Acupressure and fatigue in patients with end-stage renal disease - a randomized controlled trial

The purpose of the study is to investigate the effectiveness of acupressure on fatigue in patients with end-stage renal-disease (ESRD). The study was a randomized control trial; qualified patients were randomly assigned into acupressure group, sham group or control group. A total of 106 participants were included in the study. The measures included the revised Piper Fatigue Scale (PFS), VAS of Fatigue, the Pittsburgh Sleep Quality Index and the Beck Depression Inventory. Data of fatigue measures were collected at pretreatment and a week following treatment. Sleep quality and depression were collected during post-test only. The statistical methods included the descriptive statistics, one-way ANOVA, ANCOVA, and repeated-measures ANOVA. ANCOVA that adjusted for differences in baseline fatigue scores (PFS), post-test of depression and sleep quality, result was significant, F(2, 100) = 3.99, p = 0.02. Post-hoc tests revealed that patients in the acupressure group were significantly having lower scores of fatigue than patients in the control group. ANCOVA results also significant for VAS of Fatigue among groups, F(2, 100) = 5.63, p = 0.003. Comparisons indicated that there were significant differences between the acupressure group and the control group (p = 0.01) and between the sham group and control group (p = 0.003). Predialysis fatigue was assessed routinely by using a rating of 0-10. Repeated-measures ANOVA results demonstrate the group main effect was significant in the perceived fatigue (F(2, 88) = 19.46, p < 0.00 1). Followup tests indicated there were significant differences between the acupressure group and the control group (p < 0.00 1) and between the sham group and control group (p < 0.001). The study provided an alternative method for health care providers to managing ESRD patients with fatigue. (C) 2003 Elsevier Ltd. All rights reserved.