Effectiveness of Acupressure on Improving Sleep Quality in Psychogeriatric Inpatients

Monday, 30 July 2012

Mei-Jou Lu, RN, MSN
Department of Nursing, Kaohsiung Kai-Suan Psychiatric Hospital, Kaohsiung City, Taiwan
Kuei-Min Chen, RN, PhD
Department of Nursing, Kaohsiung Medical University, Kaohsiung City, Taiwan
Shu-Fang Su, RN, MSN
Department of Nursing, Kai-Suan Psychiatric Hospital, Kao-Hsiung City, Taiwan
Shu-Ming Chen, PhD
School of Nursing, Fooyin University, Kaohsiung, Taiwan

Learning Objective 1: The learner will be able to application of acupressure massage in clinical nursing care

Learning Objective 2: The learner will be able to effect of acupressure on improving the Sleep disorder


 To investigate the effectiveness of acupressure in sleep quality among psychogeriatric inpatients.


 This was a quasi-experimental study using convenience sampling in a psychogeriatric ward in Southern Taiwan. A total of 60 elderly patients with mood disorders participated in the study and were randomly assigned to either control or experimental group. Participants in both groups received standard medical care, while those in experimental group had an additional intervention of a 9-minute acupressure (3 minutes/acupoint) once daily for 4 consecutive weeks. Three acupoints, Shenmen (located at the ulnar side of wrists), Yangchuan (located at the plantar side of pedals) and Neiguan (located at the palmar side of forearms), were chosen for this study. The main outcomes were measured by Pittsburgh Sleep Quality Index (PSQI) and actigraphy. Data were collected at pretreatment and following treatment. Statistical analysis included paired t-test and Analysis of Covariance comparing the differences before and after the acupressure.


Subjects in experimental group had statistically significant improvement in both subjective sleep quality (sleep latency, total sleeping time, sleep efficacy, sleep disruption, frequency of hypnotic use, day-time dysfunction and sleep quality) and objective sleep quality (sleep latency, total sleeping time, sleep efficacy and frequency of awakening) at the end of the study. As a whole, subjects in experimental group were statistically significant better then those in control group in all domains except awakening time of the objective sleep quality.(P<.05)


Acupressure may be an effective means for sleep quality improvement that benefits psychogeriatric inpatients.