Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
J Clin Nurs. 2024 Jun;33(6):2019-2029. doi: 10.1111/jocn.17073. Epub 2024 Mar 4.
To systematically evaluate the efficacy of auricular acupressure on lung function, sleep quality and quality of life in chronic obstructive pulmonary disease patients.
Auricular acupressure has been increasingly used in chronic obstructive pulmonary disease patients, such as lung function and sleep quality, but the efficacy has not yet been unified.
A meta-analysis of randomised controlled trials.
Randomised controlled trials comparing auricular acupressure intervention with non-auricular acupressure intervention in chronic obstructive pulmonary disease patients were included. We searched English databases and Chinese databases from the inception to 26 December 2022. The risk of bias was assessed by the Cochrane risk of bias tool. The PRISMA statement was used to report a meta-analysis.
A total of 12 randomised controlled trials with 987 chronic obstructive pulmonary disease patients were included. The meta-analysis showed that auricular acupressure had significant differences in improving lung function, including FEV (MD = 0.29, 95% CI: 0.21 to 0.37, p < .0001), FVC (MD = 0.24, 95% CI: 0.14 to 0.34, p < .0001) and FEV/FVC (MD = 4.70, 95% CI: 3.63 to 5.78, p < .0001). There was also a positive effect on sleep quality (MD = -0.71, 95% CI: -0.89 to -0.53, p < .0001) and quality of life (MD = -3.20, 95% CI: -3.92 to -2.49, p < .0001).
The results indicated auricular acupressure had a positive efficacy in chronic obstructive pulmonary disease patients to improve lung function, sleep quality and quality of life, but these results should be treated with caution due to the low quality of included studies. Future researchers need to conduct more high-quality randomised controlled trials to provide a solid basis to demonstrate the efficacy of auricular acupressure in chronic obstructive pulmonary disease patients.
Auricular acupressure has the advantages of being non-invasive, convenient and without significant side effects. This review suggested auricular acupressure could be considered a non-pharmacological intervention for patients. Clinical nurses can teach chronic obstructive pulmonary disease patients to perform auricular acupressure to help self-manage complications.
No Patient or Public Contribution.
系统评价耳压疗法对慢性阻塞性肺疾病患者肺功能、睡眠质量和生活质量的疗效。
耳压疗法已在慢性阻塞性肺疾病患者中得到越来越多的应用，例如肺功能和睡眠质量，但疗效尚未统一。
随机对照试验的荟萃分析。
纳入比较耳压干预与非耳压干预的慢性阻塞性肺疾病患者的随机对照试验。我们检索了英语数据库和中文数据库，检索时间截至 2022 年 12 月 26 日。使用 Cochrane 偏倚风险工具评估偏倚风险。采用 PRISMA 声明报告荟萃分析结果。
共纳入 12 项随机对照试验，涉及 987 名慢性阻塞性肺疾病患者。荟萃分析结果显示，耳压疗法在改善肺功能方面具有显著差异，包括 FEV（MD=0.29，95%CI：0.21 至 0.37，p<0.0001）、FVC（MD=0.24，95%CI：0.14 至 0.34，p<0.0001）和 FEV/FVC（MD=4.70，95%CI：3.63 至 5.78，p<0.0001）。耳压疗法对睡眠质量（MD=-0.71，95%CI：-0.89 至 -0.53，p<0.0001）和生活质量（MD=-3.20，95%CI：-3.92 至 -2.49，p<0.0001）也有积极影响。
结果表明，耳压疗法对慢性阻塞性肺疾病患者改善肺功能、睡眠质量和生活质量具有积极疗效，但由于纳入研究质量较低，这些结果应谨慎对待。未来的研究人员需要开展更多高质量的随机对照试验，为证明耳压疗法在慢性阻塞性肺疾病患者中的疗效提供坚实的基础。
耳压疗法具有非侵入性、方便和无明显副作用的优点。本综述表明，耳压疗法可被视为患者的一种非药物干预措施。临床护士可以教授慢性阻塞性肺疾病患者进行耳压疗法，帮助他们自我管理并发症。
无。
