ReviewNature and science of sleep2026
Acupressure for Sleep, Mental Health, and Quality of Life in Hemodialysis Patients: A Systematic Review and Meta-Analysis.
Review in Nature and science of sleep, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed.
- Managing Sleep, Emotional Well-Being, and Quality of Life in Hemodialysis Patients via Acupressure [Response to Letter].Nature and science of sleep · 2026Article
- Acupuncture-Related Needlestick Injuries Among Healthcare Workers in China: A Multicenter Cross-Sectional Study.Journal of multidisciplinary healthcare · 2026Article
- Managing Sleep, Emotional Well-Being, and Quality of Life in Hemodialysis Patients via Acupressure: Critical Insights from a Recent Systematic Review [Letter].Nature and science of sleep · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Patients undergoing hemodialysis (HD) frequently experience sleep disturbances and mental health disorders. Given the adverse effects of relevant pharmacological treatments, acupressure has been explored as a potential alternative. This study aimed to evaluate the efficacy and safety of acupressure in improving sleep quality, mental health, and related outcomes in patients undergoing HD. Methods: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we conducted a systematic search across seven databases (PubMed, Embase, Web of Science, Cochrane Library, CNKI, WanFang, and VIP) from inception to March 2025. We included trials comparing acupressure (including auricular acupressure) with medication or waiting-list controls in patients with HD. Results: Twenty-seven studies involving 2037 participants were included in the statistical analysis. Compared to waiting-list, moderate certainty evidence suggests that acupressure probably improves sleep quality (weighted mean difference (WMD) -3.51 points on the 21-point Pittsburgh Sleep Quality Index (PSQI) scale, 95% confidence interval (CI) -4.14 to -2.89) and quality of life (WMD 9.66 points on the 100-point SF-36 scale, 95% CI 6.65 to 12.66); low certainty evidence suggests that acupressure may have little impact on sleep duration, mental health, and social functioning. Compared to medication treatment, low to very low certainty evidence suggests that acupressure may have little impact on sleep quality, social functioning, and sleep duration. Based on very limited evidence from only one study, there may be little to no difference in adverse effects between acupressure and medication groups (risk ratios (RR) 0.21, 95% CI 0.01 to 4.27). Conclusion: Compared to the waiting-list, acupressure likely improves sleep quality and quality of life, while having a minimal impact on mental health, sleep duration, and social functioning in HD patients. However, its benefits over those of other medications remain unclear. Systematic Review Registration: www.crd.york.ac.uk/PROSPERO/, ID: CRD420251010657.
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