背景:护士的腰背痛(LBP)是影响其生活质量和工作能力的主要健康问题,影响他们的经济地位。
目的:本研究评估低水平激光针刺联合耳穴贴压(LAA)对疼痛强度的影响,LBP护士的疼痛干预和生活质量。
方法:这项随机对照试验招募了台湾一家教学医院的医院护士的便利样本,中国。参与者被随机分配到LAA组(n=38),接受低强度激光针刺和耳穴贴压4周,对照组(n=38)仅接受假激光针刺治疗,不输出激光能量。
方法:使用简短疼痛清单的简短形式收集原发性疼痛结局的数据,而次要结果,生活质量,使用罗兰-莫里斯残疾问卷进行评估。在干预前对主要和次要结果进行评分,以及2周和4周干预后。在干预结束后第4周和第8周评估LBP复发率。
结果:在控制之前的疼痛后,线性混合模型分析的结果表明,第4周发生的电流疼痛水平在组间有显著差异(P<0.001),第2周(P<0.001)和第4周(P<0.001)疼痛最严重,第2周(P=0.032)和第4周(P<0.001)疼痛最小,第2周(P=0.009)和第4周(P<0.001)的疼痛干扰,在第2周(P<0.001)和第4周(P<0.001)的生活功能障碍中。LAA组干预结束后第4周和第8周LBP复发率分别为0%和36.89%,对照组为69.44%和36.11%。
结论:这项研究表明,为期4周的左心耳干预降低了疼痛强度和疼痛干扰,并改善了LBP医院护士的生活质量。这些效果在干预后持续至少4周。非药物干预,LAA,可能是另一个有效的,可行,非侵入性,LBP的镇痛干预。
背景:本研究已在Clinicaltrials.gov注册(注册号NCT04423445)。
Low-back pain (LBP) in nurses is a major health concern that affects their quality of life and ability to work, with consequences for their economic status.
This
study evaluates the effect of low-level laser acupuncture combined with auricular acupressure (LAA) on pain intensity, pain interference and quality of life in nurses with LBP.
This randomized controlled
trial recruited a convenience sample of hospital-based nurses from one teaching hospital in Taiwan, China. Participants were randomly assigned to the LAA group (n = 38) receiving low-level laser acupuncture and auricular acupressure for 4 weeks, and the control group (n = 38) receiving only sham laser acupuncture treatment without laser energy output.
Data were collected for the primary pain outcome using the Short Form of the Brief Pain Inventory, while the secondary outcome, quality of life, was evaluated using the Roland-Morris Disability Questionnaire. Both primary and secondary outcomes were scored before the intervention, and after 2-week and 4-week intervention. The rate of LBP recurrence was evaluated at the 4th week and 8th week after the end of intervention.
After controlling for prior pain, the result of linear mixed model analysis showed trends in significant between-group differences in the level of current pain occurring in week 4 (P < 0.001), worst pain in week 2 (P < 0.001) and week 4 (P < 0.001), least pain in week 2 (P = 0.032) and week 4 (P < 0.001), pain interference in week 2 (P = 0.009) and week 4 (P < 0.001), and in the life dysfunction in week 2 (P < 0.001) and week 4 (P < 0.001). Recurrence rates of LBP at the 4th and 8th weeks after the end of intervention were 0% and 36.89% in the LAA group, and 69.44% and 36.11% in the control group.
This
study shows that 4-week LAA intervention reduced pain intensity and pain interference, and improved quality of life for hospital-based nurses with LBP. These effects were maintained continuously for at least 4 weeks after the intervention. The nonpharmacological intervention, LAA, may be another efficacious, feasible, noninvasive, analgesic intervention for LBP.
This
study is registered at Clinicaltrials.gov (registration number NCT04423445).