中老年人膝骨关节炎患者自我穴位按压的可接受性：一项混合方法的二次分析。

IF 3.3 3区医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary therapies in medicine Pub Date : 2025-01-17 DOI:10.1016/j.ctim.2025.103130

Shu-Cheng Chen , Nicole Nok Leung , Hui-Lin Cheng , Min-Ru Wu , Denise Shuk-Ting Cheung , Jia-Yin Ruan , Jing Qin , Ge Ren , Wing-Fai Yeung

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引用次数: 0

摘要

目的：评价中老年人自行穴位按压治疗膝骨关节炎（KOA）的可接受性。方法：这是一种混合方法的可接受性评价，嵌入在一项随机对照试验中，对自我给药穴位按压治疗KOA。参与者接受了两次2小时的自我穴位按摩训练，并被指示每天练习两次，持续12周。采用可接受性问卷（n=153）和指压日志（n=157）收集定量数据。通过半结构化访谈获得定性数据，包括培训后（n=13）和干预后焦点小组（n=13），以及对退出参与者的个别访谈（n=5）。采用描述性统计和基于可接受性理论框架的框架分析法对数据进行分析。结果：干预完成率为91.7%。参与者对参加未来会议的意愿评分为9.5/10 （SD=0.85）。57.8%的人认为技术教育“非常有帮助”，81.5%的人遵循了规定的常规。参与者报告了自我管理的指压训练计划的高总体接受度，引用了它的实用性和对膝盖疼痛、大腿力量、炎症和肿胀的潜在益处。还赞赏所需的最少时间和财政投资。然而，与个人努力、时间管理、研究监测压力、可能的不良事件和穴位按压技术的不确定性相关的挑战被注意到，导致依从性问题。与会者表示需要持续的专业指导。结论：自我穴位按压对中老年KOA患者有较高的可接受性，其潜在的益处和时间、成本均较低。未来的研究应侧重于通过提供专业支持和有效监测来优化干预措施的实施，以应对已发现的挑战。

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Acceptability of self-administered acupressure for knee osteoarthritis in middle-aged and older adults: A mixed-method secondary analysis

Objectives

To evaluate the acceptability of self-administered acupressure for Knee osteoarthritis (KOA) among middle-aged and older adults.

Methods

This is a mixed-method acceptability evaluation was embedded in a randomized controlled trial on self-administered acupressure for KOA. Participants received two 2-h training sessions on self-administered acupressure and were instructed to practice twice daily for 12 weeks. Quantitative data were collected using an acceptability questionnaire (n = 153) and acupressure logbooks (n = 157). Qualitative data were obtained through semi-structured interviews, including post-training (n = 13) and post-intervention focus groups (n = 13), and individual interviews with participants who dropped out (n = 5). Data were analysed using descriptive statistics and framework analysis based on the Theoretical Framework of Acceptability.

Results

The intervention had 91.7 % completion rate. Participants rated willingness to attend future sessions at 9.5/10 (SD=0.85). 57.8 % found technique education "very helpful" and 81.5 % followed the prescribed routine. Participants reported high overall acceptability of the self-administered acupressure training program, citing its practicality and potential benefits on knee pain, thigh strength, inflammation, and swelling. The minimal time and financial investment required were also appreciated. However, challenges related to personal efforts, time management, pressure from research monitoring, possible adverse events, and uncertainties with acupressure techniques were noted, leading to adherence issues. Participants expressed a need for continuous professional guidance.

Conclusion

Self-administered acupressure is highly acceptable to middle-aged and older adults with KOA due to its potential benefits and merits of minimal time and cost. Future research should focus on optimizing intervention implementation by providing professional support and efficient monitoring to address identified challenges.

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来源期刊

Complementary therapies in medicine 医学-全科医学与补充医学

CiteScore

8.60

自引率

2.80%

发文量

101

审稿时长

112 days

期刊介绍： Complementary Therapies in Medicine is an international, peer-reviewed journal that has considerable appeal to anyone who seeks objective and critical information on complementary therapies or who wishes to deepen their understanding of these approaches. It will be of particular interest to healthcare practitioners including family practitioners, complementary therapists, nurses, and physiotherapists; to academics including social scientists and CAM researchers; to healthcare managers; and to patients. Complementary Therapies in Medicine aims to publish valid, relevant and rigorous research and serious discussion articles with the main purpose of improving healthcare.