition and 0.05±0.29 in acupressure. The findings of repeated measures ANOVA test represented a remarkable difference among the mean severity of nausea in different conditions (P<0.001, F=11.61). There was a significant difference between the mean of nausea severity in routine care comparing to the placebo administration (P=0.024) and acupressure (P<0.001). Besides, there was a significant difference between the mean of nausea severity in placebo administration and acupressure (P=0.030).

Conclusion: The results demonstrated that acupressure was effective in attenuating the severity of nausea during hemodialysis, so the use of acupressure can be suggested to reduce nausea during hemodialysis.


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