| 王欣琦,朱颖,蔡梦怡,张伟英.穴位按摩治疗失眠效果的系统评价再评价[J].上海护理,2024,24(3): |
| 穴位按摩治疗失眠效果的系统评价再评价 |
| Effect of acupressure in treatment of insomnia：an overview of reviews |
| DOI： |
| 中文关键词: 失眠 穴位按摩 睡眠质量 中医护理技术 系统评价再评价 |
| 英文关键词:Insomnia Acupressure Sleep Quality Traditional Chinese Medicine Nursing Technique Overviews of systematic reviews |
| 基金项目:上海市浦东新区卫生系统领先人才培养计划(PWRl2020-10)；上海市浦东新区卫生系统重要薄弱学科建设项目(PWZbr2022-04)；上海市卫健委上海市健康科普专项(JKKPZX-2022-A09)；中国研究型医院学会科研课题(Y2022FH-HLJY05-04)。 |
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| 中文摘要: |
| 目的 对穴位按摩治疗失眠的系统评价或Meta分析进行再评价,为穴位按摩治疗失眠的临床应用提供参考。方法 系统检索中国知网、万方、维普、中国生物医学文献数据库、PubMed、Web of Science、The Cochrane Library、Embase、MEDLINE数据库,检索穴位按摩治疗失眠的系统评价或Meta 分析,检索时限为建库至2023年1月19日。采用AMSTAR 2和GRADE Ⅱ评价纳入文献的方法学质量和证据质量等级。结果 纳入8 篇系统评价/Meta分析。AMSTAR 2评分结果显示,1篇文献为中等质量,5篇为低质量,2篇为极低质量。结果显示,穴位按摩可提高失眠患者的睡眠质量,效果指标以主观评估为主；选穴遵循一定的规律,但缺乏统一。结论 穴位按摩可提高不同疾病类型失眠患者的睡眠质量,穴位按摩常用穴位、按摩时间、频率、时长、周期等大同小异。由于纳入文献的方法学质量及证据等级偏低,其疗效尚需开展高质量、大样本的随机对照研究进一步验证。 |
| 英文摘要: |
| Objective To reevaluate the systematic evaluation or meta-analysis of acupressure in the treatment of insomnia, and to provide reference for the clinical application of acupressure in the treatment of insomnia. Methods Systematic reviews and meta-analyses of acupressure treatment for insomnia were searched in CNKI, WanFang, VIP, CBM, PubMed, Web of Science, The Cochrane Library, Embase and MEDLINE databases, and the search time limit was from the establishment of the database to January 19, 2023. AMSTAR 2 and GRADE Ⅱ were used to evaluate the methodological quality and evidential quality of the included literature. Results A total of 8 systematic reviews/meta-analyses were included in this study. AMSTAR 2 scores showed that 1 study was of medium quality, 5 were of low quality, and 2 were of very low quality. The results showed that acupressure could improve the sleep quality of insomnia patients, and the effect indexes were mainly subjective evaluation. Acupoint selection follows certain rules, but lacks unity. Conclusion Acupressure can improve the sleep quality of patients with insomnia of different disease types. The commonly used acupoints, massage time, frequency, duration and cycle of acupressure are similar. However, due to the low methodological quality and evidence level in the included literature, its efficacy needs to be further verified by high-quality, large-sample randomized controlled studies. |
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