School of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Non-Communicable Disease Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Complement Ther Clin Pract. 2019 Aug;36:72-76. doi: 10.1016/j.ctcp.2019.06.002. Epub 2019 Jun 8.
The neonates of addicted women are at risk for neonatal abstinence syndrome. This study aimed to compare the effects of auricular seed acupressure and foot reflexology on neonatal abstinence syndrome among the neonates of addicted women.
Thirty one neonates of addicted women were purposively recruited and randomly allocated through coin flipping to receive either foot reflexology then seed acupressure or seed acupressure then foot reflexology. Interventions were performed in two successive days with a 12-h washout interval. Foot reflexology was applied for 15 min to the first horizontal zone of the sole while seed acupressure was applied for 24 h through attaching acupuncture-specific ear seeds to the posterior surface of the auricle on the SJ 17 acupoint. The symptoms of abstinence syndrome were assessed using Finnegan Neonatal Abstinence Scoring System before and after foot reflexology, and before, 15 min, and 24 h after the onset of the seed acupressure intervention. Symptom assessment was done by a research assistant who was blind to the study intervention.
The mean score of abstinence symptoms for the foot reflexology intervention significantly reduced from 10.32 ± 2.10 at pretest to 7.87 ± 2.04 at posttest (P < 0.001). Moreover, the mean score of abstinence symptoms for the seed acupressure intervention significantly reduced from 9.70 ± 2.10 to 8.70 ± 1.46 at the first posttest (P = 0.007) and 7.32 ± 1.42 at the second posttest (P < 0.001). The change in the mean score of the foot reflexology intervention was significantly greater than the change in the mean score at the first seed acupressure posttest (P < 0.001) but did not significantly differ from the change in the second seed acupressure posttest (P = 0.880).
Both foot reflexology and auricular seed acupressure has significant effects on abstinence symptoms. Of course, 15-min seed acupressure is less effective than 15-min foot reflexology, while 24-h seed acupressure is as effective as 15-min foot reflexology in alleviating abstinence symptoms.
成瘾女性的新生儿有患新生儿戒断综合征的风险。本研究旨在比较耳穴贴压和足部反射疗法对成瘾女性新生儿戒断综合征的影响。
通过抛硬币的方式，将 31 名成瘾女性的新生儿有目的的随机分为两组，一组先接受足部反射疗法，再接受耳穴贴压，另一组则相反。干预措施连续两天进行，中间间隔 12 小时。足部反射疗法在足底的第一水平区域进行 15 分钟，而耳穴贴压则将特定的针灸耳穴贴在后耳郭的 SJ17 穴位上，持续 24 小时。在足部反射疗法之前、之后以及耳穴贴压干预开始后的 15 分钟和 24 小时，使用芬纳根新生儿戒断评分系统评估戒断症状。症状评估由一位对研究干预措施不知情的研究助理进行。
足部反射疗法干预后，戒断症状的平均评分从 10.32±2.10 分显著降至 7.87±2.04 分（P<0.001）。此外，耳穴贴压干预后，戒断症状的平均评分从 9.70±2.10 分显著降至第一次随访时的 8.70±1.46 分（P=0.007）和第二次随访时的 7.32±1.42 分（P<0.001）。足部反射疗法干预的平均评分变化明显大于第一次耳穴贴压后的平均评分变化（P<0.001），但与第二次耳穴贴压后的平均评分变化无显著差异（P=0.880）。
足部反射疗法和耳穴贴压对戒断症状均有显著效果。当然，15 分钟的耳穴贴压效果不如 15 分钟的足部反射疗法，而 24 小时的耳穴贴压与 15 分钟的足部反射疗法在缓解戒断症状方面同样有效。
