Hemodiyaliz Hastalarında Akupresürün Kaşıntı Üzerine Etkisi: Bir Meta Analiz Çalışması

Abstract

Introduction: The purpose of this study was to conduct a meta-analysis to investigate the efficacy of acupressure on uremic pruritus in hemodialysis patients. Methods: The literature was searched between September and December 2022. A literature search was carried out in the PubMed, Cochrane Library, Google Scholar, Scopus, ScienceDirect, Ovid and EBSCO databases using the keywords "Hemodialysis”, "acupressure”, "pruritus", and their combinations. The Joanna Briggs Institute’s (JBI) quality assessment scale was employed in the study. Statistical package program for meta-analysis, Comprehensive Meta-Analysis was used. The standardized mean difference (SMD) with a 95% confidence interval (CI) was calculated. The I2 value(I2=84.7) was utilized to determine the heterogeneity between the studies. The random effects model was adopted in the study due to the significant level of heterogeneity. Results: Accordıng to the meta-analysis results, acupressure intervention to prevent pruritus in hemodialysis patients was significantly higher in the experimental group than in the control group (SMD=1.400, 95%CI:0.829-1.984, p=0.00). The meta-analysis findings based on the session revealed a very large mean effect size (Q between) of 1.152(95%CI=0.894–1.411, p=0.000). Conclusion: Acupressure was found to be effective in reducing pruritus in hemodialysis patients.