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The Effects of Auricular Acupressure on Pruritus, Skin Dryness, and Depression in Hemodialysis Patients
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이압요법이 혈액투석 환자의 소양증, 피부건조 및 우울에 미치는 효과

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Type
Academic journal
Author
Choi, Eunyoung (의정부 을지대학교병원) Park, Kyungsook (중앙대학교)
Journal
Korean Academy of Fundamentals of Nursing Journal of the Korean Academy of Fundamentals of Nursing Vol.31 No.1 KCI Excellent Accredited Journal SCOPUS
Published
2024.2
Pages
69 - 79 (11page)

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The Effects of Auricular Acupressure on Pruritus, Skin Dryness, and Depression in Hemodialysis Patients
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Purpose: This study investigated the effects of auricular acupressure therapy on pruritus, skin dryness, and depression in hemodialysis patients. Methods: This was a randomized control group pre-post experimental study. Fifty-four patients undergoing maintenance hemodialysis at a single center voluntarily participated in the study. Twenty-seven participants were randomly assigned to the experimental group, to whom auricular acupressure was applied to five designated acupoints (shenmen, heart, kidney, lung, and occiput) for 5 weeks. The control group (n=27) received no intervention for the first 5 weeks, and the auricular acupressure intervention was administered due to ethical considerations after 5 weeks. Pruritus, pruritus-related sleep disturbance, and depression were scored accordingly. Skin dryness was assessed by measuring transepidermal water loss (TEWL) and stratum corneum hydration (SCH) levels. Results: Auricular acupressure therapy significantly reduced pruritus (z=-3.97, p<.001) and pruritus-related sleep disturbance (z=-2.97, p=.003) in the experimental group. TEWL showed a significant reduction in the arm (z=-2.23, p=.026) and body (z=-1.97, p=.049) but not in the leg. There were no differences in SCH levels and depression (z=-0.35, p=.721). Conclusion: Auricular acupressure therapy effectively alleviated pruritus and skin dryness. This study confirmed the safety and effectiveness of auricular acupressure therapy as a viable intervention for pruritus in hemodialysis patients.

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