Auricular point acupressure as an adjunct analgesic treatment for cancer patients: a feasibility study.
Identifieur interne : 000612 ( Main/Exploration ); précédent : 000611; suivant : 000613Auricular point acupressure as an adjunct analgesic treatment for cancer patients: a feasibility study.
Auteurs : Chao Hsing Yeh [États-Unis] ; Lung-Chang Chien [États-Unis] ; Yi Chien Chiang [Taïwan] ; Dianxu Ren [États-Unis] ; Lorna Kwai-Ping Suen [Hong Kong]Source :
- Pain management nursing : official journal of the American Society of Pain Management Nurses [ 1532-8635 ] ; 2015.
Descripteurs français
- KwdFr :
- Acupression, Adulte d'âge moyen, Analgésie par acupuncture (), Analgésiques (usage thérapeutique), Association thérapeutique, Douleur cancéreuse (), Femelle, Humains, Mesure de la douleur, Mâle, Points d'acupuncture, Satisfaction du patient, Sujet âgé, Sujet âgé de 80 ans ou plus, Études de faisabilité.
- MESH :
English descriptors
- KwdEn :
- MESH :
- chemical , therapeutic use : Analgesics.
- methods : Acupuncture Analgesia.
- prevention & control : Cancer Pain.
- Acupressure, Acupuncture Points, Aged, Aged, 80 and over, Combined Modality Therapy, Feasibility Studies, Female, Humans, Male, Middle Aged, Pain Measurement, Patient Satisfaction.
Abstract
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.
DOI: 10.1016/j.pmn.2014.08.005
PubMed: 25439120
Affiliations:
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Le document en format XML
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Electronic address: ycchiang@gw.cgust.edu.tw.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Nursing, Chang Gung University of Science and Technology, Tao-Yuen</wicri:regionArea><wicri:noRegion>Tao-Yuen</wicri:noRegion></affiliation></author><author><name sortKey="Ren, Dianxu" sort="Ren, Dianxu" uniqKey="Ren D" first="Dianxu" last="Ren">Dianxu Ren</name><affiliation wicri:level="2"><nlm:affiliation>School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>School of Nursing, University of Pittsburgh, Pittsburgh</wicri:cityArea></affiliation></author><author><name sortKey="Suen, Lorna Kwai Ping" sort="Suen, Lorna Kwai Ping" uniqKey="Suen L" first="Lorna Kwai-Ping" last="Suen">Lorna Kwai-Ping Suen</name><affiliation wicri:level="1"><nlm:affiliation>School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.</nlm:affiliation><country xml:lang="fr">Hong Kong</country><wicri:regionArea>School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon</wicri:regionArea><wicri:noRegion>Kowloon</wicri:noRegion></affiliation></author></analytic><series><title level="j">Pain management nursing : official journal of the American Society of Pain Management Nurses</title><idno type="eISSN">1532-8635</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acupressure</term><term>Acupuncture Analgesia (methods)</term><term>Acupuncture Points</term><term>Aged</term><term>Aged, 80 and over</term><term>Analgesics (therapeutic use)</term><term>Cancer Pain (prevention & control)</term><term>Combined Modality Therapy</term><term>Feasibility Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pain Measurement</term><term>Patient Satisfaction</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acupression</term><term>Adulte d'âge moyen</term><term>Analgésie par acupuncture ()</term><term>Analgésiques (usage thérapeutique)</term><term>Association thérapeutique</term><term>Douleur cancéreuse ()</term><term>Femelle</term><term>Humains</term><term>Mesure de la douleur</term><term>Mâle</term><term>Points d'acupuncture</term><term>Satisfaction du patient</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études de faisabilité</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Analgesics</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Acupuncture Analgesia</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Cancer Pain</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Analgésiques</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Acupressure</term><term>Acupuncture Points</term><term>Aged</term><term>Aged, 80 and over</term><term>Combined Modality Therapy</term><term>Feasibility Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pain Measurement</term><term>Patient Satisfaction</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Acupression</term><term>Adulte d'âge moyen</term><term>Analgésie par acupuncture</term><term>Association thérapeutique</term><term>Douleur cancéreuse</term><term>Femelle</term><term>Humains</term><term>Mesure de la douleur</term><term>Mâle</term><term>Points d'acupuncture</term><term>Satisfaction du patient</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études de faisabilité</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><affiliations><list><country><li>Hong Kong</li><li>Taïwan</li><li>États-Unis</li></country><region><li>Pennsylvanie</li><li>Texas</li></region></list><tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Yeh, Chao Hsing" sort="Yeh, Chao Hsing" uniqKey="Yeh C" first="Chao Hsing" last="Yeh">Chao Hsing Yeh</name></region><name sortKey="Chien, Lung Chang" sort="Chien, Lung Chang" uniqKey="Chien L" first="Lung-Chang" last="Chien">Lung-Chang Chien</name><name sortKey="Ren, Dianxu" sort="Ren, Dianxu" uniqKey="Ren D" first="Dianxu" last="Ren">Dianxu Ren</name></country><country name="Taïwan"><noRegion><name sortKey="Chiang, Yi Chien" sort="Chiang, Yi Chien" uniqKey="Chiang Y" first="Yi Chien" last="Chiang">Yi Chien Chiang</name></noRegion></country><country name="Hong Kong"><noRegion><name sortKey="Suen, Lorna Kwai Ping" sort="Suen, Lorna Kwai Ping" uniqKey="Suen L" first="Lorna Kwai-Ping" last="Suen">Lorna Kwai-Ping Suen</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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