The effect of acupressure on chemotherapy-induced anxiety and depression: A systematic review and meta-analysis.

IF 1.1 4区医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Medicine Research Pub Date : 2024-10-17 DOI:10.1159/000542022

Chunping Zhang, Jian Chen, Yiwen Zhang, Chuanzhu Yan

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引用次数: 0

Abstract

Background: Cancer patients are prone to experiencing negative emotions such as anxiety and depression after receiving chemotherapy. Research has shown that acupressure may be beneficial in relieving the anxiety and depression caused by chemotherapy, but high-quality evidence is lacking. This study was designed to systematically evaluate the efficacy of acupressure for relieving chemotherapy-induced anxiety and depression.

Methods: This review was conducted in accordance with the PRISMA framework. Four English databases (PubMed, Embase, Web of Science, and the Cochrane Library) and four Chinese databases (CNKI, Wanfang, VIP, and CBM) were searched from inception to December 31, 2022 to identify randomized clinical trials (RCTs) examining the use of acupressure for the treatment of chemotherapy-induced anxiety and depression. Cochrane Review Manager 5.4 and Rstudiowas were used for the meta-analysis.

Results: This meta-analysis included 1,119 patients from 12 randomized controlled trials. We mainly compared acupressure with sham acupressure and routine nursing. The results showed that acupressure alleviated chemotherapy-induced anxiety (SMD=-0.72, 95% CI[-1.15, 0.28], P=0.001) and depression (SMD=-0.75, 95% CI[-1.36, 0.14], P=0.02) more effectively than sham acupressure and routine nursing.

Conclusion: This meta-analysis found that acupressure (body point) can relieve chemotherapy-induced anxiety and depression and improve the quality of life of patients. However, the current relevant literature has low quality and is highly heterogeneous, which reduces the credibility of the research results. Therefore, more rigorously designed randomized controlled trials are needed to verify these conclusions.

查看原文本刊更多论文

穴位按摩对化疗引起的焦虑和抑郁的影响：系统回顾与荟萃分析。

背景：癌症患者在接受化疗后容易出现焦虑和抑郁等负面情绪。研究表明，穴位按摩可有效缓解化疗引起的焦虑和抑郁，但目前尚缺乏高质量的证据。本研究旨在系统评估穴位按摩对缓解化疗引起的焦虑和抑郁的疗效：本综述按照 PRISMA 框架进行。检索了四个英文数据库（PubMed、Embase、Web of Science 和 Cochrane Library）和四个中文数据库（CNKI、万方、VIP 和 CBM），检索时间从开始到 2022 年 12 月 31 日，目的是找出研究穴位按摩治疗化疗引起的焦虑和抑郁的随机临床试验（RCT）。荟萃分析使用了 Cochrane Review Manager 5.4 和 Rstudiowas：这项荟萃分析包括 12 项随机对照试验中的 1,119 名患者。我们主要比较了穴位按摩与假穴位按摩和常规护理。结果显示，与假穴位按摩和常规护理相比，穴位按摩能更有效地缓解化疗引起的焦虑（SMD=-0.72，95% CI[-1.15，0.28]，P=0.001）和抑郁（SMD=-0.75，95% CI[-1.36，0.14]，P=0.02）：本荟萃分析发现，穴位按摩（体表穴位）可以缓解化疗引起的焦虑和抑郁，改善患者的生活质量。然而，目前的相关文献质量不高，异质性较强，降低了研究结果的可信度。因此，需要更严格设计的随机对照试验来验证这些结论。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Complementary Medicine Research Medicine-Complementary and Alternative Medicine

CiteScore

2.90

自引率

5.60%

发文量

期刊介绍： Aims and Scope ''Complementary Medicine Research'' is an international journal that aims to bridge the gap between conventional medicine and complementary/alternative medicine (CAM) on a sound scientific basis, promoting their mutual integration. Accordingly, experts of both conventional medicine and CAM medicine cooperate on the journal‘s editorial board, which accepts papers only after a rigorous peer-review process in order to maintain a high standard of scientific quality. Spectrum of ''Complementary Medicine Research'': - Review and Original Articles, Case Reports and Essays regarding complementary practice and methods - Journal Club: Analysis and discussion of internationally published articles in complementary medicine - Editorials of leading experts in complementary medicine - Questions of complementary patient-centered care - Education in complementary medicine - Reports on important meetings and conferences - Society Bulletins of Schweizerische Medizinische Gesellschaft für Phytotherapie (SMGP) and Deutsche Gesellschaft für Naturheilkunde Bibliographic Details Complementary Medicine Research Journal Abbreviation: Complement Med Res ISSN: 2504-2092 (Print) e-ISSN: 2504-2106 (Online) DOI: 10.1159/issn.2504-2092 www.karger.com/CMR