Başak Seda, Bahcecioglu Turan Gülcan, Özer Zülfünaz
Faculty of Nursing, Atatürk University, Erzurum, Türkiye.
Department of Nursing, Faculty of Health Sciences, Fırat University, Elazığ, Türkiye.
Pain Manag Nurs. 2025 Feb;26(1):e10-e17. doi: 10.1016/j.pmn.2024.07.013. Epub 2024 Sep 8.
The most important cause of death among cardiovascular diseases is coronary artery disease (CAD). Pain and insomnia symptoms are the most common symptoms in CAD patients. Acupressure is used in patients with CAD as one of the energy-based complementary and alternative methods. This study was conducted to investigate the effects of self-acupressure on pain and sleep quality in patients with coronary artery disease.
This is a randomised controlled trial.
This study was conducted between June and August 2021 with a total of 80 participants, 40 in the intervention and 40 in the control group. The participants in the intervention group were asked to perform a total of 16 sessions for 4 weeks, 2 days a week in the morning and afternoon, for a total of 23 minutes, depending on the preparation and compression time to be performed on 5 points. The control group did not receive any intervention during the study. Data were collected by using Descriptive Information Form, Visual Analogue Scale (VAS) and Pittsburgh Sleep Quality Index (PSQI).
After self-acupressure, the VAS total score of the intervention group decreased significantly compared to the control group (t=-11.861; p<.05). After intervention PSQI total and subscale mean scores of the intervention group decreased significantly compared to the control group (t=-7.767; p<.05). It can be seen that self-acupressure application has a negative and significant effect on PSQI total mean scores and VAS total mean score of patients (p<.05).
The results of this study showed that self-acupressure was effective in improving the pain and sleep quality of patients with coronary artery disease.
Self-acupressure is an accessible and inexpensive method, it is recommended to be supported and maintained in the management of coronary artery disease in nursing practice.
冠状动脉疾病（CAD）是心血管疾病中最重要的死亡原因。疼痛和失眠症状是CAD患者最常见的症状。穴位按压作为一种基于能量的补充和替代方法应用于CAD患者。本研究旨在探讨自我穴位按压对冠状动脉疾病患者疼痛和睡眠质量的影响。
这是一项随机对照试验。
本研究于2021年6月至8月进行，共有80名参与者，干预组40名，对照组40名。干预组的参与者被要求在4周内共进行16次，每周2天，上午和下午各一次，每次共23分钟，这取决于在5个穴位上进行准备和按压的时间。对照组在研究期间未接受任何干预。数据通过使用描述性信息表、视觉模拟量表（VAS）和匹兹堡睡眠质量指数（PSQI）收集。
自我穴位按压后，干预组的VAS总分与对照组相比显著降低（t=-11.861；p<.05）。干预后，干预组的PSQI总分及各子量表平均分与对照组相比显著降低（t=-7.767；p<.05）。可以看出，自我穴位按压对患者的PSQI总平均分和VAS总平均分有负面且显著的影响（p<.05）。
本研究结果表明，自我穴位按压对改善冠状动脉疾病患者的疼痛和睡眠质量有效。
自我穴位按压是一种易于获得且成本低廉的方法，建议在护理实践中对冠状动脉疾病的管理给予支持和推广。
