自我实施穴位按压对膝骨关节炎患者疼痛严重程度和睡眠质量的影响：一项随机对照试验。
The effect of self-administered acupressure on pain severity and sleep quality of patients with knee osteoarthritis: a randomized controlled trial.
机构信息
Department of Nursing, Faculty of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran.
Department of Complementary and Chinese Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
出版信息
BMC Complement Med Ther. 2024 Nov 29;24(1):412. doi: 10.1186/s12906-024-04693-x.
BACKGROUND
Pain in the knee joint area and reduced sleep quality are prevalent symptoms of knee osteoarthritis. This study examines the impact of self-administered acupressure on pain severity and sleep quality in patients with knee osteoarthritis.
METHODS
In this trial conducted in 2023, 126 patients were enrolled. They completed a demographic characteristics form, the Visual Analogue Scale (VAS), and the Pittsburgh Sleep Quality Index (PSQI). Afterward, they were randomly allocated to three groups: acupressure, sham, and control. While the control group received routine care, patients in the acupressure and sham groups were instructed to apply pressure on selected acupoints daily for one minute for a duration of one month. All participants completed the PSQI and the VAS one month after the intervention began and one month after it ended. Data analysis involved Fisher's exact tests, chi-square, Kruskal-Wallis, and one-way ANOVA tests. Also, per-protocol analyses were conducted with linear mixed-effects models.
RESULTS
No significant effects associated with group allocation were observed on pain VAS scores in acupressure and sham groups compared to the control group. However, participants in the acupressure group showed a significant decrease in pain VAS scores as time progressed. PSQI scores significantly decreased over time. Interaction effects showed that PSQI scores decreased more in the acupressure than in the control group over time. Finally, PSQI scores in the acupressure group demonstrated a significant decrease from pretest to follow-up, while no significant change was observed over time in the sham group.
CONCLUSIONS
Self-administered acupressure may be useful in improving sleep quality in patients with knee osteoarthritis. This work may be informative in developing acupressure interventions with more effective outcomes in future research.
TRIAL REGISTRATION
This trial is registered on the Iranian Registry of Clinical Trials website with the identifier IRCT20211221053475N1 (Date: 10/01/2022).
背景
膝关节疼痛和睡眠质量下降是膝骨关节炎的常见症状。本研究旨在探讨自我实施的穴位按压对膝骨关节炎患者疼痛严重程度和睡眠质量的影响。
方法
本试验于 2023 年进行，共纳入 126 名患者。他们填写了人口统计学特征表、视觉模拟量表（VAS）和匹兹堡睡眠质量指数（PSQI）。随后，他们被随机分为三组：穴位按压组、假穴位按压组和对照组。对照组接受常规护理，而穴位按压组和假穴位按压组则被指导每天按压选定穴位一分钟，持续一个月。所有参与者在干预开始一个月后和结束一个月后均完成 PSQI 和 VAS。数据分析采用 Fisher 确切检验、卡方检验、Kruskal-Wallis 检验和单因素方差分析，同时还进行了意向性分析和线性混合效应模型分析。
结果
与对照组相比，穴位按压组和假穴位按压组的 VAS 疼痛评分在组间分配上没有显著差异。然而，穴位按压组的 VAS 疼痛评分随时间的推移呈显著下降趋势。PSQI 评分随时间显著下降。交互效应显示，随着时间的推移，PSQI 评分在穴位按压组中的下降幅度大于对照组。最后，穴位按压组的 PSQI 评分在随访时较基线显著下降，而假穴位按压组在随访时无显著变化。
结论
自我实施的穴位按压可能有助于改善膝骨关节炎患者的睡眠质量。这项工作可能有助于在未来的研究中开发出更有效的穴位按压干预措施。
试验注册
本试验在伊朗临床试验注册网站上注册，标识符为 IRCT20211221053475N1（日期：2022 年 1 月 10 日）。
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