{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T16:53:28Z","timestamp":1791910408781,"version":"4.3.4"},"reference-count":44,"publisher":"Wiley","issue":"5-6","license":[{"start":{"date-parts":[[2021,7,15]],"date-time":"2021-07-15T00:00:00Z","timestamp":1626307200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To systematically evaluate the efficacy of auricular acupressure on sleep disorders, depression, pruritus, xerostomia and daily net weight gain (%) in maintenance haemodialysis patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Auricular acupressure has been used for various complications in maintenance haemodialysis patients, such as sleep disorders, depression, pruritus and xerostomia, but the efficacy has not yet been unified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Systematic review and meta\u2010analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Randomised controlled trials comparing auricular acupressure intervention with non\u2010AA intervention in maintenance haemodialysis patients were included. We searched English databases (PubMed, Cochrane Library, Embase, Web of Science) and Chinese databases (CNKI, WanFang, CBM and VIP database) from the inception to 27\u00a0November 2020. The risk of bias was assessed by the Cochrane risk of bias tool. The\n                      <jats:sc>RevMan<\/jats:sc>\n                      5.3\u00a0software was used to perform the meta\u2010analysis. A descriptive analysis was conducted if the data were high of heterogeneity or could not be meta\u2010analysed. The PRISMA statement was used to report systematic review and meta\u2010analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 12 RCTs with 805\u00a0MHD patients were included. Meta\u2010analysis showed that auricular acupressure had a significant difference for improving sleep disorders (MD\u00a0=\u00a0\u22121.97 points, 95% CI: \u22122.62 to \u22121.32,\n                      <jats:italic>p\u00a0<\/jats:italic>\n                      &lt;\u00a0.0001), pruritus (MD\u00a0=\u00a0\u22121.55 points, 95% CI: \u22122.01 to \u22121.08,\n                      <jats:italic>p\u00a0<\/jats:italic>\n                      &lt;\u00a0.0001), and daily net weight gain (%) (MD\u00a0=\u00a0\u22120.29, 95% CI: \u22120.37 to \u22120.21,\n                      <jats:italic>p\u00a0<\/jats:italic>\n                      &lt;\u00a0.0001). The efficacy of depression and xerostomia were analysed descriptively due to insufficient data.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The meta\u2010analysis results indicated that auricular acupressure had a positive efficacy in maintenance haemodialysis patients to improve sleep disorders, pruritus and daily net weight gain (%). But the results should be treated conservatively on account of the low quality of included studies. Future researchers need to conduct more high\u2010quality, large sample, multi\u2010centre randomised controlled studies to provide a solid basis to demonstrate of the efficacy of auricular acupressure in maintenance haemodialysis patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to clinical practice<\/jats:title>\n                    <jats:p>Auricular acupressure has the advantages of low cost, non\u2010invasive and easy to be accepted by patients. This review suggested that auricular acupressure could be considered a non\u2010pharmacological intervention for maintenance haemodialysis patients. Medical staff could teach maintenance haemodialysis patients auricular acupressure to help them self\u2010manage some complications at home.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.15966","type":"journal-article","created":{"date-parts":[[2021,7,16]],"date-time":"2021-07-16T00:50:06Z","timestamp":1626396606000},"page":"508-519","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Efficacy of auricular acupressure in maintenance haemodialysis patients: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9560-4576","authenticated-orcid":false,"given":"Ting","family":"Yang","sequence":"first","affiliation":[{"name":"School of Nursing Tianjin University of Traditional Chinese Medicine Tianjin 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