The Effect of Acupressure on Sleep Quality and Fatigue in Nurses Working in Internal Clinics During the COVID-19 Pandemic Process: A Randomized Controlled Study
试验速览
- 阶段
- 不适用
- 入组人数
- 68
- 试验地点
- 2
- 主要终点
- Sleep quality evaluated using the Pittsburgh Quality Sleep Index
研究概览
简要总结
This research aims to determine the effect of acupressure applied to nurses actively working in internal clinics on sleep quality and fatigue during the COVID-19 pandemic process. This research hypothesizes that acupressure improves sleep quality and reduces fatigue.
详细描述
In this study, 68 nurses working in internal clinics were randomly assigned to acupressure and placebo (sham) acupressure groups. In the acupressure group (n=34), the heart meridian 7th point (HT7), large intestine meridian 4th point (LI4), stomach meridian 36th point (ST36) and spleen meridian 6th point (SP6) will be applied to a total of four points. Depending on the preparation and compression time on each point, the session duration of each nurse will be 20 minutes on average. In the sham group (n=34), pressure will be made approximately 1-1.5 cm away from the HT7, LI4, ST36, SP6 points. In the Sham group, the acupressure application time will take 20 minutes on average. Reminder text messages (SMS) will be sent before the application on the days when the nurses will practice, so that they continue to do the application regularly. At the end of the application, after the data collection process is completed, the sham group will be taught the correct acupressure points. Nurses will apply acupressure three times a week for a total of 12 sessions for four weeks. The primary outcome of the research is the effect of acupressure on the sleep quality of nurses. The secondary outcome of the study is to determine the effect of acupressure on fatigue. The outcomes will be collected before and four weeks after the acupressure and sham acupressure administration.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Participant)
盲法说明
As a result of the draw, group A was determined as acupressure and group B as sham acupressure group. Information showing that the nurses included in the research sample were assigned to groups A and B according to the randomization table will be placed in an opaque envelope. This envelope will be kept by the coordinator researcher (MG) and when the researcher with acupressure practice certificate (EC) goes to the nurse for the application, fills out the "Informed Consent Form" and opens the envelope to find out which group the nurse is in. Since all nurses included in the study will be taught to apply pressure to the pressure point, the participants will be blinded as the nurses do not know whether acupressure or sham acupressure is applied. The researcher (EC) cannot be blinded due to the nature of the research.
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Nurses who care for COVID 19 patients during the pandemic process
- •Nurses working in internal clinics during the data collection process
- •Those who have recovered from COVID 19
- •Those who agreed to participate in the study
- •No deformity or lesions in the areas where acupressure will be applied
- •No acupressure experience
- •No sleep disorder diagnosis and no medical treatment
- •Not diagnosed with anxiety disorder and not receiving medical treatment
- •Not diagnosed with depression and not receiving medical treatment
- •Coffee, cigarette and alcohol free
- •No mental disorder
- •Night shift workers
- •Those who can understand and speak Turkish
- •Those who signed the Informed Consent Form
排除标准
- •Nurses who did not work in internal clinics during the data collection process
- •Nurses who do not care for COVID 19 patients during the pandemic process
- •Those with active COVID 19
- •Those who do not agree to participate in the study
- •Those who have any deformity or lesion in the areas where acupressure will be applied
- •Experiences of acupressure
- •Heart and kidney failure, severe anemia, immunodeficiency problem
- •Diagnosed with sleep disorder and receiving treatment
- •Anxiety disorder and treatment
- •Depression diagnosed and treated
- •Coffee, cigarette and alcohol addiction
- •Having mental illness
- •Fixed day shift workers
- •Those who can not understand and speak Turkish
- •Those who did not sign the Informed Consent Form
结局指标
主要结局
Sleep quality evaluated using the Pittsburgh Quality Sleep Index
时间窗: Change from before implementation and 4th week of practice.
The total scale score is in the range of 0 (minimum) -21 (maximum), and the high total Pittsburgh Quality Sleep Index (PSQI) score indicates that sleep quality is low. A total PSQI score between 0-4 indicates good sleep quality, while between 5-21 shows that sleep quality is low.
次要结局
- Fatigue evaluated using the Fatigue Severity Scale(Change from before implementation and 4th week of practice)
研究者
Esra Cavusoglu
Research Assistant
Mersin University