耳穴按摩对管理癌症患儿父母的睡眠质量、情绪和生活质量的效果：随机对照试验

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing Pub Date : 2024-11-01 DOI:10.1016/j.apjon.2024.100601

Yi-Chien Chiang , Shih-Hsiang Chen , Debra K. Moser , Yu-Chuan Wen , Yu-Ting Lin , Ya-Chu Hsiao

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引用次数: 0

摘要

方法 35位家长被分配到积极耳穴按摩组（AAG）或假耳穴按摩组（SAG）接受为期三周的干预。可行性通过对穴位按摩方案的依从性进行评估。研究结果采用匹兹堡睡眠质量指数（Pittsburgh Sleep Quality Index）来衡量睡眠质量，采用情绪状态档案（Profile of Mood States）来衡量情绪，采用QOL简表来衡量QOL。采用广义估计方程对数据进行分析，以确定组内和组间随时间的变化。在总体睡眠质量或情绪状态方面，两组之间没有差异，但在第一阶段，AAG 组在身体成分总结方面的 QOL 更好。与 SAG 组相比，AAG 组家长的活力水平明显更高。在身体机能和一般健康分量表中观察到了具有统计学意义的差异，AAG 组在第一时间和第二时间的结果分别优于 SAG 组。要确定这种干预措施对癌症患儿的父母是否有效，还需要进行全面的大规模试验。减少这些家长的症状困扰和改善其生活质量至关重要，必须对实现这一目标的干预措施进行测试。试验注册ClinicalTrials.gov NCT05654155。

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Effectiveness of auricular acupressure in managing sleep quality, mood, and quality of life in parents of children with cancer: A pilot randomized controlled trial

Objective

This pilot study aimed to assess the feasibility and effectiveness of an auricular acupressure intervention on sleep quality, mood state, and quality of life (QOL) among parents of children with cancer.

Methods

Thirty-five parents were assigned to three-weeks intervention in an active auricular acupressure group (AAG) or a sham auricular acupressure group (SAG). Feasibility was assessed by adherence to the acupressure protocol. Outcomes were measured using the Pittsburgh Sleep Quality Index for sleep quality, the Profile of Mood States for mood, and the QOL short form for QOL. The data were analyzed using generalized estimating equations to identify changes over time within and between the groups.

Results

Adherence to the protocol was 78%. There were no differences between the groups in overall sleep quality or mood state, but QOL in the Physical Component Summary was better in the AAG at time 1. Parents in the AAG exhibited significantly higher levels of vigor compared to those in the SAG group. Statistically significant differences were observed in the Physical Functioning and General Health subscales, with the AAG showing better outcomes than the SAG group at time 1 and time 2, respectively.

Conclusions

Likely due to the small sample size, the AAG and SAG did not differ in overall sleep quality, mood state, or QOL, but there were significant subscale differences that support intervention effectiveness. A fully powered large-scale trial is needed to determine whether this intervention would be effective for parents of children with cancer. Reducing symptom distress and improving QOL in these parents are essential, and interventions to achieve this goal must be tested.