effect of acupressure on sleep quality among patients undergoing cardiac surgery: a systematic review

This systematic review investigated the impact of acupressure on sleep quality among patients undergoing cardiac surgery. major electronic databases including scopus, pubmed, and web of science were systematically searched from the earliest records to november 1, 2023, using relevant medical subject headings such as &acupressure&, &sleep&, and &cardiac surgical procedures&. additionally, iranian databases like iranmedex were consulted. the quality of randomized controlled trials (rcts) and quasi-experimental studies was assessed using the joanna briggs institute’s (jbi) critical assessment checklist. a total of four studies involving 262 patients were included, with 60.37% being male and 53.82% assigned to the intervention group. participants had an average age of 58.56 years (sd=8.68). the average study duration was approximately 45 weeks with a 6-day follow-up, and the typical intervention duration was 14.25 minutes. in all studies, interventions were effective in increasing sleep quality. the findings indicated that acupressure administered by healthcare professionals, such as nurses, could enhance sleep quality. the recommendation suggests that healthcare managers and policymakers create an environment in healthcare settings, that enabling nurses and other professionals to employ acupressure, thereby improving the sleep quality of patients undergoing cardiac surgery.