Bahçecioğlu Turan Gülcan, Özer Zülfünaz, Yanmış Safiye, Aksoy Asude
Author Affiliations: Faculty of Health Sciences, Department of Nursing, Fırat University (Dr Bahçecioğlu Turan), Elaziğ; Faculty of Health Sciences, Istanbul Sabahattin Zaim University (Dr Özer); Faculty of Health Sciences, Department of Nursing, Erzican Binali Yıldırım University (Dr Yanmış); and Department of Internal Medicine, Medical School Fırat University (Dr Aksoy), Elaziğ, Turkey.
Cancer Nurs. 2023;46(6):457-466. doi: 10.1097/NCC.0000000000001193. Epub 2023 Jan 16.
Pancreatic and colon cancer are among important gastrointestinal cancer diseases. Pain, fatigue, and insomnia are among the most common symptoms in cancer patients receiving chemotherapy. Self-acupressure may improve patients' pain, fatigue, sleep quality, quality of life, and functional well-being.
The aim of this study was to examine the effects of self-acupressure application on pain, fatigue, and sleep quality in colon and pancreatic cancer patients receiving chemotherapy.
This randomized controlled study was conducted with 60 patients in treatment for pancreatic or colon cancer, 30 in the intervention and 30 in the control group, between June and October 2021. Participants in the intervention group were asked to complete 16 acupressure sessions for 4 weeks, 2 days a week in the morning and afternoon for a total of 18 minutes, depending on the preparation and pressure time on 4 pressure points. Control group participants did not receive any interventions during the study. The data were collected by using a personal information form, the Pittsburgh Sleep Quality Index, the Piper Fatigue Scale, and the visual analog scale.
After self-acupressure, the visual analog scale, Piper Fatigue Scale, and Pittsburgh Sleep Quality Index scores of the intervention group decreased when compared with the control group scores; the difference between the 2 groups was statistically significant.
Self-acupressure was effective in reducing the pain, fatigue, and sleep disorder scores of patients with colon or pancreatic cancer receiving chemotherapy.
In nursing practice, self-acupressure, an applicable, accessible, and inexpensive method in the management of cancer-related symptoms, can be supported and maintained during a 4-week period.
胰腺癌和结肠癌是重要的胃肠道癌症疾病。疼痛、疲劳和失眠是接受化疗的癌症患者最常见的症状。自我穴位按压可能会改善患者的疼痛、疲劳、睡眠质量、生活质量和功能健康状况。
本研究旨在探讨自我穴位按压对接受化疗的结肠癌和胰腺癌患者的疼痛、疲劳和睡眠质量的影响。
本随机对照研究于2021年6月至10月对60例胰腺癌或结肠癌患者进行，其中30例为干预组，30例为对照组。干预组的参与者被要求根据4个穴位的准备和按压时间，在4周内完成16次穴位按压疗程，每周2天，上午和下午各一次，每次共18分钟。对照组参与者在研究期间未接受任何干预。数据通过个人信息表、匹兹堡睡眠质量指数、派珀疲劳量表和视觉模拟量表收集。
自我穴位按压后，干预组的视觉模拟量表、派珀疲劳量表和匹兹堡睡眠质量指数得分与对照组得分相比有所下降；两组之间的差异具有统计学意义。
自我穴位按压对减轻接受化疗的结肠癌或胰腺癌患者的疼痛、疲劳和睡眠障碍得分有效。
在护理实践中，自我穴位按压是一种在管理癌症相关症状方面适用、可及且廉价的方法，可在4周内得到支持和维持。
