The Effect of Self Acupressure in Patients With Multiple Sclerosis

NCT06600971 | Completed

• 1 other identifier: MS-GULDEN
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Patients with MS use non-pharmacological methods as well as pharmacological methods in the treatment of their symptoms. Acupuncture, acupressure, aquatherapy, reflexology and aromatherapy are also complementary and integrated methods frequently used in patients with MS. Integrated methods, which have an important place in independent nursing practices, have been preferred in nursing practices in recent years due to their safety, ease of application and minimal side effects. In addition, acupressure application is included in the Nursing Interventions Classification, and is a method that increases the independent functions of the nurse and improves patient-nurse interaction.

Conditions

Multiple Sclerosis

Keywords

Multiple Sclerosis; Acupressure; Fatigue; Sleep Quality

Outcome Measures

Primary Outcomes (2)

• Fatigue Severity Scale

  The scale is a Likert type with 9 questions, and each question is rated from 1 (strongly disagree) to 7 (strongly agree). The total score varies between 9-63, with total scores of 27 and above indicating fatigue.

  4 weeks

• Richard-Campbell Sleep Scale

  The scale consists of 6 items. The items measure the depth of night sleep, the time it takes to fall asleep, the frequency of waking up, the time it takes to stay awake when you wake up, the quality of sleep, and the noise level in the environment. A score of "0-25" indicates "very bad sleep", and a score of "76-100" indicates "very good sleep". While the total score of the scale is calculated, the scores from the 5 items are added up, and the 6th item is not included in the total score evaluation. The minimum score from the scale is 0 and the maximum score is 100. An increase in the score from the scale indicates an increase in sleep quality.

  4 weeks

Study Arms (2)

acupressure

EXPERIMENTAL

The patients in the experimental group received acupressure application for a total of 8 sessions, 2 sessions per week. The first application was performed in a room in the polyclinic by a researcher with an acupressure application certificate. Immediately after the preparation phase, the researcher applied acupressure with the thumb in a certain order (Ht7-Ht7 and St36-St36) on each point to be pressed, in accordance with the acupressure application protocol, for a duration of 2 minutes. Verbal communication was maintained during the procedure to ensure the patient's relaxation. After the first application, the application was taught to the patient. In addition, the researcher established a WhatsApp group for regular follow-up of the patients in the experimental group, and the video recording of the acupressure was sent to the patients and they were asked to watch it.

Other: acupressure application

Control

NO INTERVENTION

During the study, it was explained to the control group that their fatigue and sleep quality levels would be monitored for four weeks without any intervention (other than routine treatment given by the physician). Patients in this group were asked to fill out the Fatigue Severity Scale and the Richard-Campbell Sleep Scale at the beginning and again in the 4th week.

Interventions

acupressure application OTHER

The patients in the experimental group received acupressure application for a total of 8 sessions, 2 sessions per week.

acupressure

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Between the ages of 18-65,
• Those who can read and write,
• Those who can speak Turkish,
• Patients diagnosed with multiple sclerosis,
• Patients who do not have a neurological disease other than MS,
• Those who volunteer to participate in our study,
• Patients who are conscious and do not have a psychiatric health problem

You may not qualify if:

• Patients with nerve, soft tissue, vascular disease infections in their extremities, who have undergone surgery,
• Patients with bleeding problems, pacemaker or heart failure and a diagnosed condition, mass and flattening in the neck,
• Patients with a diagnosis other than MS (such as subarachnoid hemorrhage, aneurysm, dementia, a psychiatric disease),
• Patients who have had a hemorrhagic stroke,
• Patients with malignancy,
• Patients with vision and hearing problems,
• Patients who do not volunteer to participate in our study

Sponsors & Collaborators

• Yuzuncu Yil University: lead

Study Sites (1)

Yuzuncu Yıl University , Faculty of health science

Van, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Multiple Sclerosis; Fatigue; Sleep Initiation and Maintenance Disorders

Condition Hierarchy (Ancestors)

Demyelinating Autoimmune Diseases, CNS; Autoimmune Diseases of the Nervous System; Nervous System Diseases; Demyelinating Diseases; Autoimmune Diseases; Immune System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Sleep Disorders, Intrinsic; Dyssomnias; Sleep Wake Disorders; Mental Disorders

Study Officials

• Gülden Atan, PHD

  Faculty of health science, Yuzuncu Yıl University , Van, TURKEY.

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Masking Details: The information indicating that the patients included in the research sample were assigned to groups A and B according to the randomization table was placed in an opaque envelope. This envelope was kept by the neurology clinic secretariat. When the researcher went to the patient selected for acupressure application, he first applied a pre-test and then contacted the neurology clinic secretariat to learn which group the patient was in. In this way, the participants were blinded in terms of groups.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: The intervention and control groups were selected by drawing lots

Study Record Dates

• First Submitted: September 10, 2024
• First Posted: September 19, 2024
• Study Start: March 18, 2024
• Primary Completion: July 18, 2024
• Study Completion: September 3, 2024
• Last Updated: October 16, 2024

Record last verified: 2024-10

Locations

TU (1)