• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文学位 >Complementary Effects of Auriculotherapy in Relieving Symptoms of Constipation and Promoting Health-related Quality of Life in Elderly Residential Care Home Residents.
【24h】

Complementary Effects of Auriculotherapy in Relieving Symptoms of Constipation and Promoting Health-related Quality of Life in Elderly Residential Care Home Residents.

机译：耳穴疗法对缓解便秘症状和促进老年人敬老院居民健康相关生活质量的补充作用。

获取原文
获取原文并翻译 | 示例
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The present study is a clinical trial that adopts the mixed-method design. A randomized placebo-controlled trial was first conducted to evaluate the complementary effects of auriculotherapy in relieving symptoms of constipation and in promoting disease-specific HRQOL in elderly RCH residents. After the completion of the randomized placebo-controlled trial, the qualitative approach was conducted to explore the participants' experience and perceptions on the use and complementary effects of auriculotherapy with magnetic pellets in managing constipation. The randomized placebo-controlled trial was a double-blind study. The participants were recruited from elderly RCH residents and then randomly assigned to one of the three study groups. The participants received the assigned intervention, namely, auriculotherapy using auricular plaster with magnetic pellet (experimental group), auriculotherapy using auricular plaster with Semen Vaccariae (placebo-controlled group A), or auriculotherapy using only auricular plaster (placebo-controlled group B). Auriculotherapy was applied onto seven selected auricular acupoints for 10 days. Two outcome variables, namely, constipation symptoms and disease-specific HRQOL, were measured before the implementation of intervention (baseline), on Day 10 (at the completion of the intervention), and on Day 20 (at the 10th-day follow-up after the intervention). The generalized estimating equation model was adopted to evaluate the between-group and within-group differences in the complementary effects of auriculotherapy on constipation symptoms and disease-specific HRQOL. In the qualitative approach, the informants were recruited from participants of the experimental group who had successfully completed the study with mean scores in constipation symptoms at the top- or bottom-four ranking. The informants were individually interviewed to explore their experience and perceptions on the use and complementary effects of auriculotherapy in managing constipation.;Ninety-nine participants were recruited in the study. Ninety participants received the intervention as assigned, and eventually, 81 participants completed the intervention. When the interaction effects of time and group were simultaneously considered, statistical significant differences were only found in the satisfaction subscale of the disease-specific HRQOL between the experimental group and placebo-controlled group A on both Day 10 (p=0.016) and Day 20 (p=0.016). For the experimental group, significant time effects were found in constipation symptoms (Day 10:p=0.013; Day 20:p<0.001) and disease-specific HRQOL (Day 10: p=0.005; Day 20:p<0.001) after receiving auriculotherapy. Most importantly, the participants who received auriculotherapy with magnetic pellets showed the greatest improvement in constipation symptoms and disease-specific HRQOL after the intervention compared with the two placebo-controlled groups. The qualitative findings further revealed that auriculotherapy is a safe, well-accepted therapy in managing constipation among elderly RCH residents.;The current study is the first known randomized placebo-controlled trial that evaluates the complementary effects of auriculotherapy in managing constipation in Hong Kong. The current findings indicate positive clinical value of auriculotherapy with magnetic pellets in managing constipation in elderly RCH residents. Auriculotherapy with magnetic pellets was found to provide favourable therapeutic effects in relieving constipation symptoms and in promoting disease-specific HRQOL among elderly RCH residents. This therapy is also considered by elderly people as a safe and acceptable therapy with minimal side effects. In addition, auriculotherapy is considered as a culturally relevant care modality for Chinese elderly RCH residents. The current study contributes new knowledge to nursing for future reference and directions in both nursing practice and nursing research with regard to the complementary effects of auriculotherapy in managing constipation among elderly RCH residents. (Abstract shortened by UMI.).
机译：本研究是采用混合方法设计的临床试验。首先进行了一项随机安慰剂对照试验，以评估耳蜗疗法对缓解老年RCH居民便秘症状和促进疾病特异性HRQOL的补充作用。在随机安慰剂对照试验完成后，进行了定性研究，探讨了参与者对使用磁丸治疗耳聋的便秘治疗及其补充作用的经验和看法。随机安慰剂对照试验是一项双盲研究。参与者是从老年RCH居民中招募的，然后随机分配到三个研究组之一。参与者接受了指定的干预措施，即使用带有磁性药丸的耳穴贴膏的耳穴疗法（实验组），使用带有精液的耳穴膏药的耳穴疗法（安慰剂对照组A）或仅使用耳贴的耳穴疗法（安慰剂对照组B）。对七个选定的耳穴应用耳穴疗法治疗10天。在干预措施实施前（基线），第10天（干预完成时）和第20天（随访10天），测量了两个结局变量，即便秘症状和疾病特异性HRQOL。干预后）。采用广义估计方程模型来评估耳穴疗法对便秘症状和疾病特异性HRQOL的互补作用的组间和组内差异。在定性方法中，线人是从实验组的参与者中招募的，他们已经成功完成了研究，便秘症状的平均得分排在前四位或后四位。对受访者进行逐访，以探讨他们在耳鸣治疗中对便秘的使用和补充效果的经验和看法。研究招募了99名参与者。 90名参与者接受了分配的干预措施，最终有81名参与者完成了干预措施。当同时考虑时间和组的相互作用影响时，实验组与安慰剂对照组A在第10天（p = 0.016）和第20天的疾病特异性HRQOL满意度子量表中仅发现统计学显着差异。 （p ＝ 0.016）。对于实验组，收到便秘症状（第10天：p = 0.013；第20天：p <0.001）和疾病特异性HRQOL（第10天：p = 0.005；第20天：p <0.001）时，发现明显的时间效应。听觉疗法。最重要的是，与两个安慰剂对照组相比，接受磁性颗粒耳穴治疗的参与者在干预后显示便秘症状和疾病特异性HRQOL的改善最大。定性研究结果进一步表明，耳蜗疗法是治疗老年RCH居民便秘的一种安全，公认的疗法。本研究是首个已知的随机安慰剂对照试验，评估了耳蜗疗法在香港治疗便秘中的补充作用。目前的发现表明，在老年RCH居民中，采用磁性颗粒的耳穴治疗对便秘有积极的临床价值。人们发现，在老年RCH居民中，采用磁性颗粒的耳疗法可以缓解便秘症状并促进疾病特异性HRQOL，从而具有良好的治疗效果。老年人也认为该疗法是安全且可接受的且副作用最小的疗法。此外，耳蜗疗法被认为是中国老年RCH居民的文化相关护理方式。当前的研究为护理提供了新的知识，以期为护理实践和护理研究方面的参考和方向，涉及耳穴疗法在老年RCH居民管理便秘中的补充作用。 （摘要由UMI缩短。）。

著录项

  • 作者

    Li, Mei Kuen.;

  • 作者单位

    The Chinese University of Hong Kong (Hong Kong).;

  • 授予单位 The Chinese University of Hong Kong (Hong Kong).;
  • 学科 Health Sciences Nursing.
  • 学位 Ph.D.
  • 年度 2012
  • 页码 376 p.
  • 总页数 376
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号