Effect of acupressure and acupuncture on sleep quality in cancer patients with insomnia: A systematic review and meta-analysis

IF 1.9 4区医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE

Explore-The Journal of Science and Healing Pub Date : 2025-05-23 DOI:10.1016/j.explore.2025.103192

Yasamin Khosravaninezhad , Reza Moshfeghinia , Leila Liaghat , Hamid Ghazipoor , Yasamin Kaheni , Amin Javidan , Yeganeh Mirzaee , Adib Azadmehr , Yussef Hashemi , Mehdi Pasalar

{"title":"Effect of acupressure and acupuncture on sleep quality in cancer patients with insomnia: A systematic review and meta-analysis","authors":"Yasamin Khosravaninezhad , Reza Moshfeghinia , Leila Liaghat , Hamid Ghazipoor , Yasamin Kaheni , Amin Javidan , Yeganeh Mirzaee , Adib Azadmehr , Yussef Hashemi , Mehdi Pasalar","doi":"10.1016/j.explore.2025.103192","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>Cancer patients frequently experience insomnia, adversely affecting their quality of life. This study aimed to systematically review and analyse the effectiveness and safety of acupressure and acupuncture in improving sleep quality among cancer patients suffering from insomnia, providing evidence for non-pharmacological treatment options.</div></div><div><h3>Methods</h3><div>Several digital databases (Scopus, PubMed, Embase, Web of Science, Medline, Cochrane library, PsycINFO, CINAHL complete, and Google Scholar) were examined for English-language records. Inclusion criteria involved randomized controlled trials assessing the impact of acupressure or acupuncture on cancer patients with insomnia. The Cochrane Collaboration's instrument was employed to evaluate the quality of the encompassed studies. For meta-analysis, a model that accounts for variability among studies was favoured, and statistical analysis was conducted using Stata software version 17.</div></div><div><h3>Results</h3><div>This review analysed 13 randomized controlled trials involving 806 cancer patients. The analysis indicated that sleep quality didn’t differ significantly between treatment and control groups. However, sleep efficacy was significantly higher in the treatment group (SMD [95 % CI] = 0.43 [0.21, 0.65]). Additionally, total sleep time showed a significantly higher extent in the treatment group (SMD [95 % CI] = 0.58 [0.24, 0.92]). No significant differences were found for depression or sleep onset latency between groups, while anxiety levels were lower in the treatment group (SMD [95 % CI] = -0.52 [-0.90, -0.15]).</div></div><div><h3>Conclusion</h3><div>The review suggests that acupressure and acupuncture enhance sleep quality in cancer patients suffering from insomnia, showing notable benefits during follow-up, especially among Asian participants.</div></div>","PeriodicalId":50459,"journal":{"name":"Explore-The Journal of Science and Healing","volume":"21 4","pages":"Article 103192"},"PeriodicalIF":1.9000,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Explore-The Journal of Science and Healing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1550830725000837","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"INTEGRATIVE & COMPLEMENTARY MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction

Cancer patients frequently experience insomnia, adversely affecting their quality of life. This study aimed to systematically review and analyse the effectiveness and safety of acupressure and acupuncture in improving sleep quality among cancer patients suffering from insomnia, providing evidence for non-pharmacological treatment options.

Methods

Several digital databases (Scopus, PubMed, Embase, Web of Science, Medline, Cochrane library, PsycINFO, CINAHL complete, and Google Scholar) were examined for English-language records. Inclusion criteria involved randomized controlled trials assessing the impact of acupressure or acupuncture on cancer patients with insomnia. The Cochrane Collaboration's instrument was employed to evaluate the quality of the encompassed studies. For meta-analysis, a model that accounts for variability among studies was favoured, and statistical analysis was conducted using Stata software version 17.

Results

This review analysed 13 randomized controlled trials involving 806 cancer patients. The analysis indicated that sleep quality didn’t differ significantly between treatment and control groups. However, sleep efficacy was significantly higher in the treatment group (SMD [95 % CI] = 0.43 [0.21, 0.65]). Additionally, total sleep time showed a significantly higher extent in the treatment group (SMD [95 % CI] = 0.58 [0.24, 0.92]). No significant differences were found for depression or sleep onset latency between groups, while anxiety levels were lower in the treatment group (SMD [95 % CI] = -0.52 [-0.90, -0.15]).

Conclusion

The review suggests that acupressure and acupuncture enhance sleep quality in cancer patients suffering from insomnia, showing notable benefits during follow-up, especially among Asian participants.

查看原文本刊更多论文

穴位按压和针刺对癌症失眠患者睡眠质量的影响：系统回顾和荟萃分析

癌症患者经常失眠，严重影响了他们的生活质量。本研究旨在系统回顾和分析指压和针刺对改善癌症失眠患者睡眠质量的有效性和安全性，为非药物治疗选择提供依据。方法检索Scopus、PubMed、Embase、Web of Science、Medline、Cochrane library、PsycINFO、CINAHL complete、谷歌Scholar等数字数据库的英文记录。纳入标准包括随机对照试验，评估指压或针灸对癌症患者失眠的影响。采用Cochrane协作组的工具评估纳入研究的质量。对于meta分析，采用了一种考虑研究之间可变性的模型，并使用Stata软件版本17进行统计分析。结果本综述分析了13项随机对照试验，涉及806例癌症患者。分析表明，治疗组和对照组的睡眠质量没有显著差异。然而，治疗组的睡眠效率明显更高（SMD [95% CI] = 0.43[0.21, 0.65]）。此外，治疗组的总睡眠时间明显高于对照组（SMD [95% CI] = 0.58[0.24, 0.92]）。两组间抑郁或睡眠发作潜伏期无显著差异，而治疗组的焦虑水平较低（SMD [95% CI] = -0.52[-0.90, -0.15]）。结论本综述提示，指压和针刺可提高癌症失眠患者的睡眠质量，在随访中表现出明显的效果，尤其是在亚洲参与者中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Explore-The Journal of Science and Healing 医学-全科医学与补充医学

CiteScore

3.00

自引率

8.30%

发文量

179

审稿时长

25 days

期刊介绍： EXPLORE: The Journal of Science & Healing addresses the scientific principles behind, and applications of, evidence-based healing practices from a wide variety of sources, including conventional, alternative, and cross-cultural medicine. It is an interdisciplinary journal that explores the healing arts, consciousness, spirituality, eco-environmental issues, and basic science as all these fields relate to health.