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Abstract: FR-PO437

Holographic Biology Theory-Based Auricular Acupoint Therapy Relief Insomnia Symptoms in Hemodialysis Patients 

Session Information

Category: Dialysis

  • 801 Dialysis: Hemodialysis and Frequent Dialysis

Authors

  • Li, Wu Li, Chongqing Traditional Chinese Medicine Hospital, Chongqing, Chongqing, China
  • Chen, Liang, Chongqing Traditional Chinese Medicine Hospital, Chongqing, Chongqing, China
Background

Insomnia is a common symptom among patients undergoing hemodialysis, which significantly affects their mental and physical well-being. Several studies, including DOPPS have found that sleep quality is not only related to the quality of life but also impacts patient survival rates.

Methods

A total of 42 hemodialysis patients who did not regularly take sleeping pills such as zolpidem were selected as study subjects, including 15 males (35.72%) and 27 females (64.28%), aged 46-83 years with a mean age of (63.76±2.54) years.

Following the PFEIO principle, an treatment team was set up to process the treatment. Hamilton Anxiety/Depression Scale (HAMA/HAMD), polysomnography (PSG), and the Pittsburgh Sleep Quality Index (PSQI) and Sleep Rating Scale (SRSS) were used to assess sleep quality and self-rated insomnia severity.

Ear acupuncture treatment was proceeded once a week, 4 weeks for a course. The TCM physician carried out a preliminary evaluation of the ears, based on tongue diagnosis, and the senior nurse performed the treatment.

Results

PSG showed that total sleep time (TST), sleep efficiency (SE), NREM stage 2 sleep as a percentage of TST (N2% of TST), NREM stage 3 sleep as a percentage of TST (N3% of TST), and REM sleep as a percentage of TST (REM% of TST) were all increased after treatment, and sleep time was longer than before treatment (P < 0.05). Refer to Table 1 for details.

PSQI scores showed improvement in sleep quality, increase in sleep duration and efficiency, reduction in sleep disturbances, decrease in the use of hypnotic drugs, and improvement in daytime functioning. The overall score was statistically significant (P < 0.05). Refer to Table 2 for details.

SRSS showed decrease in insufficient sleep time, significant improvement in sleep quality.

Conclusion

The application of auricular acupoint therapy based on holographic biology theory can relief insomnia symptoms and effectively improve the sleep quality of HD patients with insomnia. The therapy has the advantages of safety, convenience, and low cost, and can be easily promoted and popularized in clinical practice. However, The specific mechanism needs further study.

Comparison of PSG-related data in 42 hemodialysis patients with insomnia.
Number of casesGroupTSTSEN1% of TSTN2% of TSTN3% of TSTREM % of TST
42Before treat317.64±13.1465.22±5.7029.33±4.3441.24±4.5610.89±5.1118.54±6.14
42After treat443 .31±12.1573.83±4.6621.04±5.024 4 .31±4.6213.63±4.4622.02±5.47