{"title":"穴位按压对癌症患者睡眠质量的影响：随机对照试验的系统回顾和荟萃分析。","authors":"Chenxi Yang, Yangxi Huang, Weihong Ling, Denise Shuk Ting Cheung, Jung Jae Lee","doi":"10.1111/jocn.17707","DOIUrl":null,"url":null,"abstract":"<p><strong>Aims: </strong>To examine the effectiveness of acupressure on sleep quality in cancer patients and to identify the population-level and intervention-level characteristics associated with the intervention outcome of sleep quality.</p><p><strong>Design: </strong>Systematic review and meta-analysis.</p><p><strong>Data sources: </strong>PubMed, EMBASE, APA PsycInfo, Web of Science, CINAHL, Cochrane Library, China National Knowledge Infrastructure and WanFang were searched for eligible randomised controlled trials from inception to April 2024.</p><p><strong>Methods: </strong>Methodological quality was assessed using the Cochrane Risk of Bias Tool for Randomised Trials 2.0. A random-effects model was used for the meta-analysis. Subgroup analyses and the meta-regression aimed to investigate potential heterogeneity and identify characteristics that may be associated with more favourable acupressure outcomes.</p><p><strong>Results: </strong>In total, 22 randomised controlled trials involving 2113 participants were included in this meta-analysis. Compared with various control groups, acupressure exhibited a significant beneficial effect on sleep quality in cancer patients at post-intervention (SMD = -1.38, 95% CI [-1.81, -0.95], p < 0.001) and at 4-week follow-up (SMD = -0.33, 95% CI [-0.56, -0.10], p = 0.004). Acupressure also showed statistically significant improvements in sleep efficiency (SMD = 0.77, 95% CI [0.27, 1.26], p = 0.002) and total sleep time (SMD = 0.68, 95% CI [0.15, 1.22], p = 0.010) at post-intervention. None of the characteristics significantly affected the overall effect size on sleep quality.</p><p><strong>Conclusions: </strong>Acupressure appears to be a promising intervention for enhancing sleep quality among cancer patients. Future studies should elucidate the long-term effects of acupressure on sleep quality, identify effective acupressure characteristics and determine which types of cancer patients benefit from this intervention.</p><p><strong>Impact: </strong>This study provides a comprehensive summary of evidence supporting the use of acupressure to enhance sleep quality in cancer patients and demonstrates its effectiveness in clinical nursing practice.</p><p><strong>Reporting method: </strong>PRISMA 2020 statement.</p><p><strong>Patient or public contribution: </strong>No Patient or Public Contribution.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Effectiveness of Acupressure on Sleep Quality in Cancer Patients: A Systematic Review and Meta-Analysis of Randomised Controlled Trials.\",\"authors\":\"Chenxi Yang, Yangxi Huang, Weihong Ling, Denise Shuk Ting Cheung, Jung Jae Lee\",\"doi\":\"10.1111/jocn.17707\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aims: </strong>To examine the effectiveness of acupressure on sleep quality in cancer patients and to identify the population-level and intervention-level characteristics associated with the intervention outcome of sleep quality.</p><p><strong>Design: </strong>Systematic review and meta-analysis.</p><p><strong>Data sources: </strong>PubMed, EMBASE, APA PsycInfo, Web of Science, CINAHL, Cochrane Library, China National Knowledge Infrastructure and WanFang were searched for eligible randomised controlled trials from inception to April 2024.</p><p><strong>Methods: </strong>Methodological quality was assessed using the Cochrane Risk of Bias Tool for Randomised Trials 2.0. A random-effects model was used for the meta-analysis. Subgroup analyses and the meta-regression aimed to investigate potential heterogeneity and identify characteristics that may be associated with more favourable acupressure outcomes.</p><p><strong>Results: </strong>In total, 22 randomised controlled trials involving 2113 participants were included in this meta-analysis. Compared with various control groups, acupressure exhibited a significant beneficial effect on sleep quality in cancer patients at post-intervention (SMD = -1.38, 95% CI [-1.81, -0.95], p < 0.001) and at 4-week follow-up (SMD = -0.33, 95% CI [-0.56, -0.10], p = 0.004). Acupressure also showed statistically significant improvements in sleep efficiency (SMD = 0.77, 95% CI [0.27, 1.26], p = 0.002) and total sleep time (SMD = 0.68, 95% CI [0.15, 1.22], p = 0.010) at post-intervention. 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引用次数: 0
摘要
目的：探讨穴位按压对癌症患者睡眠质量的影响，并探讨与睡眠质量干预结果相关的人群水平和干预水平特征。设计：系统回顾和荟萃分析。数据来源：PubMed， EMBASE, APA PsycInfo, Web of Science， CINAHL， Cochrane图书馆，中国知识基础设施和万方检索符合条件的随机对照试验从成立到2024年4月。方法：采用Cochrane随机试验偏倚风险工具2.0评估方法学质量。meta分析采用随机效应模型。亚组分析和meta回归旨在调查潜在的异质性，并确定可能与更有利的指压结果相关的特征。结果：本荟萃分析共纳入22项随机对照试验，涉及2113名受试者。与各对照组相比，穴位按压在干预后对癌症患者睡眠质量有显著的有益影响（SMD = -1.38, 95% CI [-1.81, -0.95], p）。结论：穴位按压似乎是一种有希望改善癌症患者睡眠质量的干预措施。未来的研究应阐明穴位按压对睡眠质量的长期影响，确定有效的穴位按压特征，并确定哪种类型的癌症患者从这种干预中受益。影响：本研究提供了一个全面的证据总结，支持使用穴位按压来提高癌症患者的睡眠质量，并证明其在临床护理实践中的有效性。报告方式：PRISMA 2020报表。患者或公众捐赠：无患者或公众捐赠。
The Effectiveness of Acupressure on Sleep Quality in Cancer Patients: A Systematic Review and Meta-Analysis of Randomised Controlled Trials.
Aims: To examine the effectiveness of acupressure on sleep quality in cancer patients and to identify the population-level and intervention-level characteristics associated with the intervention outcome of sleep quality.
Design: Systematic review and meta-analysis.
Data sources: PubMed, EMBASE, APA PsycInfo, Web of Science, CINAHL, Cochrane Library, China National Knowledge Infrastructure and WanFang were searched for eligible randomised controlled trials from inception to April 2024.
Methods: Methodological quality was assessed using the Cochrane Risk of Bias Tool for Randomised Trials 2.0. A random-effects model was used for the meta-analysis. Subgroup analyses and the meta-regression aimed to investigate potential heterogeneity and identify characteristics that may be associated with more favourable acupressure outcomes.
Results: In total, 22 randomised controlled trials involving 2113 participants were included in this meta-analysis. Compared with various control groups, acupressure exhibited a significant beneficial effect on sleep quality in cancer patients at post-intervention (SMD = -1.38, 95% CI [-1.81, -0.95], p < 0.001) and at 4-week follow-up (SMD = -0.33, 95% CI [-0.56, -0.10], p = 0.004). Acupressure also showed statistically significant improvements in sleep efficiency (SMD = 0.77, 95% CI [0.27, 1.26], p = 0.002) and total sleep time (SMD = 0.68, 95% CI [0.15, 1.22], p = 0.010) at post-intervention. None of the characteristics significantly affected the overall effect size on sleep quality.
Conclusions: Acupressure appears to be a promising intervention for enhancing sleep quality among cancer patients. Future studies should elucidate the long-term effects of acupressure on sleep quality, identify effective acupressure characteristics and determine which types of cancer patients benefit from this intervention.
Impact: This study provides a comprehensive summary of evidence supporting the use of acupressure to enhance sleep quality in cancer patients and demonstrates its effectiveness in clinical nursing practice.
Reporting method: PRISMA 2020 statement.
Patient or public contribution: No Patient or Public Contribution.
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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