Effects of combined auricular pressure bean and group guidance on sleep disorders in patients undergoing maintenance hemodialysis.

BACKGROUND AND PURPOSE: Sleep disorders are highly prevalent and significantly impair quality of life in patients undergoing maintenance hemodialysis. This study aimed to explore the combined effect of auricular pressure bean and group guidance on sleep disorders in patients undergoing maintenance hemodialysis and its potential role in alleviating anxiety and depression.

MATERIALS AND

METHODS

This study included 120 patients with sleep disorders undergoing maintenance hemodialysis at a blood purification center in Guangdong Province, China. Participants were randomly assigned to one of four groups: a control group, an auricular pressure bean group, a group guidance group, and a combined group. Sleep, anxiety, and depression were assessed using the Pittsburgh Sleep Quality Index (PSQI), the Self-Rating Anxiety Scale (SAS), and the Self-Rating Depression Scale (SDS).

RESULTS

A total of 115 patients completed the study. At 4-week follow-up, there were significant improvements in PSQI, SAS, and SDS scores in all groups compared with baseline (P < 0.05). The effective rates of sleep improvement were 43.44 % in the control group, 92.86 % in the auricular pressure bean group, 75 % in the group guidance group, and 96.55 % in the combined group. The combined group showed the most significant improvement in sleep quality and anxiety reduction (P < 0.05).

CONCLUSION

Auricular pressure bean intervention combined with group guidance effectively improves sleep quality and reduces anxiety. The combined group demonstrated more significant improvements in sleep quality and anxiety symptoms compared to the intervention-only group; no significant difference was found in depression scores between the combined and the group guidance groups.