About this 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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Aged 18-65 years
Diagnosed with primary hypertension (Stage 1 or 2)
Systolic blood pressure 130-179 mmHg or diastolic 80-109 mmHg
Taking antihypertensive medication
Disqualifiers
Secondary hypertension
Pregnancy or lactation
Severe cardiovascular disease (heart failure, myocardial infarction within 6 months)
Stroke history within 6 months
Trial design
Parallel
Treatments tested in this trial
Real Acupressure
BehavioralAcupressure 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.
sham acupressure
Behaviorallight 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 interventionStandard hypertension management including prescribed antihypertensive medication and routine clinical nursing follow-up for 2 weeks. No acupressure applied.
Treatment groups
Trial outcomes
Primary outcomes
change in blood pressure
change from baseline in systolic and diastolic blood pressure measured using an automated office blood pressure monitor at 2 weeks
Secondary outcomes
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
change in mental well-being
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
Sponsors and contacts
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