The effect of acupressure on sleep status of patients undergoing long-term hemodialysis

INTERVENTION: Control group: no intervention Intervention 1: Intervention group: Acupressure intervention for 4 weeks, 3 sessions per week for 15 minutes. Intervention 2: Control group: no intervention. Intervention group: Acupressure intervention for 4 weeks, 3 sessions per week for 15 minutes Treatment ‐ Other CONDITION: end‐ stage renal disease. PRIMARY OUTCOME: Sleep quality. Timepoint: One week before and after completion of the intervention Acupressure. Method of measurement: Pittsburgh Sleep Quality Index. INCLUSION CRITERIA: INCLUSION CRITERIA: ESRD patients who complain of sleep disturbance, age 18–65 years, Patients undergoing maintenance hemodialysis for at least three months, no upper or lower extremities amputation, stable mental status with no dementia, ability to communicate Exclusion criteria: dialysis complications which require immediate intervention, presence of debilitating physical or mental illness and other diseases that compromise the ability to answer the questions, presence of major chronic diseases such as cancer or lupus erythematosus, presence of diabetic neuropathy, transfer the patient to intensive care units, surgery, infection, or bleeding during the study.