Acupoint stimulation improves pain and quality of life in head and neck cancer patients with chemoradiotherapy: A randomized controlled trial

Chou, Y.-H.; Yeh, Mei Ling; Huang, Tzung-Chi; Hsu, Hui Chen

doi:10.1016/j.apjon.2021.11.002

Cited by 5 publications

(4 citation statements)

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“…According to the theoretical foundations of TCM, the ears are a microcosm of the human body and connect directly or indirectly to the 12 meridians, the stimulation of which facilitates the internal balance of Qi (energy) flow, which is necessary to maintain and improve health (Cheng et al, 2015;Song et al, 2015). The effectiveness of AA in improving sleep quality and reducing stress, pain, fatigue, anxiety, burnout, 1 depressed moods, and systolic blood pressure has been demonstrated in quasi-experimental, randomized controlled trial, systematic review, and meta-analysis of studies on subjects including middle-aged and older women (Cha et al, 2017;Kao et al, 2012;Lo et al, 2013), women who have given birth by cesarean section (Kuo et al, 2016), nursing students (Chueh et al, 2018), healthcare employees (Olshan-Perlmutter et al, 2019), institutionalized residents (Chen et al, 1999;Reza et al, 2010), and patients undergoing treatment for hypertension (Gao et al, 2020), leukemia (X. R. Liu et al, 2020), neck pain (Lee & Park, 2019), chemoradiotherapy (Chou et al, 2019), hemodialysis (Tsay & Chen, 2003;Wu et al, 2018), and low back pain (Yang et al, 2017). Some of the previous studies applied AA in combination with acupoint massage (e.g., head, hands, and feet), with the shenmen (heart meridian 7 [HT7]) acupoints on the ears and hands most frequently targeted to improve sleep quality (Cha et al, 2017;Reza et al, 2010;Wu et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

The Impact of Gender on the Effectiveness of an Auricular Acupressure Intervention Administered to Community-Dwelling Poor Sleepers: A Cluster Randomized Controlled Trial

Hung

Chiang

Wang

2021

Journal of Nursing Research

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Background Women report a higher incidence of sleep problems than men. Few studies addressing the effect of gender on the efficacy of administering auricular acupressure (AA) at shenmen points (heart meridian 7 [HT7]) on sleep quality have been published. Purpose The primary aim of this study was to investigate the effects of a 4-week AA intervention applied at the HT7 points on sleep quality, perceived physical health, and perceived mental health in community-dwelling individuals with poor self-reported sleep quality. Additional analyses were used to evaluate the gender-specific effects of this intervention. Methods A cluster randomized controlled trial with repeated-measures design was used. One hundred seventy-nine eligible participants were randomly assigned to either the AA group ( n = 88; 47 women, 41 men) or the sleep hygiene instruction (SHI) group ( n = 91; 52 women, 39 men). The AA group self-administered acupressure at HT7 on both ears for a 4-week period, whereas the SHI group received an SHI information sheet. Outcome measures included the Pittsburgh Sleep Quality Index (PSQI) and the Short-Form Health Survey-12 Version 2, with data collected at baseline and at 2, 4, and 8 weeks posttest. Results Linear mixed-model analysis revealed that the participants in the AA group experienced significantly greater reductions in mean PSQI global score and the three indices of sleep latency, subjective sleep quality, and daytime dysfunction than the SHI group at 2 and 4 weeks posttest. The improvements in subjective sleep quality and daytime dysfunction remained at 4 weeks posttest in the AA group, but not in the SHI group. The PSQI global score decreased significantly more in men than women in the AA group between baseline and 4 weeks posttest. Conclusions/Implications for Practice: Four weeks of self-administered acupressure at HT7 on both ears is an effective intervention for community-dwelling poor sleepers who are over 45 years old. Moreover, the improvements in subjective sleep quality and daytime dysfunction persist for up to 4 weeks after the end of the intervention. This self-administered acupressure intervention is more effective in men than in women in terms of improving sleep quality. Gender bias is known to influence research results and may lead to inappropriate generalizations. Thus, future studies that are performed to build basic scientific evidence should include considerations of the effects of gender in the study design.

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Section: Introductionmentioning

confidence: 99%

The Impact of Gender on the Effectiveness of an Auricular Acupressure Intervention Administered to Community-Dwelling Poor Sleepers: A Cluster Randomized Controlled Trial

Hung

Chiang

Wang

2021

Journal of Nursing Research

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“…Among the 27 included articles, 22 articles [ 16 – 20 , 23 – 38 , 41 ] reported randomized assignments, while 5 articles [ 9 , 21 , 22 , 39 , 40 ] did not specify the assignment scheme. Three articles [ 19 , 20 , 37 ] mentioned assignment concealment. Eight articles [ 17 , 18 , 20 , 34 – 37 , 39 ] incorporated blinding methods.…”

Section: Resultsmentioning

confidence: 99%

“…Three articles [ 19 , 20 , 37 ] mentioned assignment concealment. Eight articles [ 17 , 18 , 20 , 34 – 37 , 39 ] incorporated blinding methods. The data from all 27 articles were complete, and there were no selective reporting results or other biases (Figs.…”

Section: Resultsmentioning

confidence: 99%

Exploring the Rules of Related Parameters in Transcutaneous Electrical Nerve Stimulation for Cancer Pain Based on Data Mining

Yang

Yao

et al. 2023

Pain Ther

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Introduction This study aims to investigate the regularity of related parameters in the treatment of cancer pain using transcutaneous electrical nerve stimulation (TENS). Methods A comprehensive literature search was conducted in databases such as PubMed, Cochrane Library, Embase, Web of Science, OVID, CNKI, CBM, VIP, and WANNGFANG from inception up to December 2022. A database was established, and data mining techniques were applied to analyze the relevant TENS parameters. Results A total of 27 articles were included, encompassing nine current frequencies, four retention times, four treatment frequencies, and two wave types. On the basis of the analysis of parameter association rules, the most closely related parameter combination for clinical TENS in the treatment of cancer pain was a current frequency of 2/100 Hz, a treatment frequency of once a day, a retention time of 30 min, and the dilatational wave. Moreover, the study involved 22 acupuncture points distributed along 13 meridians. According to the analysis of acupuncture point association rules, Hegu (LI04), Zusanli (ST36), and Sanyinjiao (SP06) were the most closely related acupuncture points and could be used in combination for clinical TENS in cancer pain treatment. Furthermore, cluster analysis was conducted on acupuncture points with a frequency ≥ 5, resulting in three categories: the first category included Sanyinjiao (SP06), Zusanli (ST36), Hegu (LI04), Jiaji point, and Neiguan (PC06); the second category included Ashi point; and the third category included Back shu point. Conclusion In the treatment of cancer pain using TENS, it is recommended to use a current frequency of 2/100 Hz, a treatment frequency of once a day, a retention time of 30 min, and the dilatational wave. The electrode positions were primarily selected from Ashi point, Back shu point, Sanyinjiao (SP06), Zusanli (ST36), Hegu (LI04), Jiaji point, and Neiguan (PC06) to achieve the best analgesic effect.

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“…Currently, pain remains one of the most common symptoms in patients despite having developed several advances in the health area, pain levels are the main reason why family members seek different ways to improve well-being, so that, according to (Chou et al, 2022) the use of alternative therapies has achieved great relevance within the hospital area, leaving directions for the management and control of pain as a non-pharmacological treatment option. (Deng et al, 2022) In Ecuador, culturally there is an acceptance towards complementary medicine and conventional treatment of different pathologies, since many of them do not cause harm or interference with the pharmacological treatment against cancer, they help to face symptomatology and adverse effects of the procedures applied on the patient.…”

Section: Introductionmentioning

confidence: 99%

Alternative therapies applied to oncological patients for pain management

Núñez¹,

Cabrera

Zumbana

et al. 2023

SIJIS

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INTRODUCTION: Alternative therapies consist of a set of techniques and methods used for the treatment or prevention of diseases, especially in the mind, body and person, providing a balance between the environment and the cancer patient. OBJECTIVE: Analyze the application of alternative therapies in cancer patients for pain management. METHODOLOGY: This is a qualitative, cross-sectional bibliographic review, based on articles found in indexed journals of great academic prestige. The analysis of the information aims to publicize each of the alternative therapies that are used in a cancer patient to treat pain. DISCUSSION: Each of the alternative therapies that have been more effective in relieving pain, such as acupuncture and therapeutic massage, are mentioned in comparison to the others; which are based on managing pain in cancer patients and other symptoms during the course of conventional treatment. CONCLUSION: Each said therapy has its own advantages, from which it is concluded that alternative therapies are effective for pain management in patients with oncological diseases despite the fact that there is little scientific evidence.

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Acupoint stimulation improves pain and quality of life in head and neck cancer patients with chemoradiotherapy: A randomized controlled trial

Cited by 5 publications

References 50 publications

The Impact of Gender on the Effectiveness of an Auricular Acupressure Intervention Administered to Community-Dwelling Poor Sleepers: A Cluster Randomized Controlled Trial

The Impact of Gender on the Effectiveness of an Auricular Acupressure Intervention Administered to Community-Dwelling Poor Sleepers: A Cluster Randomized Controlled Trial

Exploring the Rules of Related Parameters in Transcutaneous Electrical Nerve Stimulation for Cancer Pain Based on Data Mining

Alternative therapies applied to oncological patients for pain management

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