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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Real Acupressure Group | Experimental | participants receive acupressure on bilateral HT7,LI4,PC6 EX3 points. pressure applied for 15 seconds per point, 3 days per week, for 2 weeks |
|
| sham/placebo | Sham Comparator | Participants receive sham acupressure on non-acupoints located 1-1.5 cm away from HT7, LI4 , PC6, and EX3 points. Pressure applied for 15 seconds per site, 3 days per week, for 2 weeks to maintain participant blinding |
|
| control | Active Comparator | Participants receive usual care for hypertension including prescribed antihypertensive medications and routine clinical nursing follow-up for 2 weeks. No acupressure intervention applied. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Real Acupressure | Behavioral | Acupressure applied to HT7 (Shenmen), LI4 (Hegu), PC6 (Neiguan) bilaterally, and EX3 (Yintang). Pressure applied for 15 seconds per point, 3 days per week for 2 weeks by trained researcher. Total session duration approximately 1 minute. |
| Measure | Description | Time Frame |
|---|---|---|
| change in blood pressure | change from baseline in systolic and diastolic blood pressure measured using an automated office blood pressure monitor at 2 weeks | baseline and week 2 |
| Measure | Description | Time Frame |
|---|---|---|
| change in perceived stress | Change from baseline in Perceived Stress Scale-14 (PSS-14) total score at 2 weeks. Scores range from 0 to 56, with higher scores indicating greater perceived stress | baseline, week 2 |
| change in mental well-being |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Seymanur Ozdemir Arslan, MSc,Phd Candidate | Contact | +90 0380 523 7827 | seymanurarslan@duzce.edu.tr |
| Name | Affiliation | Role |
|---|---|---|
| Saadet Can Cicek, Associate Professor,PhD | Abant Izzet Baysal University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| A Family Health Center in Duzce | Düzce | Turkey (Türkiye) |
Individual participant data will not be shared to protect participant confidentiality as stated in the informed consent form approved by the ethics committee. Data will only be accessible to the study team for the purposes of this study.
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| ID | Term |
|---|---|
| D000075222 | Essential Hypertension |
| ID | Term |
|---|---|
| D006973 | Hypertension |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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Participants will be randomized into 3 groups:real acupressure, sham acupressure, and usual care
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| sham acupressure | Behavioral | light pressure applied to non-acupoint sites 1-1.5 cm from HT7İLI4,PC6 and EX3 points for 15 seconds per site,3 days per week for 2 weeks |
|
| Usual Care | Other | Standard hypertension management including prescribed antihypertensive medication and routine clinical nursing follow-up for 2 weeks. No acupressure applied. |
|
Change from baseline in Warwick-Edinburgh Mental Well-being Scale (WEMWBS) total score at 2 weeks. Scores range from 14 to 70, with higher scores indicating better mental well-being
| baseline, week 2 |