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探索虚拟提供耳穴按压自我管理慢性疼痛的可行性:定性研究

Exploring the Feasibility of Virtually Delivered Auricular Point Acupressure in Self-Managing Chronic Pain: Qualitative Study.

作者信息

Kawi Jennifer, Yeh Chao Hsing, Lukkahatai Nada, Hardwicke Robin L, Murphy Thomas, Christo Paul J

机构信息

University of Nevada, School of Nursing, Las Vegas, NV, USA.

University of Texas Health Science Center at Houston Cizik School of Nursing, Houston, TX, USA.

出版信息

Evid Based Complement Alternat Med. 2022 Aug 29;2022:8079691. doi: 10.1155/2022/8079691. eCollection 2022.


DOI:10.1155/2022/8079691
PMID:36072397
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9444388/
Abstract

BACKGROUND: Chronic pain remains highly prevalent. Current pharmacological and non-pharmacological strategies have not adequately managed chronic pain which has contributed to disability and high healthcare costs. With existing challenges in providing adequate pain care and access, we tested vAPA, a virtually delivered, self-management intervention using Auricular Point Acupressure (APA) by mobile app and virtual consultations (telehealth). Our key purpose was to evaluate the feasibility of the vAPA in self-managing chronic pain in preparation for a future randomized controlled trial. METHODS: We conducted a descriptive, qualitative study evaluating our 4-week vAPA intervention among 18 participants. We used directed qualitative content analysis. . Participants perceived that vAPA was feasible (acceptable, useable, practical, and beneficial). In addition, the following themes were gathered: better control of pain, less use of pain medications, self-management and motivation in pain, and expectations for pain relief. Refinements were recommended for the app, content, and delivery to improve study interventions. Findings are relevant in moving forward to a future randomized controlled trial and for wider implementation in a pragmatic clinical trial.

摘要

背景:慢性疼痛仍然非常普遍。目前的药物和非药物策略尚未充分管理慢性疼痛,这导致了残疾和高昂的医疗费用。鉴于在提供充分的疼痛护理和获取途径方面存在现有挑战,我们测试了虚拟耳穴按压辅助自我管理干预(vAPA),这是一种通过移动应用程序和虚拟咨询(远程医疗)使用耳穴按压(APA)的虚拟交付的自我管理干预措施。我们的主要目的是评估vAPA在自我管理慢性疼痛方面的可行性,为未来的随机对照试验做准备。 方法:我们进行了一项描述性定性研究,评估了18名参与者为期4周的vAPA干预。我们使用了定向定性内容分析。参与者认为vAPA是可行的(可接受、可用、实用且有益)。此外,还收集了以下主题:更好地控制疼痛、减少止痛药的使用、疼痛方面的自我管理和动力以及对疼痛缓解的期望。建议对应用程序、内容和交付方式进行改进,以改善研究干预措施。研究结果对于推进未来的随机对照试验以及在务实的临床试验中更广泛地实施具有重要意义。

相似文献

[1]
Exploring the Feasibility of Virtually Delivered Auricular Point Acupressure in Self-Managing Chronic Pain: Qualitative Study.

Evid Based Complement Alternat Med. 2022-8-29

[2]
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[3]
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Complement Ther Med. 2024-5

[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
Auricular Point Acupressure for Older Adults with Chronic Low Back Pain: A Randomized Controlled Trial.

Pain Med. 2025-3-27

[2]
Patients' Experiences of Digital Health Interventions for the Self-Management of Chronic Pain: Systematic Review and Thematic Synthesis.

J Med Internet Res. 2025-3-18

[3]
Barriers and facilitators for patients' acceptance and adherence to auriculotherapy: A qualitative systematic review using the theoretical domains framework.

BMC Complement Med Ther. 2025-2-22

[4]
Sustainability of a Non-pharmacological, Self-Managed Intervention for Chronic Musculoskeletal Pain: 3-group Randomized Controlled Pilot Trial.

Res Sq. 2024-12-4

[5]
Retention, adherence, and acceptability testing of a digital health intervention in a 3-group randomized controlled trial for chronic musculoskeletal pain.

Complement Ther Med. 2024-5

本文引用的文献

[1]
A practical guide to reflexivity in qualitative research: AMEE Guide No. 149.

Med Teach. 2022-4-7

[2]
Auricular Point Acupressure Smartphone Application to Manage Chronic Musculoskeletal Pain: A Longitudinal, One-Group, Open Pilot Trial.

Glob Adv Health Med. 2021-1-22

[3]
Psychological therapies for the management of chronic pain (excluding headache) in adults.

Cochrane Database Syst Rev. 2020-8-12

[4]
Preliminary Effectiveness of Auricular Point Acupressure on Chemotherapy-Induced Neuropathy: Part 2 Laboratory-Assessed and Objective Outcomes.

Pain Manag Nurs. 2019-12

[5]
Preliminary Effectiveness of Auricular Point Acupressure on Chemotherapy-Induced Neuropathy: Part 1 Self-Reported Outcomes.

Pain Manag Nurs. 2019-12

[6]
Racial and ethnic differences in the experience and treatment of noncancer pain.

Pain Manag. 2019-5

[7]
Eighteen-Year Trends in the Prevalence of, and Health Care Use for, Noncancer Pain in the United States: Data from the Medical Expenditure Panel Survey.

J Pain. 2019-1-15

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Prevalence of Chronic Pain and High-Impact Chronic Pain Among Adults - United States, 2016.

MMWR Morb Mortal Wkly Rep. 2018-9-14

[9]
Health care utilization following motor vehicle collision is poorly stratified by chronic pain risk: Lessons from the CRASH study.

Am J Emerg Med. 2019-3

[10]
Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016.

Lancet. 2017-9-16

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