Department of Nursing, Faculty of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran.
Department of Nursing, Faculty of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran.
Complement Ther Clin Pract. 2019 May;35:374-380. doi: 10.1016/j.ctcp.2018.10.011. Epub 2018 Oct 19.
Poor sleep and fatigue are among the most common complaints of patients with migraine. These problems can lead to different negative consequences such as headaches. This study aimed to examine the impacts of self-administered acupressure on sleep quality and fatigue among patients with migraine.
This double-blind randomized controlled trial was conducted in 2016 on 76 patients who suffered from migraine without aura. Patients were conveniently selected from the neurology clinic of Valiasr (PBUH) teaching hospital and randomly allocated to either an acupressure (n = 38) or a sham acupressure group (n = 38) group. Data collection instruments were a demographic questionnaire, Pittsburg Sleep Quality Index, and Fatigue Severity Scale. Patients in the acupressure and the sham acupressure groups were trained to apply acupressure on respectively acupoints and sham points thrice weekly at bedtime for four consecutive weeks. The data were analyzed through the Chi-square, the independent-sample t, the paired-sample t, and the ANCOVA tests at the significance level of less than 0.05.
After controlling sleep quality mean scores at baseline, no significant difference was found between the sleep quality of the two groups after intervention (P > 0.05). The mean scores of fatigue significantly decreased in both acupressure and sham acupressure groups (P < 0.05). However, the decrease in the acupressure group was significantly greater than in the sham acupressure group (P < 0.05).
As a noninvasive non-pharmacological therapy, acupressure can significantly reduce fatigue among patients with migraine.
睡眠不佳和疲劳是偏头痛患者最常见的抱怨之一。这些问题可能会导致头痛等不同的负面后果。本研究旨在探讨自我实施穴位按压对偏头痛患者睡眠质量和疲劳的影响。
这是一项 2016 年进行的双盲随机对照试验，共纳入 76 例无先兆偏头痛患者。患者从瓦利阿斯尔（PBUH）教学医院神经内科便利选取，随机分为穴位按压组（n=38）和假穴位按压组（n=38）。数据收集工具包括人口统计学问卷、匹兹堡睡眠质量指数和疲劳严重程度量表。穴位按压组和假穴位按压组的患者均接受培训，每周三次在睡前分别对穴位和假穴位进行穴位按压，连续四周。采用卡方检验、独立样本 t 检验、配对样本 t 检验和协方差分析（ANCOVA）对数据进行分析，检验水准为 0.05。
在控制基线睡眠质量评分后，干预后两组睡眠质量无显著差异（P>0.05）。穴位按压组和假穴位按压组的疲劳评分均显著降低（P<0.05）。然而，穴位按压组的疲劳评分降低幅度明显大于假穴位按压组（P<0.05）。
作为一种非侵入性的非药物治疗方法，穴位按压可显著减轻偏头痛患者的疲劳。
