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The effect of acupressure and halogen light stimulation on nonstress testing and antenatal anxiety: A randomized controlled trial 穴位按摩和卤素灯刺激对非压力测试和产前焦虑的影响:随机对照试验
IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-07-17 DOI: 10.1016/j.explore.2024.103035

Context

Acupressure and halogen light stimulation, are used to reduce false non-reactive nonstress test results related to fetal sleep.

Objective

This study was conducted to determine the effect of acupressure and halogen light stimulation on nonstress testing and anxiety during pregnancy.

Design

Randomized controlled experimental study.

Setting

The population of the study consisted of pregnant women who were requested to have a nonstress test.

Participants

The sample of the study included 132 pregnant women (acupressure group:44; halogen light group:45, and control group:43).

Methods

The acupressure group was applied acupressure on the Zhiyin acupuncture point three times, the halogen light group was applied halogen light stimulation twice on the fetal head from the mother's abdomen. In the interpretation of the results, the level of statistical significance was taken as P < 0.05.

Main outcome participants

In our study, there was no difference between the acupressure and halogen light groups in terms of the mean number of fetal movements, the number of accelerations, the time to the first acceleration, and the time to reach the reactive result in the nonstress test (P > 0.05), while the mean number of fetal movements and accelerations of these two groups were higher, and the mean time to the first acceleration and the mean time to reach the reactive result in the nonstress test were shorter than those of the control group (P < 0.05). In addition, no statistically significant difference was found between the groups in terms of mean state anxiety inventory scores (P > 0.05).

Results

Acupressure and halogen light stimulation increased the rates of reactive nonstress tests.

穴位按摩和卤素灯刺激可用于减少与胎儿睡眠有关的非反应性非应激测试的错误结果。本研究旨在确定穴位按摩和卤素灯刺激对非应激测试和孕期焦虑的影响。随机对照实验研究。研究对象包括被要求进行非应激测试的孕妇。研究样本包括 132 名孕妇(穴位按摩组:44 人;卤素灯组:45 人;对照组:43 人)。穴位按摩组对知音穴进行三次穴位按摩,卤素灯组从母亲腹部对胎儿头部进行两次卤素灯刺激。在解释结果时,统计显著性水平取 <0.05。在我们的研究中,穴位按摩组和卤素灯组在非应激试验中的平均胎动次数、加速次数、首次加速时间和达到反应性结果的时间方面没有差异(> 0.05),而这两组在非应激试验中的平均胎动次数和加速次数均高于对照组,首次加速时间和达到反应性结果的时间均短于对照组(< 0.05)。此外,在状态焦虑量表的平均得分方面,组间差异无统计学意义(> 0.05)。穴位按摩和卤素灯刺激提高了反应性非应激测试的比率。
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引用次数: 0
Can a six-week Swedish massage reduce mood disorders and enhance the quality of life in individuals with Multiple Sclerosis? A randomized control clinical trial 为期六周的瑞典式按摩能否减轻多发性硬化症患者的情绪障碍并提高其生活质量?随机对照临床试验
IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-07-14 DOI: 10.1016/j.explore.2024.103032

Introduction

There is a limited amount of research specifically focusing on the effects of Swedish massage on mood disorders and the quality of life (QOL) among individuals with MS, emphasizing the need for further investigation. Therefore, this study aimed to assess the effects of a 6-week Swedish massage on the quality of life, stress, anxiety, depression, pain, fatigue, spasticity, and sleep quality in MS patients.

Methods

This randomized controlled trial involved 70 MS patients who were divided into two groups. The massage group underwent two 50-minute sessions of whole-body Swedish massage per week for six weeks, while the usual treatment group maintained their regular medical care routine. Outcomes were Short Form-36 (SF-36) and the Depression, Anxiety, and Stress Scale (DASS), Visual Analog Scale (VAS), Fatigue Severity Scale (FSS), Pittsburgh Sleep Quality Index (PSQI-P), and Modified Ashworth Scale (MAS). These measurements were taken before and after the massage intervention.

Results

The massage group demonstrated significant improvements in QOL and its components compared to the usual treatment group (Hedge's g = 0.53 for QOL, ranging from 0.31 to 0.58 for QOL components; p < 0.001). Participants in the massage group also reported significantly lower levels of stress (Hedge's g = 0. 80), anxiety (Hedge's g = 0.47), and depression (Hedge's g = 0.70) than those in the usual treatment group (p < 0.001). Additionally, the massage group had lower levels of pain, fatigue, and spasticity, and better sleep quality compared to the usual treatment group (p < 0.05).

Conclusion

Swedish massage can be considered a valuable complementary and alternative treatment alongside conventional medicine for individuals with MS.

导言:专门针对瑞典式按摩对多发性硬化症患者的情绪障碍和生活质量(QOL)影响的研究数量有限,强调了进一步调查的必要性。因此,本研究旨在评估为期 6 周的瑞典式按摩对多发性硬化症患者的生活质量、压力、焦虑、抑郁、疼痛、疲劳、痉挛和睡眠质量的影响。按摩组每周进行两次为期 50 分钟的全身瑞典式按摩,为期六周;常规治疗组保持常规医疗护理。研究结果包括简表-36(SF-36)、抑郁、焦虑和压力量表(DASS)、视觉模拟量表(VAS)、疲劳严重程度量表(FSS)、匹兹堡睡眠质量指数(PSQI-P)和改良阿什沃斯量表(MAS)。结果与常规治疗组相比,按摩组的 QOL 及其组成部分均有显著改善(QOL 的 Hedge's g = 0.53,QOL 组成部分的 Hedge's g 为 0.31 至 0.58;p < 0.001)。按摩组参与者的压力(Hedge's g = 0.80)、焦虑(Hedge's g = 0.47)和抑郁(Hedge's g = 0.70)水平也明显低于常规治疗组(p < 0.001)。此外,与常规治疗组相比,按摩组的疼痛、疲劳和痉挛程度更低,睡眠质量更高(p < 0.05)。
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引用次数: 0
The effect of lavender and rosemary aromatherapy application on cognitive functions, anxiety, and sleep quality in the elderly with diabetes 薰衣草和迷迭香芳香疗法对老年糖尿病患者认知功能、焦虑和睡眠质量的影响
IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-07-11 DOI: 10.1016/j.explore.2024.103033

Objective

This study aimed to determine the effects of aromatherapy use on cognitive function, anxiety, and sleep quality in the elderly with diabetes.

Methods

The study was conducted with 63 participants aged 65 and over. Participants were randomly divided into three groups: lavender, rosemary and control groups. The intervention continued for four weeks. Data was collected using the Blessed Orientation Concentration Test, State-Trait Anxiety Scale, and Pittsburgh Sleep Quality Scale. Data were analyzed using One-Way ANOVA, Mann-Whitney U/Kruskal-Wallis, Wilcoxon and Friedman tests.

Results

In both intervention groups, the 4th week scores of cognitive functions, anxiety, and sleep quality after aromatherapy were significant compared to the baseline scores. In the control group, state anxiety scores were significantly higher in the 2nd and 4th weeks compared to the initial scores.

Conclusions

Inhaling lavender and rosemary has been observed to improve cognitive function and sleep quality and reduce anxiety levels. The effects of the essential oils used in the research were evaluated over four weeks. It is thought that studying for a longer period and with more samples would be beneficial. There is a need for studies examining its effects, especially in the elderly with diabetes.

目的 本研究旨在确定使用芳香疗法对患有糖尿病的老年人的认知功能、焦虑和睡眠质量的影响。 方法 本研究有 63 名 65 岁及以上的参与者参加。参与者被随机分为三组:薰衣草组、迷迭香组和对照组。干预持续四周。数据收集采用祝福定向集中测试、状态-特质焦虑量表和匹兹堡睡眠质量量表。采用单向方差分析、Mann-Whitney U/Kruskal-Wallis、Wilcoxon 和 Friedman 检验对数据进行了分析。结论据观察,吸入薰衣草和迷迭香能改善认知功能和睡眠质量,降低焦虑水平。研究中使用的精油的效果是在四周内进行评估的。我们认为,进行更长时间和更多样本的研究将是有益的。有必要对其效果进行研究,尤其是对患有糖尿病的老年人。
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引用次数: 0
Effect of neroli-flavored chewing gum on anxiety 橙花味口香糖对焦虑的影响
IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-07-10 DOI: 10.1016/j.explore.2024.103028

The aim of this study was to assess the effectiveness of neroli-flavored chewing gum in reducing anxiety. A single-blind, two-group study was conducted on 72 university students. Participants were randomly assigned to either the commercial neroli-flavored chewing gum (CNC) group or the natural hydro-distilled neroli-flavored chewing gum (NNC) group. The research instrument used was Spielberger's State-Anxiety questionnaire. While there was no significant difference in anxiety scores between the CNC and NNC groups before the intervention, a significant difference was observed in anxiety scores 20 min after the intervention. Within-group comparisons indicated statistically significant differences between pre-test and post-test values of anxiety in the NNC group. The results of this study suggest that natural hydro-distilled neroli-flavored chewing gum can reduce anxiety in university students.

本研究旨在评估橙花味口香糖在减轻焦虑方面的效果。研究对 72 名大学生进行了单盲两组研究。参与者被随机分配到商业橙花味口香糖(CNC)组或天然氢蒸馏橙花味口香糖(NNC)组。使用的研究工具是斯皮尔伯格焦虑状态问卷。在干预前,CNC 组和 NNC 组的焦虑评分没有明显差异,但在干预 20 分钟后,焦虑评分出现了明显差异。组内比较表明,NNC 组的焦虑值在测试前和测试后有显著的统计学差异。本研究结果表明,天然水蒸馏橙花味口香糖可以减轻大学生的焦虑。
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引用次数: 0
Efficacy of aromatherapy with Lavandula angustifolia oil on postoperative pain after cardiac surgery: A randomized clinical trial 薰衣草精油芳香疗法对心脏手术后疼痛的疗效:随机临床试验
IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-07-09 DOI: 10.1016/j.explore.2024.103034

Objective

To evaluate the effect of aromatherapy through inhalation of Lavandula angustifolia essential oil in relieving pain during the immediate postoperative period of patients undergoing cardiac surgery.

Methods

A single-blind, randomized and controlled clinical trial, with 52 patients in the immediate postoperative period of cardiac surgery were randomly distributed into experimental (n = 26) and control (n = 26) groups. The primary outcome was whether or not pain was relieved and secondary outcomes included changes in vital signs, sleep and facial relaxation. The control group received industry standard care and application of an essential oil-free ceramic diffuser necklace. The experimental group received the inhalation intervention with pure Lavandula angustifolia essential oil, with a drop of the oil on a ceramic diffuser necklace at a distance of 15-20 cm from the patient's nose for 30 min. Pain was measured using the Numerical Visual Scale, and vital signs using the multiparametric monitor before the intervention, 10 minutes after its start and 30 minutes after the total end of inhalation. Face relaxation was assessed before and after the intervention and sleep was assessed at the end of inhalation.

Results

There was a decrease in pain levels (p < 0.001) 30 min after the end of inhalation in the Experimental Group, with a decrease in the measurements of Mean Blood Pressure (p= 0.008) and Respiratory Rate (p = 0.011). Furthermore, facial relaxation and sleep had a large effect size of 2.54 and 1.28, respectively.

Conclusion

Lavandula angustifolia essential oil was effective in relieving pain, causing sleep and relaxation, proving to be a low-cost and easy-to-use tool that the nursing team can use in their care.

方法 单盲、随机对照临床试验,将 52 名心脏手术术后患者随机分为实验组(26 人)和对照组(26 人)。主要结果是疼痛是否缓解,次要结果包括生命体征、睡眠和面部放松的变化。对照组接受行业标准护理,使用不含精油的陶瓷扩香项链。实验组接受纯薰衣草精油吸入干预,将精油滴在陶瓷扩散器项链上,距离患者鼻子 15-20 厘米,持续 30 分钟。在干预前、干预开始后 10 分钟和吸入完全结束后 30 分钟,使用数字视觉量表测量疼痛程度,并使用多参数监护仪测量生命体征。结果实验组在吸入结束 30 分钟后疼痛程度有所减轻(p < 0.001),平均血压(p= 0.008)和呼吸频率(p = 0.011)也有所下降。此外,面部放松和睡眠的效应大小较大,分别为 2.54 和 1.28。结论薰衣草精油在缓解疼痛、促进睡眠和放松方面效果显著,证明是一种低成本、易于使用的工具,护理团队可在护理工作中使用。
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引用次数: 0
Long-term transformational effects of near-death experiences 濒死体验的长期转化效应
IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-07-06 DOI: 10.1016/j.explore.2024.103030
Jeffrey Long , Marjorie Woollacott

The purpose of this study was to deepen our understanding of the phenomenon of long-term transformational effects of near-death experiences (NDEs). Methods: Participants included 834 individuals who had experienced NDEs. We compared their responses with those of 42 individuals who had faced life-threatening situations (LTEs) without experiencing NDEs, aiming to discern whether transformations could be attributed solely to the proximity to death. We employed chi-square statistics to assess differences in aftereffects reported by the NDE and LTE-only groups. We also conducted a thematic analysis of the participants’ narratives to capture a more detailed account of the transformations experienced. Results: Our central finding reveals a significant transformation in values and spiritual attitudes among participants following their NDEs, as compared to individuals who were faced with life-threatening situations without an NDE. Key transformations include an enhanced belief in divinity and in the afterlife, a decreased fear of death, and increased levels of compassion. Participants also reported a stronger belief in the meaningfulness of life, and a profound shift in life priorities and values, emphasizing the increased importance of their spiritual or religious lives. Conclusions: The results support the notion that NDEs lead to a profound spiritual awakening and a reorientation towards life distinct from changes following LTEs without NDEs.

本研究的目的是加深我们对濒死体验(NDEs)长期转化效应现象的理解。研究方法:参与者包括 834 名经历过濒死体验的人。我们将他们的回答与 42 名未经历过濒死体验但面临过危及生命的情况(LTE)的人的回答进行了比较,旨在确定转变是否可完全归因于死亡的临近。我们采用卡方统计法来评估濒死体验组和仅有濒死体验组所报告的后遗效应的差异。我们还对参与者的叙述进行了主题分析,以便更详细地了解所经历的转变。结果:我们的主要发现表明,与没有经历过无损检测而面临生命危险的人相比,经历过无损检测的参与者在价值观和精神态度方面发生了重大转变。主要转变包括对神性和来世的信仰增强、对死亡的恐惧减少以及同情心增强。参与者还报告说,他们对生命的意义有了更坚定的信念,生活的优先顺序和价值观发生了深刻的转变,强调了精神或宗教生活的重要性。结论研究结果支持这样一种观点,即无意识死亡会导致深刻的精神觉醒和对生命的重新定位,这与无意识死亡的长期生命体验后的变化截然不同。
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引用次数: 0
Moxibustion combined with guasha therapy for recurrent neutropenia following multiple cycles of chemotherapy of ovarian cancer: A case report 艾灸结合刮痧治疗卵巢癌多周期化疗后复发性中性粒细胞减少症:病例报告。
IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-07-06 DOI: 10.1016/j.explore.2024.103031
Weina Zhang, Jingnan Xu, Yuxiang Wan, Ming Yang, Jinchang Huang

Neutropenia, a common side effect of chemotherapy for ovarian cancer, was observed in a 47-year-old female patient undergoing a six-cycle chemotherapy regimen. She experienced recurrent neutropenia and leukopenia but refused granulocyte colony-stimulating factor (G-CSF) due to severe bone pain and high costs. Moxibustion combined with guasha therapy (MGT) was administered each time neutropenia occurred. The treatment involved guasha therapy on the bladder meridian (BL) and the governor vessel (GV), followed by moxibustion at Zhongwan (CV 12), Guanyuan (CV 4), and Shenzhu (GV 12) points over 2–3 days. This approach led to the recovery of neutrophil and leukocyte counts, enabling the patient to complete six chemotherapy cycles without G-CSF. These findings suggest that MGT may enhance neutrophil and leukocyte counts in patients with chemotherapy-induced myelosuppression, presenting a potential alternative for those intolerant to G-CSF. However, further high-quality research is needed to confirm its efficacy.

中性粒细胞减少症是卵巢癌化疗的常见副作用,一名 47 岁的女性患者接受了六周期化疗。她反复出现中性粒细胞减少症和白细胞减少症,但由于严重的骨痛和高昂的费用,她拒绝使用粒细胞集落刺激因子(G-CSF)。每次出现中性粒细胞减少时,她都会进行艾灸结合刮痧疗法(MGT)。治疗方法包括在膀胱经(BL)和督脉(GV)上进行刮痧治疗,然后在中脘(CV 12)、关元(CV 4)和神阙(GV 12)穴位上艾灸 2-3 天。这种方法使患者的中性粒细胞和白细胞数量得到恢复,使其能够在不使用 G-CSF 的情况下完成六个化疗周期。这些研究结果表明,MGT 可以提高化疗引起的骨髓抑制患者的中性粒细胞和白细胞数量,为那些对 G-CSF 不耐受的患者提供了一种潜在的替代疗法。不过,还需要进一步的高质量研究来证实其疗效。
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引用次数: 0
What happens when politicians not physicians make the medical decisions? 由政客而非医生做出医疗决定会发生什么?
IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-07-05 DOI: 10.1016/j.explore.2024.103025
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引用次数: 0
Low glycemic index or low glycemic load diets for people with overweight or obesity: Summary of a Cochrane review 针对超重或肥胖症患者的低血糖生成指数或低血糖生成负荷饮食:Cochrane 综述摘要
IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-07-04 DOI: 10.1016/j.explore.2024.103024
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引用次数: 0
Psychobiotics in depression: A review 抑郁症中的精神生物制剂:综述
IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-07-04 DOI: 10.1016/j.explore.2024.103023
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引用次数: 0
期刊
Explore-The Journal of Science and Healing
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