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Laser acupuncture combined with auricular acupressure improves low-back pain and quality of life in nurses:A randomized controlled trial

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Journal of Integrative Medicine 2023年第1期21卷 26-33页

作者： Hsueh-Hua Yang Yu-Chu Chung Pai-Pei Szeto Mei-Ling Yeh Jaung-Geng Lin School of Nursing National Taipei University of Nursing and Health SciencesTaipei 11219TaiwanChina Nursing Department En Chu Kong HospitalNew Taipei 23702TaiwanChina Department of Nursing Yuanpei University of Medical TechnologyHsinchu 30015TaiwanChina Cochrane Taiwan Taipei Medical UniversityTaipei 11031TaiwanChina School of Chinese Medicine China Medical UniversityTaichung 40402TaiwanChina

Background Low-back pain(LBP)in nurses is a major health concern that affects their quality of life and ability to work,with consequences for their economic status.Objective This study evaluates the effect of low-level laser acupuncture combined with auricular acupressure(LAA)on pain intensity,pain interference and quality of life in nurses with LBP.Design,setting,participants and interventions This randomized controlled trial recruited a convenience sample of hospital-based nurses from one teaching hospital in Taiwan,China.Participants were randomly assigned to the LAA group(n=38)receiving low-level laser acupuncture and auricular acupressure for 4 weeks,and the control group(n=38)receiving only sham laser acupuncture treatment without laser energy output.Main outcome measures Data were collected for the primary pain outcome using the Short Form of the Brief Pain Inventory,while the secondary outcome,quality of life,was evaluated using the Roland-Morris Disability Questionnaire.Both primary and secondary outcomes were scored before the intervention,and after 2-week and 4-week intervention.The rate of LBP recurrence was evaluated at the 4th week and 8th week after the end of intervention.Results After controlling for prior pain,the result of linear mixed model analysis showed trends in significant between-group differences in the level of current pain occurring in week 4(P<0.001),worst pain in week 2(P<0.001)and week 4(P<0.001),least pain in week 2(P=0.032)and week 4(P<0.001),pain interference in week 2(P=0.009)and week 4(P<0.001),and in the life dysfunction in week 2(P<0.001)and week 4(P<0.001).Recurrence rates of LBP at the 4th and 8th weeks after the end of intervention were 0%and 36.89%in the LAA group,and 69.44%and 36.11%in the control group.Conclusion This study shows that 4-week LAA intervention reduced pain intensity and pain interference,and improved quality of life for hospital-based nurses with LBP.These effects were maintained continuously for at least 4 weeks after the intervention.The nonpharmacolog

关键词： Acupuncture acupressure Low-backpain Low-level laser Qualityof life Randomized controlled trial

Effectiveness of auricular point acupressure with magnetic plate for pain management in acute postpartum cesarean section patients in Thammasat University Hospital: a randomized clinical controlled trial

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Journal of Traditional Chinese Medicine 2022年第4期42卷 611-616页

作者： Rakchanok Tanitsookarn Komsun Suwannarurk Paradi Sangvatanakul Supapen Lertvuttivivat Junya Pattaraarchachai Kornkarn Bhamarapravatana Department of obstetrics and gynecology Faculty of medicineThammasat UniversityPathum Thani 12120Thailand Chulabhorn International College of Medicine Thammasat UniversityPathum Thani 12120Thailand Department of preclinical science Faculty of medicineThammasat UniversityPathum Thani 12120Thailand

OBJECTIVE:To compare the effectiveness of auricular acupressure with or without magnetic plates to routine post cesarean pain management.METHODS:This randomized controlled trial was conducted at Obstetrics and Gynecology Department,Thammasat University Hospital,between January and June 2020.All participants were term primigravida pregnant women who underwent cesarean delivery during the study period.Participants were divided into three groups,namely control,placebo and study groups.Study(magnetic application)and placebo(non-magnetic application)groups received magnetic and non-magnetic auricular patches at both pinnas,respectively.Randomized assignments for each group were computergenerated,printed and kept in opaque sealed envelopes.The points in this study were Shenmen(TF4),Erzhong(HX1)and Penqiang(TF5).Visual analog scale(VAS)was immediately recorded up to 72 h after the operation.RESULTS:A total of 195 cases were enrolled during the period of study.Each group had 65 participants.The mean participant’s age was 31 years old.Demographic and clinical characters among the three groups were comparable.Pain scores within 12 h postoperative period of all three groups were comparable.Between 36 and 72 h post-operation,study groups had significantly lower VAS than the control group.One-quarter of participants had comparable nausea and vomiting side effects.CONCLUSIONS:Auricular acupressure at Shenmen(TF4),Penqiang(TF5)and Erzhong(HX1)with magnetic plate attachment could significantly relieve post cesarean pain between 18 and 72 h.

关键词： cesarean section pain acupressure magnetic plate

Impacts of acupressure treatment on depression:A systematic review and meta-analysis

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World Journal of Psychiatry 2022年第1期12卷 169-186页

作者： Jingxia Lin Tianhao Chen Jiali He Raymond CK Chung Haixia Ma HWH Tsang Department of Rehabilitation Sciences The Hong Kong Polytechnic UniversityHong Kong 00852China Mental Health Research Centre The Hong Kong Polytechnic UniversityHong Kong 00852China

BACKGROUND Depression is recognized as a major public health problem with a substantial impact on individuals and society.Complementary therapies such as acupressure may be considered a safe and cost-effective treatment for people with depression.An increasing body of research has been undertaken to assess the effectiveness of acupressure in various populations with depression,but the evidence thus far is inconclusive.AIM To examine the efficacy of acupressure on depression.METHODS A systematic literature search was performed on PubMed,PsycINFO,Scopus,Embase,MEDLINE,and China National Knowledge(CNKI).Randomized clinical trials(RCTs)or single-group trials in which acupressure was compared with control methods or baseline in people with depression were included.Data were synthesized using a random-effects or a fixed-effects model to analyze the impacts of acupressure treatment on depression and anxiety in people with depression.The primary outcome measures were set for depression symptoms.Subgroups were created,and meta-regression analyses were performed to explore which factors are relevant to the greater or lesser effects of treating symptoms.RESULTS A total of 14 RCTs(1439 participants)were identified.Analysis of the betweengroup showed that acupressure was effective in reducing depression[Standardized mean differences(SMDs)=-0.58,95%CI:-0.85 to-0.32,Pacupressure significantly reduced depressive symptoms compared with different controlled conditions and in participants with different ages,clinical conditions,and duration of intervention.Adverse events,including hypotension,dizziness,palpitation,and headache,were reported in one study.CONCLUSION The evidence of acupressure for mild-to-moderate depressive symptoms was significant.Importantly,the findings should be interpreted with caution due to study limitations.Future research with a well-designed mixed

关键词： acupressure Depression Mild-to-moderate depressive symptoms Systematic review Meta-analysis

Is acupressure Useful for Alleviating Hyperventilation Syndrome?

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Chinese Journal of Integrative Medicine 2019年第6期25卷 468-470页

作者： ZENG Rui-xiang CHEN Mao-sheng ZHANG Min-zhou Division of Chest Pain Center Guangdong Provincial Hospital of Chinese Medicinethe 2nd Clinical College of Guangzhou University of Chinese Medicine

Case Report On April 23, 2017, a plane was flying from Hefei to Guangzhou in China. About 20 min after takeoff, a 30-year-old female passenger suddenly had on set of face redde ned all over, breathless ness, dyspnoea, palpitation and chest pain. Fortunately, two doctors came over to give help, one is Prof. Zhang, a cardiovascular specialist, the other one is Prof. Tan, a cardiovascular surgery specialist. After inquiring symptoms, two doctors believed that the woman had no organic abnormalities according to several medical examinations before, and once had a similar attack.

关键词： acupressure Useful Alleviating Hyperventilation Case Report

Effectiveness of Auricular acupressure for Acute Postoperative Pain after Surgery: A Systematic Review and Meta-Analysis

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Chinese Journal of Integrative Medicine 2019年第3期25卷 225-232页

作者： ZHONG Qin WANG Di BAI Ya-mei DU Shi-zheng SONG Yu-lei ZHU Jing School of Nursing Nanjing University of Traditional Chinese Medicine

Objective: To identify the effectiveness of auricular acupressure(AA) in patients with acute postoperative pain after surgery by systematic review. Methods: A search of randomized controlled trials was conducted in 5 English medical electronic databases and 4 Chinese databases. Two reviewers independently retrieved related studies, assessed the methodological quality, and extracted data with a standardized data form. Meta-analyses were performed using all time-points meta-analysis. Results: A total of 26 studies with 1,682 participants were included. Results showed that compared with conventional therapy, AA significantly improved the total effective rate [risk ratio=1.25, 95% confidence interval(CI), 1.13 to 1.37, P<0.0001; heterogeneity: P<0.0001, I^2=85%]. In the subgroup analysis, the results changed in different follow-up time and surgery categories. The pain relief in the AA group might be the most significant at 72 h after surgery(mean difference=–0.85, 95% CI, –1.20 to –0.50, P<0.0001) and in abdominal surgery(mean difference=–1.15, 95% CI, –1.41 to –0.90, P<0.0001). Sensitivity analysis demonstrated that the results of this meta-analysis were stable. No serious adverse effects were recorded. Conclusions: It was recommended to provide AA to patients with acute postoperative pain. However, a more accurate estimate of the effect requires further rigorously designed large-scale and high-quality RCTs for improving acute postoperative pain after surgery.

关键词： auricular acupressure acute postoperative pain systematic review meta-analysis

Effect of acupressure on procedural pain before heel lancing in neonates

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Journal of Traditional Chinese Medicine 2021年第2期41卷 331-337页

作者： Tanju Oğul Fatma Yilmaz Kurt Research Assistant RNMSNFaculty of Health SciencesPediatric Nursing DepartmentCanakkale Onsekiz Mart UniversityCanakkale 17020Turkey

OBJECTIVE:To investigate the effect of acupressure applied to UB60 and K3 acupuncture points in order to relieve the procedural pain caused by heel lancing blood sampling process in the term newborns.METHODS:The data were collected by using the Information Form and the Neonatal Infant Pain Scale.acupressure applied for 3 min before heel lancing blood sampling in the newborns in the experimental group(n=31).No intervention was applied to newborns in the control group(n=32).RESULTS:A significant difference was found between mean scores of the newborns in the control and acupressure group in favor of the acupressure group in terms of heart rate during and after the procedure,oxygen saturation before,during and after the procedure,duration of crying during and after the procedure(Pacupressure group.CONCLUSION:As a result,acupressure was found to be an effective method in relieving pain caused by heel lancing blood sampling in newborns.

关键词： acupressure Pain,procedural Infant,newborn Heel lancing blood sampling

Effect of acupressure on postpartum low back pain, salivary cortisol, physical limitations, and depression: a randomized controlled pilot study

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Journal of Traditional Chinese Medicine 2020年第1期40卷 128-136页

作者： Cheng Hsuesh-Yu Carol Shieh Wu Bei-Yu Cheng Yu-Fen Department of Nursing Kaohsiung Chang Gung Memorial HospitalKaohsiung 80830Taiwan China Department of Community and Health Systems Indiana University School of NursingIndiana 600USA Department of Chinese Medicine Kaohsiung Chang Gung Memorial HospitalKaohsiung 80830Taiwan China

OBJECTIVE:To investigate the effect of acupressure on postpartum low back pain(LBP),salivary cortisol,physical limitations,and postpartum depression.METHODS:Participants were 70 postpartum women who were randomly assigned to either an intervention(n=35)or a control(n=35)group.The intervention group received 10 acupressure sessions(1 session per day,5 d per week).The control group received 10 sham acupressure sessions.Outcomes were assessed using a visual analogue scale(LBP intensity),salivary cortisol values(LBP biomarker),and Chinese versions of the Roland-Morris Disability Questionnaire(daily activity limitations),Oswes-try Disability Index(physical activity limitations),and the Edinburgh Postnatal Depression Scale(postpartum depression).RESULTS:Participants in the intervention group had significantly lower levels of LBP intensity,daily activity limitations,physical activity limitations,and postpartum depression than those in the control group.There was no significant between-group difference in salivary cortisol.CONCLUSION:acupressure may reduce postpartum LBP intensity and limitations in daily and physical activity,and alleviate postpartum depressive symptoms.acupressure should be offered in postpartum care settings as an alternative treatment for postpartum women with LBP.

关键词： acupressure Low back pain Postpartum period Depression Randomized controlled trial Pilot projects

Aromatic Essential Oil acupressure Combined with Music Therapy in Cancer Pain Management

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Journal of Biosciences and Medicines 2023年第12期11卷 318-324页

作者： Hang Su Jing Liu Tumor Ward 3 The First People’s Hospital of Jingzhou Jingzhou China

Objective: To explore the effect of aroma oil acupressure combined with music therapy in pain intervention for tumor patients. Methods: 60 patients with malignant tumors accompanied by cancer pain who were hospitalized in the oncology department of a tertiary-level hospital in Jingzhou City, Hubei Province, from January 2022 to December 2022 were selected as the study subjects, and were divided into 30 cases in the control group and 30 cases in the intervention group according to the stratified sampling method. The control group was divided into 30 cases of control group and 30 cases of intervention group according to the stratified sampling method. The control group was given medicine according to the conventional step analgesia, and the intervention group was given medicine according to the conventional step analgesia with the addition of aromatic oil acupressure combined with music therapy, and the effect of the intervention was valued by the NRS, the SAS and the SDS. Results: The NRS, SAS and SDS of patients in the intervention group were lower than those in the control group (p Conclusion: Aromatic oil acupressure combined with music therapy can effectively improve the pain symptoms of tumor patients, relieve anxiety and improve the quality of sleep of patients. Combined with pharmacological methods of pain relief, it can reduce the dose of pain medication and the frequency of administration of medication, and find a safe, low-cost, non-pharmacological pain complementary alternative therapy for tumor patients with cancer pain.

关键词： Cancer Pain Aromatic Essential Oils acupressure Music Intervention Effectiveness

Effect of acupressure on sleep quality of middle-aged and elderly patients with hypertension

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International Journal of Nursing Sciences 2014年第4期1卷 334-338页

作者： Li-Wei Zheng Yao Chen Feng Chen Ping Zhang Li-Fang Wu Fujian University of Traditional Chinese Medicine FuzhouChina Department of Cardiology Fujian General HospitalFuzhouChina

Purpose:To evaluate the effect of acupressure on blood pressure and sleep quality in middle-aged and elderly patients with hypertension.Methods:A total of 75 elderly hypertensive patients with sleep disorders were randomly divided into either an experimental group(n=38)or a control group(n=37).All subjects received conventional treatment and health guidance.The experimental group also received acupressure treatment.The score of PSQI(Pittsburgh Sleep Quality Index)and blood pressure were measured and recorded before and after the treatment.Results:After the intervention,the systolic(SBP)and diastolic blood pressure of the experimental group decreased significantly(pacupressure can lower SBP and effectively improve the sleep quality in middleaged and elderly patients with hypertension.

关键词： acupressure Hypertension Sleep quality