Feyz Medical Sciences Journal
مجله علوم پزشکی فيض
Feyz Med Sci J
Medical Sciences
http://feyz.kaums.ac.ir
29
journal29
3060-5806
3060-5814
fa
jalali
1405
7
1
gregorian
2026
10
1
30
online
1
fulltext
fa
مقایسه‌ی تأثیر دو نقطه‌ی طب‌فشاری (P6 و K-K9) در تسکین اضطراب بیماران تحت شیمی‌درمانی: کارآزمایی بالینی یکسوکور
Comparison of the Effects of Two Acupressure Points (P6 and K K9) on Anxiety Relief in Patients Undergoing Chemotherapy: A Single Blind Clinical Trial
medicine, paraclinic
medicine, paraclinic
پژوهشي
Research
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:">سابقه و هدف:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:"> اضطراب یکی از عوارض شایع شیمی‌درمانی است. اینراب یکی از عوارض شایع شیمی‌درمانی است. اینطه‌ی طب‌فشاری </span></span></span><span dir="LTR" style="line-height:150%"><span new="" roman="" style="font-family:" times="">P6</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:"> و </span></span></span><span dir="LTR" style="line-height:150%"><span new="" roman="" style="font-family:" times="">K-K9</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:"> بر اضطراب بیماران تحت شیمی‌درمانی انجام شد.</span></span></span><span dir="LTR" style="line-height:150%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:">روش کار:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:"> کارآزمایی بالینی تصادفی یکسوکور با گروه کنترل بر روی ۹۰ بیمار در بیمارستان شهید بهشتی کاشان. بیماران به‌صورت تصادفی به سه گروه </span></span></span><span dir="LTR" style="line-height:150%"><span new="" roman="" style="font-family:" times="">P6</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:"> (۲۶ نفر)، </span></span></span><span dir="LTR" style="line-height:150%"><span new="" roman="" style="font-family:" times="">K-K9</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:"> (۲۸ نفر) و دارونما </span></span></span><span dir="LTR" style="line-height:150%"><span new="" roman="" style="font-family:" times="">Li5</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:"> (۲۷ نفر) تقسیم شدند. مداخله به‌مدت پنج روز انجام شد و اضطراب حالت-صفت با پرسشنامه‌ی اسپیلبرگر در شش نوبت سنجیده شد.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:">یافته‌ها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:"> <span style="background:yellow">داده های 81 بیمار تحلیل شدند. میانگین سنی 82/11 </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="background:yellow"><span style="line-height:150%"><span cambria="" style="font-family:">±</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="background:yellow"><span style="line-height:150%"><span b="" lotus="" style="font-family:"> 35/52 سال بود. اکثریت افراد در هر سه گروه زن بودند</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:">. متغیرهای زمینه‌ای بین سه گروه تفاوت معناداری نداشتند (05/0</span></span></span><span dir="LTR" style="line-height:150%"><span new="" roman="" style="font-family:" times="">p > </span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:">). نمره‌ی اضطراب صفت بین گروه‌ها در هیچ‌یک از اندازه‌گیری‌ها تفاوت معناداری نشان نداد </span></span></span><span dir="LTR" style="background:yellow"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">F(6.19, 241.41)=1.138</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:">.، (05/0</span></span></span><span dir="LTR" style="line-height:150%"><span new="" roman="" style="font-family:" times="">p > </span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:">). در اضطراب حالت، میانگین نمره در گروه </span></span></span><span dir="LTR" style="line-height:150%"><span new="" roman="" style="font-family:" times="">K-K9</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:"> کمتر از دو گروه دیگر بود؛ که تنها این تفاوت، در مقایسه با گروه پلاسبو معنادار بود (5</span></span></span><span dir="LTR" style="line-height:150%"><span new="" roman="" style="font-family:" times="">0</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:">/0</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:">></span></span></span><span dir="LTR" style="line-height:150%"><span new="" roman="" style="font-family:" times="">p </span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:"> ).</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:">نتیجه‌گیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:"> طب‌فشاری نقطه‌ی </span></span></span><span dir="LTR" style="line-height:150%"><span new="" roman="" style="font-family:" times="">K-K9</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:"> روند کاهشی مستمری در نمره‌ی اضطراب حالت نشان داد؛ اما برتری آن نسبت به </span></span></span><span dir="LTR" style="line-height:150%"><span new="" roman="" style="font-family:" times="">P6</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:"> یا دارونما از نظر آماری تأیید نشد. مطالعات بزرگ‌تر با توان آماری بالاتر برای نتیجه‌گیری قطعی ضروری است.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:">واژگان کلیدی:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" lotus="" style="font-family:"> اضطراب، شیمی‌درمانی، طب‌فشاری، سرطان</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span new="" roman="" style="font-family:" times=""><b>Abstract</b></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span new="" roman="" style="font-family:" times=""><b>Background and Objective:</b> Anxiety is one of the common complications of chemotherapy. This study was conducted to compare the effect of two acupressure points, P6 and K-K9, on anxiety in patients undergoing chemotherapy.</span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span new="" roman="" style="font-family:" times=""><b>Methods:</b> A single-blind randomized controlled clinical trial was conducted on 90 patients at Shahid Beheshti Hospital in Kashan. Patients were randomly assigned to three groups: P6 (n=26), K-K9 (n=28), and placebo Li5 (n=27). The intervention was performed for five days, and state-trait anxiety was measured using the Spielberger questionnaire at six time points.</span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span new="" roman="" style="font-family:" times=""><b>Results:</b> <span style="background:yellow">Data from 81 patients were analyzed. The mean age was 52/35±11/82 years</span>. The majority of participants in all three groups were female. There were no significant differences in baseline variables among the three groups (p>0.05). Trait anxiety scores showed no significant difference between groups at any measurement point <span style="background:yellow">(F(6/19, 241/41)=1/138, p>0/05).</span> For state anxiety, the mean score in the K-K9 group was lower than the other two groups; however, this difference was statistically significant only in comparison with the placebo group (p<0.05).</span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span new="" roman="" style="font-family:" times=""><b>Conclusion:</b> Acupressure at the K-K9 point demonstrated a continuous downward trend in state anxiety scores; however, its superiority over P6 or placebo was not statistically confirmed. Larger studies with greater statistical power are necessary for definitive conclusions.</span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span new="" roman="" style="font-family:" times=""><b>Keywords:</b> Anxiety, Chemotherapy, Acupressure, Cancer</span></span></span></span><br>
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اضطراب, شیمی‌درمانی, طب‌فشاری, سرطان
Anxiety, Chemotherapy, Acupressure, Cancer
0
0
http://feyz.kaums.ac.ir/browse.php?a_code=A-10-5160-1&slc_lang=fa&sid=1
Zahra
Arbabi
زهرا
اربابی
zahraa.arbaby1400@gmail.com