一项关于耳穴按压对高血压患者心率变异性和生活质量影响的随机对照试验。
A randomized controlled trial of auricular acupressure in heart rate variability and quality of life for hypertension.
作者信息
Yeh Mei-Ling, Chang Yu-Chun, Huang Yi-Ying, Lee Tso-Ying
机构信息
School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan, ROC.
School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan, ROC; Department of Nursing, Fooyin University, Kaohsiung, Taiwan, ROC.
出版信息
Complement Ther Med. 2015 Apr;23(2):200-9. doi: 10.1016/j.ctim.2015.01.005. Epub 2015 Jan 20.
BACKGROUND
Hypertension is one of the most common chronic diseases. Hypertensive patients who intend to control blood pressure need professional medical assistance. Auricular acupressure is a patient-dependent task, wherein a person does not have to rely on a healthcare professional to self-perform the task.
OBJECTIVE
To evaluate the effects of auricular acupressure on heart rate variability (HRV) and quality of life (QoL) in patients with hypertension.
METHODS
A randomized controlled trial with permuted block randomization was used. In total, 150 participants from a medical teaching hospital were randomly assigned to the experimental group that received auricular acupressure for 10 weeks, and the control group that received only routine care of equal duration. Outcomes were assessed through HRV parameters, heart rate, blood pressure, and QoL before and after the auricular acupressure intervention.
RESULTS
After the adjustment of disease duration and mental health, a significant difference existed between the two groups in body pain (p=.03) and mental health (p=.002) of QoL, but not in HRV parameters, heart rate, blood pressure, and overall QoL (p>.05).
CONCLUSION
Acupressure can be applied at the acupoints of shenmen, sympathesis, kidney, liver, heart, and subcortex to improve physical pain and mental health of QoL for hypertensive patients. Auricular acupressure is acceptable and feasible although it does not support physiological benefits. Further studies are warranted to assure the effects of using auricular acupressure as an adjunctive care for patients with hypertension.
背景
高血压是最常见的慢性病之一。想要控制血压的高血压患者需要专业医疗协助。耳穴按压是一项患者自主操作的任务，患者无需依赖医护人员即可自行完成。
目的
评估耳穴按压对高血压患者心率变异性（HRV）和生活质量（QoL）的影响。
方法
采用置换区组随机化的随机对照试验。共有150名来自一家医学教学医院的参与者被随机分配到接受10周耳穴按压的实验组和仅接受同等时长常规护理的对照组。在耳穴按压干预前后，通过HRV参数、心率、血压和生活质量对结果进行评估。
结果
在调整病程和心理健康因素后，两组在生活质量的身体疼痛方面（p = 0.03）和心理健康方面（p = 0.002）存在显著差异，但在HRV参数、心率、血压和总体生活质量方面无显著差异（p>0.05）。
结论
可在神门、交感、肾、肝、心和皮质下等穴位进行按压，以改善高血压患者生活质量的身体疼痛和心理健康。耳穴按压虽然不支持生理益处，但却是可接受且可行的。有必要进行进一步研究以确定耳穴按压作为高血压患者辅助护理措施的效果。
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