耳穴指压法对接受温和手法治疗的哺乳期母亲乳房疼痛的影响:随机、单盲、假对照试验。

IF 2.1 4区 医学 Q2 NURSING Journal of Human Lactation Pub Date : 2024-05-01 Epub Date: 2024-02-20 DOI:10.1177/08903344241228545
Shinae Han, Bomi Kim, Hyojung Park
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引用次数: 0

摘要

背景:耳穴穴位按摩可以减轻疾病患者的疼痛。研究目的:本研究旨在探讨耳穴按摩对哺乳期母亲乳房疼痛的疗效,这些母亲同时也接受了标准的手部轻柔手法:这是一项安慰剂对照研究,在当地母乳喂养诊所为52名哺乳期母亲提供了为期4周的耳穴按摩。在干预组中,对特定穴位进行耳穴按摩,包括神门、中脘、乳房和内分泌,这些穴位与乳房疼痛和产后哺乳有关。安慰剂对照组则对与乳房疼痛无关的穴位进行耳穴按摩。乳房疼痛的程度通过数字评分表和压力表进行评估:结果:经过 4 周的耳穴按摩后,数字评分表中的疼痛评分没有发生显著变化。然而,干预组患者右侧乳房左上方(Z = -2.202,p = .028)和右上方(t = 2.613,p = .012)区域的压痛阈值明显增加:本研究采用主观和客观测量方法来评估耳穴按摩在缓解乳房疼痛方面的疗效。该干预措施显示出作为护理措施的潜力。需要进一步研究确定最佳的干预时间和频率,特别是对有严重疼痛的哺乳期父母,并评估长期效果。
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Auricular Acupressure on Breast Pain Among Breastfeeding Mothers Receiving Gentle Hand Techniques: A Randomized, Single-Blind, Sham-Controlled Trial.

Background: Auricular acupressure influences pain reduction in patients with diseases. However, study results on its influence on breast pain, common among breastfeeding mothers, are insufficient.

Research aim: This study aimed to explore the effectiveness of auricular acupressure on breast pain among breastfeeding mothers who also received a standard gentle hand technique.

Methods: This was a placebo-controlled study wherein auricular acupressure was provided for 4 weeks to 52 breastfeeding mothers consulting a local breastfeeding clinic. In the intervention group, auricular acupressure was applied to specific acupoints, including Shenmen, central rim, breast, and endocrine, which are related to breast pain and postpartum lactation. For the placebo control group, auricular acupressure was applied to acupoints not related to breast pain. The degree of breast pain was assessed using a numeric rating scale and a pressure algometer.

Results: After 4 weeks of auricular acupressure, numeric rating scale pain scores did not show a significant change. However, the pressure pain threshold for the upper left (Z = -2.202, p = .028) and upper right (t = 2.613, p = .012) areas of the right breast increased significantly in the intervention group.

Conclusion: This study employed subjective and objective measurements to evaluate the efficacy of auricular acupressure in alleviating breast pain. The intervention shows potential as a nursing measure. Further research is required to determine the optimal intervention duration and frequency, particularly for breastfeeding parents with severe pain, and to evaluate long-term outcomes.

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来源期刊
Journal of Human Lactation
Journal of Human Lactation 医学-妇产科学
CiteScore
5.00
自引率
11.50%
发文量
100
审稿时长
6-12 weeks
期刊介绍: Committed to the promotion of diversity and equity in all our policies and practices, our aims are: To provide our readers and the international communities of clinicians, educators and scholars working in the field of lactation with current and quality-based evidence, from a broad array of disciplines, including the medical sciences, basic sciences, social sciences and the humanities. To provide student and novice researchers, as well as, researchers whose native language is not English, with expert editorial guidance while preparing their work for publication in JHL. In each issue, the Journal of Human Lactation publishes original research, original theoretical and conceptual articles, discussions of policy and practice issues, and the following special features: Advocacy: A column that discusses a ‘hot’ topic in lactation advocacy About Research: A column focused on an in-depth discussion of a different research topic each issue Lactation Newsmakers: An interview with a widely-recognized outstanding expert in the field from around the globe Research Commentary: A brief discussion of the issues raised in a specific research article published in the current issue Book review(s): Reviews written by content experts about relevant new publications International News Briefs: From major international lactation organizations.
期刊最新文献
Immunological Factors and Macronutrient Content in Human Milk From Women With Subclinical Mastitis. Considerations When Measuring Exclusive Breastfeeding. Bridging the Gap Between Lactation Care and Research in Human Lactation. Utilizing Lactation Acuity to Improve Lactation Services in a U.S. Hospital. Breastfeeding Intentions, Attitudes, and Knowledge Among Medical Students in Croatia.
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