The Effect of Acupressure on Pain and Anxiety in Patients Undergoing Coronary Angiography: A Meta-Analysis of Randomized Controlled Trials

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice Pub Date : 2025-03-24 DOI:10.1111/ijn.70006

Husam Abu Suilik, Jehad Feras AlSamhori, Mohamed Abuelazm, Youssef Soliman, Dina Ayman, Rana Ahmed Youssef, Mohamed Abusuilik, Hazem Rezq, Basel Abdelazeem

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引用次数: 0

Abstract

Introduction

Pain and anxiety are commonly reported complications following coronary angiography (CA). Acupressure was reported to decrease anxiety and pain in patients undergoing CA.

Methods

By methodically searching PubMed, Web of Science, SCOPUS and Cochrane through 3 August 2023, a systematic review and meta-analysis synthesizing randomized controlled trials (RCTs) were retrieved. We used the fixed-effect or random-effects model, according to heterogeneity, to pool continuous data using mean difference (MD) with a 95% confidence interval (CI).

Results

We included five RCTs, with a total of 573 participants. Acupressure was significantly effective in reducing pain intensity (MD: 2.16, 95% CI [−2.82 to −1.52], p < 0.0001) and anxiety (MD: 8.50, 95% CI [−13.66 to −3.35], p = 0.001). However, acupressure had no significant effect on in systolic blood pressure (MD: 4.68, 95% CI [−18.99 to 9.63], p = 0.52), diastolic blood pressure (MD: 0.43, 95% CI [−8.40 to 7.55], p = 0.92), heart rate (MD: 1.28, 95% CI [−2.57 to 5.13], p = 0.52) and respiratory rate (MD: 1.26, 95% CI [−3.57 to 1.04], p = 0.28).

Conclusion

Acupressure decreased pain and anxiety in patients undergoing CA, with no effect on vitals. However, the available evidence is limited to a few RCTs; larger trials are warranted before receiving clinical approval.

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来源期刊

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.