Department of Nursing, Faculty of Nursing & Midwifery, Shahed University, Tehran, Iran.
Elderly Care Research Center, Department of Nursing, Faculty of Nursing & Midwifery, Shahed University, Tehran, Iran.
Explore (NY). 2024 Mar-Apr;20(2):233-238. doi: 10.1016/j.explore.2023.07.010. Epub 2023 Aug 2.
Urinary stones are highly prevalent among older people. Extracorporeal lithotripsy is one of the commonly used treatment methods, but it causes pain. Acupressure is a non-pharmacological therapeutic method that is effective in relieving pain among patients with various health conditions. This study aimed to investigate the effect of acupressure on pain among female older people undergoing extracorporeal lithotripsy.
This randomized controlled clinical trial was conducted on 66 older female patients undergoing extracorporeal lithotripsy. They were enrolled in the study through convenient sampling and were assigned to the intervention and control groups through the block randomization method. The intervention group underwent acupressure for 16 min which was repeated twice with an interval of 20 min, but the control group received only touch without any pressure for the same period. The McGill Pain Questionnaire and Visual Analogue Scale were completed 60 min before the intervention and immediately after lithotripsy.
Before the intervention, no statistically significant difference in the quality and intensity of pain between the two groups was observed (p > 0.05). However, after acupressure, the mean scores of quality and intensity of pain decreased significantly (p < 0.001) in the intervention group compared with the control group.
Acupressure as a complementary and alternative medicine can reduce pain and suffering among older people undergoing extracorporeal lithotripsy. It can be included in the routine therapeutic measures for relieving pain and suffering during noninvasive methods for older people and reducing their need for medication use and avoiding related pharmacological side effects.
老年人尿路结石的患病率很高。体外冲击波碎石术是常用的治疗方法之一，但会引起疼痛。穴位按压是一种非药物治疗方法，对缓解各种健康状况患者的疼痛有效。本研究旨在探讨穴位按压对接受体外冲击波碎石术的老年女性患者疼痛的影响。
这是一项随机对照临床试验，纳入了 66 名接受体外冲击波碎石术的老年女性患者。采用便利抽样法将其纳入研究，并采用区组随机化方法将其分为干预组和对照组。干预组接受穴位按压 16 分钟，两次重复，间隔 20 分钟，而对照组仅在同一时间段接受无压力的触摸。在干预前 60 分钟和碎石术立即后使用麦吉尔疼痛问卷和视觉模拟量表完成评估。
干预前，两组疼痛的质量和强度无统计学差异（p>0.05）。然而，穴位按压后，干预组疼痛的质量和强度的平均评分明显下降（p<0.001），与对照组相比。
穴位按压作为一种补充和替代医学，可以减轻接受体外冲击波碎石术的老年人的疼痛和不适。它可以被纳入常规治疗措施，以缓解老年人非侵入性方法治疗期间的疼痛和不适，并减少他们对药物的使用需求，避免相关的药物副作用。
