Abstract
Objective
To observe the effects of auricular point sticking on pain and anxiety during the latent period of the first stage of labor in primiparas.
Methods
Primiparas meeting eligibility criteria were recruited. The participants were randomized into an auricular point group, a placebo group, and a control group. The control group received daily care. The auricular point group received 120 min of auricular point sticking therapy. The placebo group received the same auricular plasters as the auricular point group but without pressing. Participants’ pain, anxiety, and uterine contractions were measured at enrollment and 30, 60, and 120 min of interventions.
Results
Data from 78 participants were analyzed in this study. After uterine contraction was adjusted as a covariate, there was no significant difference among groups in the baseline anxiety, baseline pain, and anxiety at 30-min intervention (P>0.05), and no significant difference between the placebo group and the control group in each indicator at each time point (P>0.05). The anxiety scores of the auricular point group at 60 min and 120 min were lower than those of the placebo group and the control group (P<0.05). The pain in the auricular point group was less than that in the placebo group and the control group at 30, 60, and 120 min of interventions (P<0.05).
Conclusion
Auricular point sticking therapy can relieve anxiety and pain in women during the latent period of labor. Moreover, the effect is fast-acting. It can be used as a safe and effective complementary therapy.
摘要
目的
观察耳穴贴压疗法对初产妇第一产程潜伏期疼痛和焦虑的影响。
方法
招募符合资格标准的初产 妇。参与者被随机分为耳穴组、安慰剂组和对照组。对照组接受日常护理。耳穴组接受120 min的耳穴贴压治 疗。安慰剂组接受与耳穴组相同的耳穴贴片, 但不进行按压。在干预前及干预30、60和120 min时测量参与者的疼 痛、焦虑和子宫收缩情况。
结果
本研究分析了78名参与者的数据。将子宫收缩调整为协变量后, 组间的基线焦 虑、基线疼痛和30 min时焦虑差异无统计学意义(P>0.05), 安慰剂组与对照组各时间点各项指标差异均无统计学意 义(P>0.05)。耳穴组在60 min和120 min时的焦虑评分低于安慰剂组和对照组(P<0.05)。在30、60和120 min时, 耳穴 组的疼痛感均低于安慰剂组和对照组(P<0.05)。
结论
耳穴贴压疗法可减轻女性分娩潜伏期的焦虑和疼痛, 且起效 迅速。可作为分娩潜伏期一种安全有效的辅助疗法。
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Acknowledgments
This study was supported by Changzhou Science & Technology Program (常州市科技局应用基础项目, No. CJ20220069). We express our thanks to all women who participated in this study. Without their participation, this study would not have been possible.
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Conceptualization, methodology, analysis, interpretation: all authors. Writing: ZHU Ying. Data collection: HU Qitao, WANG Jie, LI Ying, and ZHANG Jie. Review and editing, supervision, approval of final manuscript: LI Qian, CHANG Cheng.
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The authors declare that there is no potential conflict of interest in this article.
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Informed consent was obtained from all individual participants in this study.
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First Author: ZHU Ying, bachelor, nurse in charge
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Zhu, Y., Hu, Q., Wang, J. et al. Effects of auricular point sticking on labor pain and anxiety. J. Acupunct. Tuina. Sci. 21, 460–469 (2023). https://doi.org/10.1007/s11726-023-1405-1
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DOI: https://doi.org/10.1007/s11726-023-1405-1