Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran; Department of Nursing, Faculty of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran.
Critical Care Nursing, Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran.
Complement Ther Clin Pract. 2020 Feb;38:101066. doi: 10.1016/j.ctcp.2019.101066. Epub 2019 Oct 23.
Poor sleep quality is prevalent in candidates for percutaneous coronary interventions (PCIs). The present study was conducted to compare aromatherapy with acupressure in terms of their effectiveness in sleep quality in patients undergoing PCIs.
The present study was conducted on 85 patients undergoing PCIs and randomly assigned, using block randomization, to five groups, namely (1)aromatherapy, (2)placebo aromatherapy, (3)acupressure, (4)placebo acupressure (acupressure applied to a point not traditionally associated with improving sleep) and (5)control. The intervention groups received aromatherapy or acupressure or placebo from 10pm to 8am the following day. The control group received only routine care. Sleep quality was measured in the patients using a visual analog scale (VAS) that was completed by them before and after the intervention.
The mean pretest score of sleep quality was 2.91 ± 0.53 in the aromatherapy group, 2.84 ± 0.47 in the placebo aromatherapy group, 2.98 ± 0.59 in the acupressure group, 2.75 ± 0.41 in the placebo acupressure group and 2.88 ± 0.41 in the controls. ANOVA suggested no significant differences among these groups in the pretest (P = 0.746). The mean posttest score of sleep quality was 3.72 ± 1.84 in the aromatherapy group, 3.70 ± 1.83 in the placebo aromatherapy group, 7.35 ± 0.99 in the acupressure group, 2.67 ± 0.41in the placebo acupressure group and 2.72 ± 0.34 in the controls, suggesting significant differences among the five groups based on the ANOVA results showed significant differences among the five groups (P < 0.001). The mean posttest score of sleep quality was higher than the pretest score by 4.37 in the acupressure group compared to in the other groups (P < 0.001).
The present findings provided scientific evidence for the benefits of using different methods, including acupressure, for sleep quality in patients undergoing PCIs.
IRCT201707248665N6.
经皮冠状动脉介入治疗（PCI）患者睡眠质量较差。本研究旨在比较芳香疗法和穴位按压对改善 PCI 患者睡眠质量的效果。
本研究纳入 85 例行 PCI 的患者，采用区组随机化分组，分为 5 组：（1）芳香疗法组，（2）假芳香疗法组，（3）穴位按压组，（4）假穴位按压组（按压穴位不传统用于改善睡眠），（5）对照组。干预组从晚上 10 点到次日早上 8 点接受芳香疗法或穴位按压或安慰剂治疗。对照组仅接受常规护理。患者在干预前后使用视觉模拟量表（VAS）评估睡眠质量。
芳香疗法组、假芳香疗法组、穴位按压组、假穴位按压组和对照组的睡眠质量的平均预测试评分分别为 2.91±0.53、2.84±0.47、2.98±0.59、2.75±0.41 和 2.88±0.41。方差分析表明，这些组在预测试时没有显著差异（P=0.746）。芳香疗法组、假芳香疗法组、穴位按压组、假穴位按压组和对照组的睡眠质量的平均后测试评分分别为 3.72±1.84、3.70±1.83、7.35±0.99、2.67±0.41 和 2.72±0.34，表明根据方差分析结果，这 5 组之间存在显著差异（P<0.001）。穴位按压组后测评分比前测评分高 4.37，而其他组没有显著差异（P<0.001）。
本研究结果为使用不同方法（包括穴位按压）改善 PCI 患者睡眠质量提供了科学证据。
IRCT201707248665N6。
