The Effect of Self-Acupressure on Blood Pressure, Stress, and Well-Being Levels in Individuals With Hypertension

The Effect of Self-Acupressure on Blood Pressure, Stress, and Well-Being Levels in Individuals With Hypertension: A Three-Arm Randomized Controlled Trial

This randomized controlled trial examines the effects of nurse-led self-acupressure at HT7, LI4, PC6, and EX3 points on blood pressure, stress, and well-being in adults with primary hypertension. Participants are randomized to real acupressure, sham acupressure, or usual care groups for 2 weeks.

Inclusion Criteria:

1. Aged 18-65 years
2. Diagnosed with primary hypertension (Stage 1 or 2)
3. Systolic blood pressure 130-179 mmHg or diastolic 80-109 mmHg
4. Taking antihypertensive medication
5. Able to understand and communicate in Turkish
6. Willing to provide written informed consent

Exclusion Criteria:

1. Secondary hypertension
2. Pregnancy or lactation
3. Severe cardiovascular disease (heart failure, myocardial infarction within 6 months)
4. Stroke history within 6 months
5. Skin lesions or infection at acupressure sites (HT7, LI4, PC6, EX3)
6. Peripheral neuropathy affecting sensation
7. Current use of anticoagulant therapy
8. Participation in another clinical trial within 30 days