The effect of acupressure on constipation symptoms and quality of life among older people: a mixed-methods study

PurposeThis study aims to evaluate the effect of acupressure on constipation symptoms and quality of life in older people.MethodsThe study was a double-blind, randomized, sham-controlled, qualitative and quantitative mixed-method study. Individuals in the acupressure group received acupressure for 21 min per day for a total of 12 sessions. The other group received sham acupressure for the same duration. Constipation Assessment Scale (CAS), Constipation Quality of Life Scale (PAC-QOL), Visual Analogue Scale (VAS) and individual follow-up form were used to evaluate quantitative data, and semi-structured interview form was used to evaluate qualitative data.ResultsA total of 81 participants were randomized to acupressure (n = 41, mean age: 70.56 & PLUSMN; 4.76, 70.7% female) or sham acupressure (n = 40, mean age: 71.17 & PLUSMN; 5.19, 67.5% female). Repeated measurements of the participants showed that CAS scores differed significantly between acupressure applications (p < 0.001). There were also statistically significant differences between the two groups in PAC-QOL and VAS after the application, number of defecations and laxative use (p < 0.001). Compared to the placebo group, the acupressure group had significantly lower mean post-test scores in all constipation rating scales. Qualitative findings from the study also support the quantitative findings.ConclusionFor older people seeking evidence-based alternative therapy, acupressure may be a solution to reduce the constipation symptoms. Future studies with larger sample sizes are needed to confirm our study findings. Key summary pointsAimThis study aims to evaluate the effect of acupressure on constipation symptoms and quality of life in older people.FindingsIt was observed that the constipation score of the acupressure group were significantly decreased and the difference between the two groups was significant.MessageAcupressure is an effective non-pharmacological approach for the treatment of constipation.