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穴位按压对伊朗白血病患者疼痛的影响:一项随机对照试验研究。

Effect of acupressure on pain in Iranian leukemia patients: A randomized controlled trial study.

作者信息

Sharif Nia Hamid, Pahlevan Sharif Saeed, Yaghoobzadeh Ameneh, Yeoh Ken Kyid, Goudarzian Amir Hossein, Soleimani Mohammad Ali, Jamali Saman

机构信息

School of Nursing and Midwifery Amol, Mazandaran University of Medical Sciences, Sari, Iran.

Taylor's Business School, Subang Jaya, Malaysia.

出版信息

Int J Nurs Pract. 2017 Apr;23(2). doi: 10.1111/ijn.12513. Epub 2017 Jan 6.

Abstract

Nonpharmacological methods of pain relief such as acupressure are becoming increasingly popular worldwide. Practitioners often claim that such methods are highly effective and less invasive than analgesic drugs, but available empirical evidence is largely inconclusive. This study aimed to test the hypothesis that, postacupressure intervention, the amount of pain experienced by sampled leukemia patients, who received acupressure in addition to standard care, will reduce substantially compared to patients who received only routine treatment. This controlled trial was undertaken with hospitalized leukemia patients between February and June 2015. Our primary sample consisted of 100 participants who were randomly allocated to 2 groups. One (intervention) group underwent 12 acupressure sessions in addition to standard treatment while the control group received no intervention apart from being given the standard treatment for leukemia. The visual analogue scale was used to measure the levels of pain experienced. No significant differences were found between the 2 groups across 12 interventions. However, each group reported significantly different pain level changes before and after each intervention, suggested that the acupressure method was effective in reducing pain in the short term. Nurses are able to apply this complementary therapy alongside other procedures to manage these patients' pain. It is recommended that further studies be conducted to better understand the specific conditions under which acupressure can provide effective pain relief.

摘要

诸如指压疗法等非药物止痛方法在全球范围内越来越受欢迎。从业者常常声称这些方法非常有效,且比镇痛药的侵入性更小,但现有的实证证据大多尚无定论。本研究旨在检验以下假设:在指压干预后,除接受标准护理外还接受指压治疗的白血病抽样患者所经历的疼痛程度,与仅接受常规治疗的患者相比将大幅降低。这项对照试验于2015年2月至6月期间对住院白血病患者进行。我们的主要样本包括100名参与者,他们被随机分为两组。一组(干预组)除接受标准治疗外还接受12次指压治疗,而对照组除接受白血病标准治疗外未接受任何干预。采用视觉模拟评分法来测量所经历的疼痛程度。在12次干预过程中,两组之间未发现显著差异。然而,每组在每次干预前后报告的疼痛程度变化显著不同,这表明指压疗法在短期内对减轻疼痛有效。护士能够将这种辅助疗法与其他程序一起应用于这些患者的疼痛管理。建议开展进一步研究,以更好地了解指压疗法能够有效缓解疼痛的具体条件。

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