Ondokuz Mayis University, Faculty of Health Sciences, Samsun, Türkiye.
Istanbul University-Cerrahpasa, Florence Nightingale Faculty of Nursing, Istanbul, Türkiye.
Complement Ther Clin Pract. 2022 May;47:101572. doi: 10.1016/j.ctcp.2022.101572. Epub 2022 Mar 18.
This study was conducted as a randomized controlled study to evaluate the effect of self-acupressure on fatigue in patients with Multiple Sclerosis (MS).
The sample of the study consisted of 123 patients (41 in the experiment group, 40 in the sham group, and 42 controls) who were admitted to a neurology clinic in a university hospital. To collect data a patient information form, Fatigue Severity Scale (FSS), Expanded Disability Status Scale (EDSS), and Mini-Mental Status Examination were used. Depressive mood and sleep quality, which may affect fatigue, were evaluated using the Beck Depression Scale (BDI-II) and Pittsburg Sleep Quality Index (PSQI), respectively. The patients in the experimental group were applied acupressure by use of LI4 (He Gu), SP6 (San Yin Jiao) and ST36 (Zu San Li) points.
The majority of patients were female (67.5%) and the mean age was 41.18. In addition, the mean BDI-II score of the patients was found to be 15.54, and the mean score of PSQI was 6.78 and the mean scores of these scales were similar in all groups. When the baseline FSS score means were examined, there was no significant difference among the groups (Acupressure:5.54 ± 0.87, Control:5.40 ± 0.92, and Sham:5.50 ± 0.99; p = 0.816). In the 4th week, there was a significant decrease in the mean score of fatigue of the experimental group compared to the other two groups (Acupressure:4.15 ± 1.09, Control:5.47 ± 1.11, Sham:5.34 ± 1.14, p < 0,001).
Our results suggest that acupressure might be an effective method to reduce fatigue in patients with MS.
本研究采用随机对照试验，旨在评估自我穴位按压对多发性硬化症（MS）患者疲劳的影响。
该研究的样本包括 123 名患者（实验组 41 名，假手术组 40 名，对照组 42 名），他们均被收入一所大学附属医院的神经内科。为了收集数据，使用了患者信息表、疲劳严重程度量表（FSS）、扩展残疾状况量表（EDSS）和简易精神状态检查。使用贝克抑郁量表（BDI-II）和匹兹堡睡眠质量指数（PSQI）分别评估可能影响疲劳的抑郁情绪和睡眠质量。实验组患者采用 LI4（合谷）、SP6（三阴交）和 ST36（足三里）穴位按压。
大多数患者为女性（67.5%），平均年龄为 41.18 岁。此外，患者的平均 BDI-II 评分为 15.54，PSQI 评分为 6.78，这些量表的平均评分在所有组中相似。在检查基线 FSS 评分均值时，三组之间无显著差异（穴位按压：5.54±0.87，对照组：5.40±0.92，假手术组：5.50±0.99；p=0.816）。在第 4 周时，实验组的疲劳评分均值与其他两组相比显著降低（穴位按压：4.15±1.09，对照组：5.47±1.11，假手术组：5.34±1.14，p<0.001）。
我们的结果表明，穴位按压可能是减轻多发性硬化症患者疲劳的有效方法。
