Shen Aomei, Li Mingfang, Ning Hongting, Han Gyumin, Castelli Giulia, Qiang Wanmin, Lu Qian, Lukkahatai Nada
Department of Nursing, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Key Laboratory of Breast Cancer Prevention and Therapy, Tianjin Medical University Ministry of Education, Tianjin, China.
School of Nursing, Peking University, Beijing, China.
Asia Pac J Oncol Nurs. 2025 Feb 13;12:100669. doi: 10.1016/j.apjon.2025.100669. eCollection 2025 Dec.
Acupressure is widely used to effectively manage cancer-related symptoms; however, limited evidence has been seen on the application of acupressure in managing cancer-related lymphedema (CRL). This study aims to identify, describe, and map the current evidence that used acupressure for CRL prevention and management.
This review was conducted following Arksey and O'Malley's methodology and Joanna Briggs Institute guidance for scoping reviews. A systematic search was performed in eight English databases and four Chinese databases from inception to Oct 20, 2023, and updated on July 20, 2024. Reference lists were hand-searched. Two independent reviewers performed study selection and data extraction. Disagreements were solved through discussion or consultation with a third reviewer. A narrative synthesis was performed to summarize and synthesize the findings.
A total of 16 articles published from 2010 to 2023 were included. The majority of the studies ( = 11) were from China. There were six randomized controlled trials (RCTs), four quasi-experimental studies, one retrospective cohort study, one qualitative study, three reviews, and one report. Nine studies examined acupressure, one employed tuina, and one utilized Transcutaneous Electrical Acupoint Stimulation. Neiguan (PC 6), Hegu (LI 4), Jianjing (GB 21), Quchi (LI 11), Chize (LU 5) were most commonly used acupoints. The dosage varied among studies. Acupressure was performed by trained nurses or patients. Acupressure showed improvements in lymphedema management, limb function, quality of life, and inflammatory factors.
The review concluded the effectiveness of acupressure in CRL prevention and treatment. Further rigorous research is recommended, particularly well-designed RCTs involving diverse populations.
穴位按压被广泛用于有效管理癌症相关症状；然而，关于穴位按压在管理癌症相关淋巴水肿（CRL）方面的应用，证据有限。本研究旨在识别、描述和梳理目前使用穴位按压预防和管理CRL的证据。
本综述遵循阿克斯西和奥马利的方法以及乔安娜·布里格斯研究所的范围综述指南进行。从数据库建库至2023年10月20日，在8个英文数据库和4个中文数据库中进行了系统检索，并于2024年7月20日更新。对手动检索参考文献列表。两名独立评审员进行研究筛选和数据提取。通过讨论或与第三位评审员协商解决分歧。进行叙述性综合以总结和综合研究结果。
共纳入2010年至2023年发表的16篇文章。大多数研究（n = 11）来自中国。有6项随机对照试验（RCT）、4项半实验性研究、1项回顾性队列研究、1项定性研究、3项综述和1份报告。9项研究检验了穴位按压，1项采用推拿，1项采用经皮穴位电刺激。内关（PC 6）、合谷（LI 4）、肩井（GB 21）、曲池（LI 11）、尺泽（LU 5）是最常用的穴位。各研究中的剂量有所不同。穴位按压由经过培训的护士或患者进行。穴位按压在淋巴水肿管理、肢体功能、生活质量和炎症因子方面显示出改善。
该综述得出穴位按压在CRL预防和治疗中的有效性。建议开展进一步的严谨研究，尤其是涉及不同人群的精心设计的RCT。
