RESEARCH LETTER

The effect of acupressure on respiratory indices in patients undergoing mechanical ventilation

Mojdeh Navidhamidi , Jaleh Mohammad Aliha, Nasim Mehranfard, Anoshirvan Kazemnejad

Mojdeh Navidhamidi
Department of Medical-Surgical Nursing and Medical Basic Sciences, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran. Email: mnavidhamidi@gmail.com

Jaleh Mohammad Aliha
Department of Critical Care Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran

Nasim Mehranfard
Department of Critical Care Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran

Anoshirvan Kazemnejad
Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
Online First: April 01, 2019 | Cite this Article
Navidhamidi, M., Aliha, J., Mehranfard, N., Kazemnejad, A. 2019. The effect of acupressure on respiratory indices in patients undergoing mechanical ventilation. Bali Medical Journal 8(1): 1-8. DOI:10.15562/bmj.v8i1.1141


Background and Purpose: Acupressure as an uncomplicated and non-prescriptive approach may improve respiratory performance in patients undergoing mechanical ventilation. The present study aimed to determine the effect of acupressure on respiratory indices in patients undergoing mechanical ventilation.

Materials and Method: This randomized clinical trial study was conducted in three university hospitals in Tehran. 164 patients undergoing hemodynamic stability, GCS ≥ 9 and eligible for mechanical ventilation, were randomly assigned to one of the intervention and control groups. The intervention group received acupressure daily,  twice  a day  for two consecutive days with routine care, but the control group received just routine care. Acupressure intervention was performed in Zongfeng, Taivan, Hugo, Niguang and Zooslanli locations for 20 minutes. In each session, the respiratory indices of the patients were measured at four stages, before, immediately , 30 minutes and one hour after the intervention. Data were analyzed by SPSS software version 18 and inferential statistical tests.

Finding: Statistically significant difference were reported between groups in terms of spontaneous respiratory rate (P = 0.025) and spontaneous minute volume (P = 0.005).  In intra-group comparison, there was a significant improvement in expiratory tidal  volume in the intervention group. The effect of acupressure in each intervention session was immediate and  did not have cumulative effect.

Conclusion: Acupressure could improve respiratory indices in patients with mechanical ventilation. Thus  nurses of the intensive care unit can accelerate the improvement of patients undergoing  mechanical  ventilation by using  this non-pharmacological approach.

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