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耳针疗法对健康专业人员焦虑、压力或倦怠的疗效:网络荟萃分析。

Effectiveness of auriculotherapy for anxiety, stress or burnout in health professionals: a network meta-analysis.

机构信息

Universidade Federal de Santa Maria, Santa Maria, RS, Brazil.

Hospital Alemão Oswaldo Cruz, São Paulo, SP, Brazil.

出版信息

Rev Lat Am Enfermagem. 2022 Oct 17;30:e3708. doi: 10.1590/1518-8345.6219.3708. eCollection 2022.

Abstract

OBJECTIVE

to analyze the effectiveness of auriculotherapy, when compared to the control group, placebo or usual treatment for anxiety, stress or burnout in health professionals.

METHOD

a systematic review conducted in nine information sources, being selected experimental or quasi-experimental studies with auriculotherapy intervention in health professionals, compared to control, placebo or usual treatment groups. Descriptive analysis and network meta-analysis by means of direct and indirect comparison. Quality of the outcomes was assessed with the Confidence in Network Meta-analysis.

RESULTS

15 articles were included: 66.6% with Nursing teams and 53.3% with interventions involving semi-permanent needles. The shen men, brainstem, kidney, sympathetic, lung and liver acupoints predominated. There was a reduction in anxiety with semi-permanent needles (CI -8.18, -6.10), magnetic palettes (CI -7.76, -5.54), placebo (CI -5.47, -3.36) and seeds (CI -6.35, -4.05); as well as in stress with semi-permanent needles (CI -37.21, -10.88) and seeds with (CI -28.14, -11.70) and without a closed protocol (CI -36.42, -10.76). Meta-analysis was unfeasible for burnout; however, significant reductions were verified when it was treated with auriculotherapy.

CONCLUSION

Auriculotherapy is effective to reduce anxiety and stress in health professionals; however, this assertion cannot be made in the case of burnout. It was evidenced that workers' health is favored with the use of auriculotherapy.

摘要

目的

分析耳针疗法相较于对照组、安慰剂或常规治疗在治疗医护人员焦虑、压力或倦怠方面的疗效。

方法

系统检索 9 个信息源,纳入比较耳针疗法与对照组、安慰剂或常规治疗组对医护人员进行干预的实验或准实验研究,采用直接和间接比较进行描述性分析和网络荟萃分析。采用网络荟萃分析置信区间评估结局质量。

结果

共纳入 15 篇文章:66.6%的研究对象来自护理团队,53.3%的干预措施涉及半永久性针;神门、脑干、肾、交感、肺和肝等穴位最为常用。半永久性针(CI:-8.18,-6.10)、磁疗贴(CI:-7.76,-5.54)、安慰剂(CI:-5.47,-3.36)和种子(CI:-6.35,-4.05)均可降低焦虑水平;半永久性针(CI:-37.21,-10.88)和种子(CI:-28.14,-11.70)(有或无封闭方案,CI:-36.42,-10.76)可降低压力水平。但因元分析不可行,未能评估耳针疗法对倦怠的疗效。

结论

耳针疗法可有效降低医护人员的焦虑和压力;但对于倦怠,目前还不能下此结论。研究结果表明,耳针疗法有利于改善劳动者的健康状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a84d/9580986/20845cd93323/1518-8345-rlae-30-e3708-gf1.jpg

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