The effect of acupressure on sleep quality of older people: A systematic review and meta-analysis of randomized controlled trials |
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| Affiliation: | 1. Deparment of Internal Medicine Nursing, Faculty of Health Science, Istanbul Medeniyet University, Istanbul, Turkey;2. Fundamental of Nursing Department, Hamidiye Faculty of Nursing, University of Health Sciences, Istanbul, Turkey;3. Department of Anesthesia and Reanimation, University of Health Sciences, Sultan Abdulhamid Han Research Hospital, Istanbul, Turkey;4. Istanbul Sabahattin Zaim University Faculty of Health Sciences, Department of Nursing;5. Deparment of Internal Medicine, University of Health Sciences, Sultan Abdülhamid Han Training and Research Hospital, Istanbul, Turkey;6. Department of Health Management, Saglik Bilimleri University, Faculty of Health Science, University of Health Sciences, Istanbul, Turkey;7. Department of Internal Medicine, Istanbul Medeniyet University, Istanbul, Turkey;9. Fundamental of Nursing Department, Karadeniz Technical University, Faculty of Nursing, Trabzon, Turkey;1. Veterans Affairs Medical Center, White River Junction, VT, United States of America;2. Department of Psychiatry, Geisel School of Medicine, Hanover, NH, United States of America;3. Clinical Psychology, Antioch University of New England, Keene NH, United States of America;4. VA Office of Systems Redesign and Improvement, 215 North Main Street, White River Junction, VT 05009, United States of America;5. National Center for PTSD, 215 North Main Street, White River Junction, VT 05009, USA;1. Private Practice, Victoria Medical Arts, East Bldg. 703 E. Main Street, Moorestown, NJ 08057, United States;2. Laboratory for Advances in Consciousness and Health, the University of Arizona, 1601 N. Tucson Blvd. Medical Square Suite 17, Tucson, AZ 85716, United States;1. Graduate Institute of Counseling Psychology and Rehabilitation Counseling, National Kaohsiung Normal University, Taiwan;2. Department of Bioscience Research, College of Dentistry, University of Tennessee Health Science Center, United States;3. Institute of Noetic Sciences, Petaluma, CA, United States;4. California Institute of Integral Studies, San Francisco, CA, United States;5. Undergraduate Degree Program of Rift Valley Interdisciplinary Shuyuan, Hui Lan College, National Dong Hwa University, Taiwan;1. The University of Texas at Austin, School of Nursing. 1710 Red River St., Austin, TX 78712, United States;2. The University of Texas at Austin, Department of Oncology, 1601 Trinity St., Austin, TX 78712, United States;3. The University of Texas at Austin, Department of Kinesiology and Health Education, 2109, San Jacinto Blvd., Austin, TX 78712, United States;4. The University of Texas at Austin, Dell Medical School, Department of Women''s Health, 1601, Trinity St., Austin, TX 78712, United States;5. The University of Texas at Austin, Department of Diagnostic Medicine, 1601 Trinity St., Austin, TX 78712, United States |
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| Abstract: | Background and ObjectiveThe effects of acupressure on sleep quality and insomnia symptoms have been studied in various groups of haemodialysis patients, those undergoing surgery, and those living in elderly care homes. The aim of this study is to determine the effect of acupressure on sleep quality in elderly people.MethodsThis study was conducted with a systematic review and meta-analysis. In this study, electronic databases of PubMed, Science Direct, National Thesis centre, Google Scholar, Web of Science, EBSCO were systematically scanned between December 2020 and February 2021 using the keywords “older, elderly, sleep quality, acupressure”. The study included 11 articles published in English and Turkish languages without any year limitation. This systematic review and meta-analysis were done by following the PRISMA reporting system.ResultsThe total sample size of 11 randomized controlled trials included in this systematic review and meta-analysis was 722 (experiment: 363 and control: 359), and the mean duration of acupressure interventions applied was 19.65 ± 11.28 days. The sleep quality of the acupressure group in the elderly was significantly increased compared to the control group (MD: -1.71,%95 CI: -2.31 to -1.11, Z = 5.60, p< 0.00001, I2 = 91%). After the subjects received training for acupressure application and applied acupressure themselves, their sleep quality improved compared to the control group (MD: -0.86, 95% CI: -1.39 to -0.32, p <0.001).ConclusionsWe have utilized meta-analysis to try to reveal statistical significance by pooling small studies with high quality. This meta-analysis provided a potentially effective intervention on the quality of sleep in elderly people. |
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