Chronic kidney disease. Glomerular Filtration Rate (GFR) < 60 ml/min/1.73m² or presence of kidney damage that is present for more than 3 months. Evidence of kidney damage can include structural abnormalities (imaging or histology), albuminuria above normal limits, urinary sedime
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Participants aged between 18 and 65 years Written informed consent obtained prior to enrollment in the study Patients undergoing maintenance hemodialysis who have experienced symptoms of thirst during the past month Regular hemodialysis schedule, defined as three sessions per week No previous exposure to acupressure or other complementary therapies such as acupuncture Absence of any acute or chronic medical condition that may contraindicate the application of acupressure (e.g., advanced heart failure, soft tissue or vascular disorders of the limbs, or sensory–neurological impairments in the target areas) No active dermatological issues at the intended pressure sites, including wounds, inflammation, or rash No history of acupressure or acupuncture within the preceding three months Not currently taking medications known to affect salivation or thirst (e.g., tricyclic antidepressants, anticholinergics, antihistamines, or beta-blockers) No recent history of surgery or infection in the limbs Intact cognitive function, full consciousness, and the ability to understand and follow verbal instructions
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Thirst. Timepoint: Before the start of the intervention, the participants’ level of thirst will be assessed using two instruments: the Visual Analog Scale (VAS) and the Dialysis Thirst Inventory (DTI).In this study, acupressure will be applied in both the intervention and sham groups once daily (either in the morning or in the evening) for a duration of 2.5 minutes per point, over a period of four consecutive weeks.The researcher will evaluate the participants’ thirst level at the end of each dialysis session using the VAS, and at the end of each week using the DTI, in both the intervention and sham groups. Method of measurement: using two instruments: the Visual Analog Scale and the Dialysis Thirst Inventory. | — |
Countries
Iran (Islamic Republic of)
Contacts
Mashhad University of Medical Sciences