U.S. Naval Hospital, Okinawa, Japan.
Vanderbilt University School of Nursing, Nashville, TN, USA.
Clin Nurs Res. 2022 Feb;31(2):239-250. doi: 10.1177/10547738211030602. Epub 2021 Jul 6.
This RCT and mixed-methods study examined the difference between two groups receiving the following interventions: (1) brief manual standardized stress acupuncture (MSSA) combined with an abbreviated Cognitive Behavioral Therapy (ACBT) versus (2) ACBT alone. Three study aims: Aim (1): Insomnia Severity Index (ISI) and Pittsburg Sleep Quality Index (PSQI) scores were analyzed using descriptive summaries, linear regression, and reliable change index (RCI). Aim (2): Journal entries were analyzed using content analysis. Aim (3): Acupuncture Expectancy Scale (AES) scores were analyzed using paired -test and RCI. Aim (1): Both groups demonstrated similar improvements in the ISI scores ( = .480). Aim (2): The ACBT/MSSA group reported greater benefits in sleep and in other life areas including mental, physical, and social functioning. Aim (3): The AES showed that 21.6% had a clinically meaningful increase in expectations in the effect of acupuncture for stress ( = .965). The study was registered in ClinicalTrials.gov (NCT04031365) at https://clinicaltrials.gov/ct2/show/NCT04031365 on July 24, 2019.
（1）短暂的手动标准化应激针刺（MSSA）结合简化认知行为疗法（ACBT）与（2）单独接受 ACBT。研究目的有三个：目的（1）：采用描述性总结、线性回归和可靠变化指数（RCI）分析失眠严重程度指数（ISI）和匹兹堡睡眠质量指数（PSQI）评分。目的（2）：采用内容分析法分析日志条目。目的（3）：采用配对检验和 RCI 分析针刺期望量表（AES）评分。目的（1）：两组的 ISI 评分均有类似的改善（ = .480）。目的（2）：ACBT/MSSA 组报告在睡眠和其他生活领域（包括心理、身体和社会功能）方面有更大的益处。目的（3）：AES 显示，21.6%的人对针刺治疗应激的效果的期望有显著的临床意义增加（ = .965）。该研究于 2019 年 7 月 24 日在 ClinicalTrials.gov（NCT04031365）网址上进行了注册，网址为 https://clinicaltrials.gov/ct2/show/NCT04031365。
