Non-drug intervention improves sleep quality in maintenance hemodialysis patients:a network Meta-analysis
LIU Zhiyan
ZUO Miaohe
LUO Rongmei
JIANG Gaiying
LIU Xinyue
Abstract：Objective:To investigate the effect of non-drug intervention on sleep quality in patients with maintenance hemodialysis through network Meta-analysis.Methods:PubMed,EMbase,Web of Science,the Cochrane Library,CNKI,WanFang Database,VIP and CBM were searched systematically.The search period was up to October 20,2023.Stata 14.0 software was used to perform network Meta-analysis.Results:A total of 23 articles were included,involving 2 078 patients,covering 13 different types of non-drug therapy.The Meta-analysis results showed that ear acupressure combined with acupoint massage,ear acupressure,ear bean embedding combined with traditional Chinese medicine pillow,eight section brocade,psychotherapy,cognitive behavioral intervention,rehabilitation exercise,etc.had better effects on improving the sleep quality of maintenance hemodialysis patients than conventional nursing interventions,and the differences were statistically significant(P＜0.05).Among them,the combination of ear acupressure and acupoint massage has a better therapeutic effect on improving the sleep quality of maintenance hemodialysis patients compared to the other 12 intervention measures(P＜0.05).Conclusion:Ear acupressure combined with acupoint massage is the best non-drug intervention measure to improve sleep quality in maintenance hemodialysis patients,but it still requires a large number of high-quality randomized controlled trials for verification.
Keywords：hemodialysissleep qualitynon-drug interventionnetwork Meta-analysisevidence-based nursing
Publication Date：2024-09-30
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 3258-3264 )