Fatigue in Patients on Maintenance Hemodialysis
Conditions
Interventions
Control group:Vascular Access Care: Protect vascular access by daily monitoring arteriovenous fistulas. Palpate for flutter, which indicates patency. Infection Prevention: Maintain dryness and hygiene
take medications as prescribed. Lifestyle Care and Psychological Support: Select appropriate exercise routines after physician evaluation
ensure sufficient sleep
provide psychological care. Translated with DeepL.com (free version)
Auricular pressure point group:Acupoint selection:Xin (CO15) , Pi (CO13), Shen (CO10), Pizhixia (AT4), Shenmen (TF4), and Jiaogan (AH6a)
Using the pads of the index finger and thumb, pinch and press the ear acupoints until a sensation of fullness, soreness, or numbness is felt at the pressure point
Press 30 times per point, holding each press for 30 seconds, totaling 3 minutes per session
3 sessions per day
Continue for 5 consecutive days, totaling 4 weeks.
Acupressure point group:Acupoint selection: Zusanli (ST36), Taixi (KI3), and Sanyinjiao (SP6). Place the pad of the thumb on the acupoint and massage using a circular kneading motion until the patient
Combination of auricular acupuncture with seed application and acupoint massage:Patients in the group received auricular acupressure at 9:00-10:00, 12:00-13:00, and 17:00-18:00 on intervention days as
Sponsors
Chengdu Fifth People's Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1) Age = 18 years; 2) Diagnosed with ESRD according to the Chinese Guidelines for Screening, Diagnosis, and Prevention of Chronic Kidney Disease (2017 Edition), having undergone regular hemodialysis treatment for = 3 months, with at least 3 regular dialysis sessions per week, each lasting = 4 hours; 3) Chronic Disease Management Functional Assessment Fatigue Scale score = 43 points; 4) Alert and oriented, with normal communication and cognitive abilities; 5) All subjects provide written informed consent based on full understanding, with participation confirmed through an autonomous decision-making process.
Exclusion criteria
Exclusion criteria: 1) Individuals with severe cardiovascular disease, active bleeding, malignant tumors, or major organ dysfunction; 2) Those with skin lesions or allergies on the auricle or acupuncture point sites; 3) Participants taking psychiatric medications during the study period;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Functional assessment of chronic illness therapy- fatigue; | — |
Secondary
| Measure | Time frame |
|---|---|
| Hospital anxiety and depression scale;Pitsburgh sleep quality index; pre-dialysis weight and ultrafiltration; | — |
Countries
China
Contacts
Public ContactGao Xiaofei
Chengdu Fifth People's Hospital, Southwest Medical University
Outcome results
None listed