This randomized controlled study aims to evaluate the effects of acupressure on quality of life, sleep quality, and hopelessness levels in older adults living in a nursing home setting. Aging is associated with decreased sleep quality, reduced life satisfaction, and increased psychological distress, including hopelessness. Non-pharmacological and low-risk interventions are increasingly needed to improve well-being in older populations. In this study, 50 participants aged 65 years and older were randomly assigned to either an intervention group (acupressure) or a control group (no intervention). The intervention group received acupressure applied to Shenmen (HT7), Neiguan (P6), and Sanyinjiao (SP6) points three times per week for four weeks. The control group received routine care without additional intervention. Outcomes were measured before and after the intervention using the CASP-19 Quality of Life Scale, the Richard-Campbell Sleep Questionnaire, and the Beck Hopelessness Scale. The study evaluates whether acupressure can serve as a safe and effective complementary nursing intervention to improve sleep and overall well-being in older adults.
This randomized controlled trial was conducted to investigate the effect of acupressure on quality of life, sleep quality, and hopelessness among older adults residing in a nursing home. A total of 50 participants aged 65 years and older were included in the study. Participants were randomly assigned to either the intervention group (n=25) or the control group (n=25) using simple randomization. Eligibility criteria included being 65 years or older, residing in the nursing home, and having the ability to read and understand study materials. Individuals with skin lesions, infection, sensory loss in acupressure areas, or those unwilling to participate were excluded. The intervention group received acupressure applied to bilateral Shenmen (HT7), Neiguan (P6), and Sanyinjiao (SP6) points. Each point was stimulated manually for approximately two minutes per session. The intervention was administered three times per week for four consecutive weeks by a trained researcher. The control group received routine institutional care without additional intervention. Primary and secondary outcomes were assessed before and after the intervention. Quality of life was measured using the CASP-19 scale, sleep quality was evaluated using the Richard-Campbell Sleep Questionnaire, and hopelessness levels were measured using the Beck Hopelessness Scale. Data were analyzed using independent-samples t tests and paired-samples t tests. The study aimed to determine whether acupressure could improve sleep quality and quality of life and reduce hopelessness in older adults. This intervention represents a low-cost, non-invasive complementary nursing approach that may support holistic elderly care.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
50
Manual acupressure was applied bilaterally to HT7, P6, and SP6 points. Each point was stimulated for approximately two minutes per session. The intervention was administered three times weekly for four consecutive weeks by a trained researcher.
Kafkas University
Kars, Turkey (Türkiye)
Change in Sleep Quality Score
Sleep quality was assessed using the Richard-Campbell Sleep Questionnaire (RCSQ). The total score ranges from 0 to 100, with higher scores indicating better sleep quality. The primary endpoint was the change in total score from baseline to week 4.
Time frame: Baseline (Week 0) and Week 4
Change in Quality of Life Score
Quality of life was measured using the CASP-19 scale. Total scores range from 0 to 57, with higher scores indicating better quality of life. Change from baseline to week 4 was analyzed.
Time frame: Baseline (Week 0) and Week 4
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