医学
便秘
穴位按压
功能性便秘
随机对照试验
内科学
生活质量(医疗保健)
肠易激综合征
交叉研究
肛门直肠测压
物理疗法
灌肠
胃肠病学
安慰剂
护理部
病理
替代医学
作者
Chunhua Gong,Hui‐Chuan Huang,Ju-Han Liu,Shiou‐Shiun Yu,Yu‐Ting Chen
标识
DOI:10.1177/10998004241236947
摘要
Background. Constipation is a common distressing problem in patients with schizophrenia that can cause complications and impair quality of life. Objective. The objective of this study was to investigate the efficacy of applying auricular acupressure (AA) treatment in improving constipation in patients with schizophrenia. Methods. A crossover randomized controlled trial design was performed from April 2022 to December 2023 at four psychiatric rehabilitation care centers. A total of 23 patients with schizophrenia received an AA intervention or usual care according to the designated treatment sequences. Measurements comprised subjective assessment of constipation by the Patient Assessment of Constipation-Symptoms (PAC-SYM) questionnaire, an objective assessment of the stool pattern rated by a Bristol stool form scale, and heart rate variability. A generalized estimating equation model was used for data analyses. Results. After completing an 8-week AA intervention stimulating the Shenmen, San Jiao, Large intestine and Rectum, the AA group exhibited lower scores in the PAC-SYM total score (difference = −12.66, ,0.001), and the subscales: abdominal (difference = −3.36, p < .001), rectal (difference = −3.51, p < .001), and stool (difference = −5.79, p < .001), compared to those receiving usual care. The cases of constipation indicated by type 1 and type 2 of the BSF scale significantly decreased after the 8-week AA intervention. Moreover, the AA group displayed more parasympathetic dominance compared to the usual care group, with a low frequency to high frequency ratio of −1.15. Conclusion. AA is an effective non-pharmacological method for improving subjective constipation symptoms and objective stool pattern in patients with schizophrenia.
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