Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/76483
Title: A randomized controlled trial examining the effect of acupressure on agitation and salivary cortisol in nursing home residents with dementia
Authors: Kwan, RYC 
Leung, MCP 
Lai, CKY 
Keywords: Acupressure
Dementia
Agitation
Salivary cortisol
Nursing home
Issue Date: 2017
Publisher: Karger
Source: Dementia and geriatric cognitive disorders, 2017, v. 44, no. 1-2, p. 92-104 How to cite?
Journal: Dementia and geriatric cognitive disorders 
Abstract: Background: Acupressure has been used to manage agitation in people with dementia because it is safe and inexpensive. However, its effect on agitation and at the biochemical level is uncertain. Methods: This randomized controlled trial examined the effect of acupressure on agitation, as measured by the Cohen-Mansfield Agitation Inventory (CMAI); and on salivary cortisol, as measured at baseline (T0) and in the 3rd (T1), 5th (T2), and 8th (T3) weeks. There were 119 agitated residents with dementia randomized into 3 groups: acupressure (n = 39), sham (n = 41), and usual-care group (n = 39). Results: A downward trend in agitation over time was noted in the acupressure group, which almost reached a level of significance in interaction effects between groups and time points (p = 0.052). Post hoc pair wise tests in the acupressure group showed that acupressure significantly reduced agitation at T2 (mean difference -6.84, 95% CI -10.60, -3.08) compared to baseline. Significant interaction effects between groups and time points were observed on the level of salivary cortisol (p = 0.022). Conclusion: Acupressure is a multicomponent intervention that can reduce agitation. Acupoint activation may not be a significant component in reducing agitation, although this result may have been limited by the inadequate sample size. Acupressure is effective in reducing salivary cortisol in people with dementia.
URI: http://hdl.handle.net/10397/76483
ISSN: 1420-8008
EISSN: 1421-9824
DOI: 10.1159/000478739
Appears in Collections:Journal/Magazine Article

Access
View full-text via PolyU eLinks SFX Query
Show full item record

Page view(s)

24
Citations as of Dec 17, 2018

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.