Auricular Point Acupressure as an Adjunct Analgesic Treatment for Cancer Patients: A Feasibility Study
Auricular Point Acupressure as an Adjunct Analgesic Treatment for Cancer Patients: A Feasibility Study
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DOI：
10.1016/j.pmn.2014.08.005
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发表时间：
2015-06-01
影响因子：
1.7
通讯作者：
Suen, Lorna Kwai-Ping
中科院分区：
文献类型：
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作者：
Yeh, Chao Hsing;Chien, Lung-Chang;Suen, Lorna Kwai-Ping
本研究旨在（1）检查耳穴穴位按压（阿帕）研究方案在招募和疼痛评估和管理方面的可行性，（2）检查阿帕对癌症患者的潜在镇痛作用。本研究为重复测量单组设计。参与者是从美国东北部一家大型大学医院附属的癌症中心随访诊所招募的。参与者包括50名年龄在55-87岁之间的诊断为癌症的患者。参与者接受了7天的阿帕治疗。在确定合适的穴位后，将王不留行种子小心地贴在每只耳朵上的每个选定的耳穴上。研究招募率和保留率分别为92%和91%。重要的是，该研究发现了阿帕用于癌症疼痛管理的镇痛作用的初步证据。例如，在为期7天的研究结束时，阿帕将“最严重疼痛”的疼痛强度降低了55%以上，将“平均疼痛”和“疼痛强度”降低了约57%。“此外，在阿帕治疗期间减少了止痛药的使用（例如，78%的患者[n = 39]服用的止痛药比治疗前少）。阿帕似乎是高度接受癌症相关疼痛的患者。然而，如果没有安慰剂对照，我们无法得出阿帕对癌症患者的镇痛作用的确凿证据。在未来的研究中必须增加一个假组，以区分阿帕治疗的真实效果和阿帕治疗可能产生的心理影响。(C)美国疼痛管理护理学会（American Society for Pain Management Nursing）
This study aimed (1) to examine the feasibility of an auricular point acupressure (APA) research protocol in terms of recruitment and for the assessment and management of pain and (2) to examine the potential APA analgesic effects for cancer patients. This study was a repeated-measures one-group design. Participants were recruited from the cancer center follow-up clinic affiliated with a large university hospital in the northeastern United States. Participants included 50 patients aged 55-87 years with a diagnosis of cancer. Participants received 7 days of APA treatment for their pain. After appropriate acupoints were identified, vaccaria seeds were carefully taped onto each selected auricular point on each ear. The study recruitment and retention rates were 92% and 91%, respectively. Importantly, the study found preliminary evidence for the analgesic effects of APA for cancer pain management. For example, by the end of the 7-day study, APA reduced pain intensity more than 55% for "worst pain" and about 57% for "average pain" and "pain intensity." Moreover, the use of pain medication was reduced during the APA treatment (e.g., 78% of patients [n = 39] took less pain medication than before the treatment). APA appears to be highly acceptable to patients with cancer-related pain. However, without a placebo control, we cannot draw conclusive evidence for the analgesic effect of APA for cancer patients. A sham group must be added to future studies to differentiate the true effects of APA from the possible psychological effects of the APA treatment. (C) 2015 by the American Society for Pain Management Nursing