Khanghah Atefeh Ghanbari, Rizi Moloud Sharifi, Nabi Bahram Naderi, Adib Masoumeh, Leili Ehsan Kazem Nejad
Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Department of Nursing and Midwifery Ramsar, School of Medicine, Babol University of Medical Sciences, Ramsar, I.R Iran.
J Acupunct Meridian Stud. 2019 Aug;12(4):103-110. doi: 10.1016/j.jams.2019.07.003. Epub 2019 Jul 25.
Fatigue is the commonest symptom in cancer patients; despite high levels of clinically significant persistent cancer-related fatigue, few treatments are currently available. The aim of this study was to evaluate the efficacy of acupressure on fatigue in patients with cancer who underwent chemotherapy. The study was designed as a randomized and controlled trial. Ninety samples were selected using the convenience sampling method, and random block sampling was used for allocation of groups (30 for each group). The three groups were similar by age and gender. The experimental group underwent acupressure at the Zusanli (ST-36), Hegu (LI-4), and Sanyingjiao (SP-6), whereas sham pressure was used in the placebo group and no intervention was applied in the control group; the level of fatigue of participants in three groups was calculated in three phases, before, during, and after chemotherapy. Data were analyzed using SPSS, version 22. The results showed that the mean of visual analog score of fatigue is significantly different in three groups at the end of chemotherapy (p = 0.021). The mean visual analog score of fatigue in the acupressure group was meaningfully lower than that in the control group after chemotherapy (p = 0.028). Results of this investigation showed that acupressure has short-term effectiveness on the cancer-related fatigue of patients undergoing chemotherapy.
疲劳是癌症患者最常见的症状;尽管临床上存在高水平的与癌症相关的持续性严重疲劳,但目前可用的治疗方法却很少。本研究的目的是评估指压疗法对接受化疗的癌症患者疲劳的疗效。该研究设计为随机对照试验。采用便利抽样法选取90个样本,并使用随机区组抽样进行分组(每组30个)。三组在年龄和性别方面相似。实验组在足三里(ST-36)、合谷(LI-4)和三阴交(SP-6)进行指压,而安慰剂组采用假按压,对照组不进行干预;在化疗前、化疗期间和化疗后三个阶段计算三组参与者的疲劳程度。使用SPSS 22版对数据进行分析。结果显示,化疗结束时三组疲劳视觉模拟评分的平均值有显著差异(p = 0.021)。化疗后指压组的疲劳视觉模拟评分平均值明显低于对照组(p = 0.028)。本调查结果表明,指压疗法对接受化疗的患者的癌症相关疲劳具有短期疗效。