Najafi Sied Saeed, Ghorbani Hassan, Kordi Yoosefinejad Amin, Najafi Kalyani Majid
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Student Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Int J Community Based Nurs Midwifery. 2021 Apr;9(2):152-158. doi: 10.30476/ijcbnm.2021.86059.1318.
Diabetes is the most common endocrine disorder. Non-pharmacological methods can be used for treatment of these patients. The present study aimed to investigate the effect of acupressure point on fasting blood glucose and glycosylated levels of diabetic patients.
This clinical trial was conducted on 102 patients who referred to Motahari Clinic of Shiraz during May-June in 2018. The participants were selected based on simple random sampling and divided into three groups via permuted block randomization. The control group only received the pharmacological treatments. The intervention group received acupressure at ST36 point in addition to medications. The placebo group also received medications and acupressure at a fake point. The intervention was carried out for six minutes (three minutes for each lower extremity), three sessions a week for 12 weeks. Fasting blood glucose and glycosylated hemoglobin levels were checked in all patients immediately after the intervention. The data were analyzed using Chi-square, paired t-test, and ANOVA by the SPSS statistical software, version 21, and P<0.05 was considered statistically significant.
The results showed no significant differences among the three groups' blood glucose mean levels before (P=0.89) and after the intervention (P=0.36). However, a significant difference was observed in the intervention group's glycosylated hemoglobin mean levels before (8.61±1.96) and after the intervention (8.1±1.62) (P=0.02).
In sum, the study indicated that acupressure could only be effective in reducing the glycosylated hemoglobin in the intervention group. Thus, further larger studies are recommended to evaluate the effectiveness of this technique. IRCT20111224008505N47.
糖尿病是最常见的内分泌疾病。非药物方法可用于治疗这些患者。本研究旨在探讨穴位按压对糖尿病患者空腹血糖和糖化水平的影响。
本临床试验于2018年5月至6月在设拉子的莫塔哈里诊所对102名患者进行。参与者通过简单随机抽样选取，并通过置换区组随机化分为三组。对照组仅接受药物治疗。干预组除药物治疗外，还在足三里穴进行穴位按压。安慰剂组也接受药物治疗，并在假穴位进行穴位按压。干预持续6分钟（每侧下肢3分钟），每周3次，共12周。干预结束后立即检查所有患者的空腹血糖和糖化血红蛋白水平。数据采用SPSS 21.0统计软件进行卡方检验、配对t检验和方差分析，P<0.05被认为具有统计学意义。
结果显示，三组干预前（P=0.89）和干预后（P=0.36）的血糖平均水平无显著差异。然而，干预组糖化血红蛋白的平均水平在干预前（8.61±1.96）和干预后（8.1±1.62）存在显著差异（P=0.02）。
总之，该研究表明穴位按压仅对干预组降低糖化血红蛋白有效。因此，建议进一步开展更大规模的研究来评估该技术的有效性。IRCT20111224008505N47。
