穴位按压对2型糖尿病患者多神经病相关疼痛和睡眠质量的影响：一项随机对照试验

IF 2.2 4区医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE

Explore-The Journal of Science and Healing Pub Date : 2025-09-19 DOI:10.1016/j.explore.2025.103262

Fatma Gündüz-Oruç , Elanur Yilmaz-Karabulutlu

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引用次数: 0

摘要

目的探讨穴位按压对2型糖尿病患者多神经病变相关疼痛及睡眠质量的影响。设计本研究采用随机对照实验设计。方法选取符合入选标准并同意参与研究的2型糖尿病患者86例（穴位按压组44例，对照组42例）。参与者被随机分为实验组和对照组。实验组连续6天进行6次穴位按压，对照组不进行干预。使用个人信息表、疼痛质量评估量表（PQAS）和匹兹堡睡眠质量指数（PSQI）收集数据。采用SPSS for Windows 22进行统计分析。结果穴位按压组PQAS亚量表-阵发性疼痛（t=-8.636; p<0.001）、体表疼痛（t=-7.649; p<0.001）和深度疼痛（t=-10.349; p<0.001）的测试后平均评分较对照组显著降低。此外，与对照组相比，穴位按压组在测试后PSQI总分（U=70.000; p<0.001）和睡眠质量量表得分均有显著改善，但睡眠药物使用量表（U=831.000; p=0.149）差异无统计学意义。结论穴位按压可减轻2型糖尿病患者多神经病变相关疼痛，提高睡眠质量。因此，穴位按压可以被认为是2型糖尿病患者的一种替代护理干预。

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The effect of acupressure on polyneuropathy-related pain and sleep quality in patients with type 2 diabetes: A randomised controlled trial

Aim

This study aimed to determine the effect of acupressure on polyneuropathy-related pain and sleep quality in patients with type 2 diabetes.

Design

A randomized controlled experimental design was employed in the study.

Methods

The study sample consisted of 86 patients with type 2 diabetes (44 in the acupressure group and 42 in the control group) who met the inclusion criteria and agreed to participate. Participants were randomly assigned to either the experimental or control group. The experimental group received six sessions of acupressure over six consecutive days, while the control group received no intervention. Data were collected using a personal information form, the Pain Quality Assessment Scale (PQAS), and the Pittsburgh Sleep Quality Index (PSQI). Statistical analyses were conducted using SPSS for Windows 22.

Results

In the acupressure group, post-test mean scores of the PQAS subscales—Paroxysmal Pain (t=-8.636; p<0.001), Surface Pain (t=-7.649; p<0.001), and Deep Pain (t=-10.349; p<0.001)—significantly decreased compared to the control group. Additionally, the acupressure group demonstrated a significant improvement in post-test PSQI total scores (U=70.000; p<0.001) and sleep quality subscale scores compared to the control group, except for the Sleep Medication Use subscale (U=831.000; p=0.149), which showed no significant difference.

Conclusions

Acupressure was found to reduce polyneuropathy-related pain and enhance sleep quality in patients with type 2 diabetes. Therefore, acupressure may be considered an alternative nursing intervention for individuals with type 2 diabetes.

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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.