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耳穴疗法减轻护理专业人员的焦虑和疼痛:一项随机临床试验。

Auriculotherapy to reduce anxiety and pain in nursing professionals: a randomized clinical trial.

作者信息

Kurebayashi Leonice Fumiko Sato, Turrini Ruth Natalia Teresa, Souza Talita Pavarini Borges de, Marques Carolina Felicio, Rodrigues Renata Tavares Franco, Charlesworth Karen

机构信息

Post-doctoral fellow, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil. Scholarship holder at Programa Nacional Pós Doutorado da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES).

PhD, Full Professor, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.

出版信息

Rev Lat Am Enfermagem. 2017 Apr 6;25:e2843. doi: 10.1590/1518-8345.1761.2843.

DOI:10.1590/1518-8345.1761.2843
PMID:28403335
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5396483/
Abstract

OBJECTIVES

: to evaluate the effectiveness of the auricular protocol (APPA) in reducing pain and anxiety and improving the quality of life of the nursing staff of a hospital.

METHOD

: randomized clinical trial with an initial sample of 180 professionals divided into 4 groups Control (G1), Seed (G2), Needle (G3) and Tape (G4). The evaluation instruments were the State-Trait Anxiety Inventory, Pain Visual Analog Scale and Quality of Life instrument, applied at the start and after five and 10 sessions (five weeks). Descriptive statistics, analysis of variance (ANOVA) and Cohen's d Index were used in the analysis.

RESULTS

: there was a statistical difference (p < 0.05) for anxiety according to the repeated measures ANOVA, with better results for the G3 in the final assessment (Cohen's d index 1.08/17% reduction). There was a reduction of pain of 36% in G3 and 24% in G2 and a 13% increase in the mental aspect of quality of life for the G3, although without statistical significance.

CONCLUSION

: the APPA protocol reduced the anxiety levels of nursing staff after 10 sessions. Further studies are, however, suggested with new populations and in different contexts so that the results can be confirmed. RBR-5pc43m.

OBJETIVOS

: avaliar a efetividade do protocolo auricular para redução de ansiedade, dor (APPA) e melhoria de qualidade de vida em equipe de Enfermagem de um hospital.

MÉTODO:: ensaio clínico randomizado com amostra inicial de 180 profissionais divididos em 4 grupos Controle (G1), Semente (G2), Agulha (G3) e Fita Adesiva (G4). Os instrumentos de avaliação foram o Inventário de Ansiedade Traço-Estado, Escala Visual Analógica de dor e instrumento de Qualidade de Vida, aplicados no início, depois de cinco e 10 sessões (cinco semanas). Na análise utilizou-se a estatística descritiva, a análise de variância (ANOVA) e o Índice d de Cohen.

RESULTADOS

: houve diferença estatística (p < 0,05) para a ansiedade segundo ANOVA de medidas repetidas, com melhores resultados para o G3 na última avaliação (índice d de Cohen 1,08/17% de redução). Houve redução de 36% no G3, 24% no G2 para a dor e 13% de aumento no nível mental de qualidade de vida para o G3, embora sem diferenças estatísticas.

CONCLUSÃO:: o protocolo APPA reduziu os níveis de ansiedade em equipe de enfermagem depois de 10 sessões. Mas, sugerem-se mais estudos com novas populações e em diferentes contextos para que os resultados se confirmem. RBR-5pc43m.

OBJETIVOS

: evaluar la efectividad del protocolo auricular para reducción de ansiedad, dolor (APPA) y mejoría de calidad de vida, en equipo de enfermería de un hospital.

MÉTODO:: ensayo clínico aleatorizado con muestra inicial de 180 profesionales divididos en 4 grupos: Control (G1), Semilla (G2), Aguja (G3) y Cinta Adhesiva (G4). Los instrumentos de evaluación fueron el Inventario de Ansiedad Rasgo-Estado, la Escala Visual Analógica de Dolor y el instrumento de Calidad de Vida, aplicados en el inicio, y después de cinco y 10 sesiones (cinco semanas). En el análisis se utilizó la estadística descriptiva, la análisis de variancia (ANOVA) y el Índice d de Cohen.

RESULTADOS

: hubo diferencia estadística (p < 0,05) para la ansiedad según ANOVA de medidas repetidas, con mejores resultados para el G3 en la última evaluación (índice d de Cohen 1,08/17% de reducción). Hubo reducción de 36% en el G3, 24% en el G2 para el dolor y 13% de aumento en el nivel mental de calidad de vida para el G3, a pesar de que sin diferencias estadísticas.

CONCLUSIÓN:: el protocolo APPA redujo los niveles de ansiedad en el equipo de enfermería después de 10 sesiones. Se sugiere realizar más estudios con nuevas poblaciones y en diferentes contextos para que los resultados puedan ser confirmados. RBR-5pc43m.

摘要

目的:评估耳穴疗法方案(APPA)在减轻某医院护理人员疼痛、焦虑以及改善其生活质量方面的有效性。

方法:采用随机临床试验,初始样本为180名专业人员,分为4组:对照组(G1)、籽穴组(G2)、针刺组(G3)和贴胶布组(G4)。评估工具包括状态-特质焦虑量表、疼痛视觉模拟量表和生活质量量表,在开始时以及5次和10次治疗后(五周)进行应用。分析中使用了描述性统计、方差分析(ANOVA)和科恩d指数。

结果:根据重复测量方差分析,焦虑方面存在统计学差异(p<0.05),最终评估中G3组效果更佳(科恩d指数为1.08/降低17%)。G3组疼痛减轻36%,G2组减轻24%,G3组生活质量心理方面提高13%,尽管无统计学意义。

结论:APPA方案在10次治疗后降低了护理人员的焦虑水平。然而,建议在新的人群和不同背景下进行进一步研究,以便证实结果。RBR-5pc43m。

目的:评估耳穴疗法方案(APPA)对减轻某医院护理人员焦虑、疼痛以及改善生活质量的有效性。

方法:随机临床试验,初始样本为180名专业人员,分为4组:对照组(G1)、籽穴组(G2)、针刺组(G

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d894/5396483/ad33715f510c/0104-1169-rlae-25-e2843-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d894/5396483/be3fcf1ac6fa/0104-1169-rlae-25-e2843-gf1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d894/5396483/be3fcf1ac6fa/0104-1169-rlae-25-e2843-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d894/5396483/bd493498689b/0104-1169-rlae-25-e2843-gf2.jpg
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