JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 33 ISSUE 2.
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.
Effect of Acupressure on Anxiety, Stress, and Depression Among the Primary Family Caregivers of the Patients with Stroke

JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 33 ISSUE 2.
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.
Effect of Acupressure on Anxiety, Stress, and Depression Among the Primary Family Caregivers of the Patients with Stroke

Acupressure, Anxiety, Caregivers, Depression, Psychological stress, Stroke

Introduction: Psychological distress is prevalent among the primary family caregivers of
patients with stroke.
Objective: This study evaluated the effects of acupressure on anxiety, stress, and depression
among the primary family caregivers of Patient With Stroke.
Materials and Methods: In this sham-controlled randomized clinical trial, 96 family
caregivers of Patient with Stroke were selected and allocated to the acupressure (n=40)
and sham (n=42) groups. The study data were collected using demographic questionnaires
for the patients and caregivers, the Barthel index (for assessing independence in daily
living activities,) and the Persian version of the Depression Anxiety Stress Scale (DASS).
Participants in the acupressure group received training about acupressure on the Yin Tang
and HT7 points, while participants in the sham group received training about acupressure
on the CV24 and TB5 sham points. The acupressure intervention lasted for 30 consecutive
days. Statistical tests, including the Kolmogorov-Smirnov test, the independent t test,
the Chi-square test, the Fisher exact test, the Wilcoxon, Mann-Whitney U test, and the
analysis of covariance (ANCOVA) were applied to analyze the data.
Results: The mean ages of the participants were 46.1±12.1 years in the acupressure group
and 42.7±11.8 years in the sham group. The mean ages of the patients in these groups
were 75.1±8.1 and 76.8±9.7 years; respectively. Regarding the demographic characteristics,
no significant differences were observed between the acupressure and the sham groups.
Regarding the pre-test mean scores of anxieties, stress, and depression, there were no
significant differences between the acupressure and the sham groups. Anxiety and stress
significantly reduced after the intervention only in the acupressure group (P<0.05). However,
depression did not change substantially during the study. The ANCOVA indicated significant

Najmeh Javan Sangani , Hossein Rahimi , Seyed Mohammad Mousavi Mirzaei , Hamidreza BahramiTaghanaki , Seyyed Abolfazl Vagharseyyedin

April 2023, Volume 33, Number 2

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