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耳穴按压干预对癌症女性患者及其家庭照顾者睡眠质量的协同影响。

Concomitant Benefits of an Auricular Acupressure Intervention for Women With Cancer on Family Caregiver Sleep Quality.

机构信息

Author Affiliations: Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan (Ms Wu, Dr Pan, Ms Kuo, and Dr Chen); Perinatal Mental Health, School of Nursing & Midwifery, Griffith University, Brisbane, Australia (Dr Creedy); Department of Nursing, Tzu-Chi University, Hualien, Taiwan (Dr Tsao).

出版信息

Cancer Nurs. 2021;44(5):E323-E330. doi: 10.1097/NCC.0000000000000842.

Abstract

BACKGROUND

Sleep disturbance is a frequent and significant problem challenge for family caregivers of patients with cancer. A previously tested 6-week auricular acupressure intervention was found to reduce symptom burden in women with cancer. It is possible that such an intervention has a concomitant benefit for family caregivers.

OBJECTIVES

The aim of this study was to explore if the effects of an auricular acupressure intervention on major symptoms experienced by women with ovarian cancer improves the sleep quality of family caregivers.

METHODS

A quasi-randomized controlled trial with a repeated-measures design was used. Family caregivers (n = 68) of cancer patients were recruited and completed the Pittsburgh Sleep Quality Index on 4 occasions. Demographic information included age, sex, duration of caring role, and relationship to the patient.

RESULTS

Family members with a longer duration of caregiving reported more sleep disturbance at baseline. As the symptom burden of treated women decreased, their family caregivers reported improved Pittsburgh Sleep Quality Index scores at 4 weeks (time 2; Cohen d = 1.075) and 6 weeks (time 3; Cohen d = 1.022).

CONCLUSIONS

Reducing the symptom burden of patients with cancer can improve the sleep quality of family caregivers.

IMPLICATIONS FOR PRACTICE

Auricular acupressure is a noninvasive and easy-to-apply intervention that can be applied by caregivers to assist their family member. Nursing staff can implement and test the acupressure intervention into their clinical practice and better support family-based strategies and interventions. Further studies with larger samples are needed to confirm our findings.

摘要

背景

睡眠障碍是癌症患者家属经常面临的重大问题。先前经过测试的 6 周耳部穴位按压干预措施已被证明可减轻癌症女性的症状负担。这种干预措施可能对癌症患者的家属有相应的益处。

目的

本研究旨在探讨耳部穴位按压干预对卵巢癌女性主要症状的影响是否能改善癌症患者家属的睡眠质量。

方法

采用准随机对照试验和重复测量设计。招募了癌症患者的家属(n = 68),并在 4 个时间点完成了匹兹堡睡眠质量指数。人口统计学信息包括年龄、性别、照顾角色的持续时间以及与患者的关系。

结果

照顾时间较长的家属在基线时睡眠障碍更严重。随着接受治疗的女性症状负担减轻,她们的家属在 4 周(时间 2;Cohen d = 1.075)和 6 周(时间 3;Cohen d = 1.022)时报告的匹兹堡睡眠质量指数得分有所提高。

结论

减轻癌症患者的症状负担可以改善癌症患者家属的睡眠质量。

实践意义

耳部穴位按压是非侵入性的、易于实施的干预措施,可由家属自行应用。护理人员可以将穴位按压干预措施应用于临床实践,并更好地支持以家庭为基础的策略和干预措施。需要进一步进行更大样本量的研究来证实我们的发现。

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