A non‐rigorous investigation of aroma–acupressure and aromatherapy treatment of dementia‐associated agitation

London, WM; Lin, L-C; Mh, Yang

doi:10.1111/fct.12206

Cited by 1 publication

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“…Furthermore, randomisation was done at the institution level, but individuals were the unit of analysis. These limitations cast doubt on the cause and effect relationship between the study's positive findings and the interventions [36].…”

Section: Effects By Outcome Measures 341 Agitationmentioning

confidence: 95%

“…No significant change in agitation was detected in the control group throughout the study. This study was criticised for having nonequivalent groups at baseline whereby the groups' sizes vary and differed in mean age and dementia diagnostic categories significantly (p<.01) [36]. The mean pre-test CMAI score of the aroma-acupressure group also had a difference more than a standard deviation compared to the mean of the control groups.…”

Section: Effects By Outcome Measures 341 Agitationmentioning

confidence: 96%

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Acupressure and Dementia - A Review of Current Evidence

Ooi¹,

Drew²,

Pak³

2021

Preprint

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Introduction: Dementia is a cognitive decline with patients often exhibit behavioural and psychological symptoms, severely affecting the quality of life and placing a heavy burden on caregivers. Acupressure has reported benefits for dementia. This study aims to critically review the available evidence for its use as a non-pharmacological therapy. Methods: Systematic search of major research databases for human clinical trials using acupressure as an intervention for dementia patients was conducted. Results were synthesised for the effects of acupressure on various outcome measures of interest for dementia.Results: Twelve clinical trials (N=973), including eight randomised control studies, were included in this review. The study sample was predominantly institutionalised residents with moderate to severe dementia. Baihui (GV20), Shenmen (HT7), Fengchi (GB20), Neiguan (PC6), Sanyinjiao (SP6), and Yingtang (EX-HN3) were the most used acupoints for intervention. Acupressure techniques employed in these clinical trials vary greatly with no standardised approach. This review finds inconsistent evidence in the effectiveness of acupressure in reducing agitation and behavioural disturbances. However, the treatment appears to improve their ease of care and reduce physical stress. Affixing acupressure devices on selected acupoints can also potentially improve psychiatric pain, anxiety, and depression. Long-term (6 months) treatment can potentially improve the cognitive function, activities of daily living, and quality of life of patients with mild to moderate dementia. The effect of acupressure on sleep disturbances remains unclear. Conclusion: More high-quality research on acupressure is needed to fill the gaps in knowledge and inform better care for dementia patients in the future.

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Section: Effects By Outcome Measures 341 Agitationmentioning

confidence: 95%

Section: Effects By Outcome Measures 341 Agitationmentioning

confidence: 96%