Curative effect of auricular point sticking and pressing combined with acupoint massage against adverse reactions of chemotherapy for pancreatic cancer
Objective To explore the curative effect of auricular point sticking and pressing combined with acupoint massage against adverse reactions of chemotherapy among pancreatic cancer patients.Methods Ninety-three patients under pancreatic cancer chemotherapy were randomized to the control group,experimental group A and in experimental group B,with 31 in each group.Patients in the control group underwent conventional treatment,those in experimental group A received conventional treatment plus auricular point sticking and pressing,and those in experimental group B were given conventional treatment plus auricular point sticking and pressing and acupuncture massage.The physical symptoms of nausea,vomiting,fatigue and self-efficacy were observed.Results After 48 h of intervention,the Index of Nausea,Vomiting and Retching of all 3 groups were lower than those at 12 h and 24 h after intervention(all P<0.001);the Index of Nausea,Vomiting and Retching of the control group were higher than those of the trial 1 and 2 groups(P<0.009,P<0.001,respectively),and the scores of the trial 1 group were higher than those of the trial 2 group(P=0.014).After 48 h of intervention,the scores of Piper Fatigue Scale-Revised were lower in all 3 groups than at 12 h and 24 h post-intervention(all P<0.001);the scores of Piper Fatigue Scale-Revised scores were lower in trial 1 and 2 groups than in the control group(P<0.038,P<0.012,respectively),and there was no difference between trial 1 group and 2 group(P=0.969).After 48h of intervention,the scores of Strategies Used by People to Promote Health decreased in the control group compared to 12 h and 24 h post-intervention(both P<0.001),while the scores in trial 1 and 2 groups increased compared to 12 h and 24 h post-intervention(both P<0.001);the scores of Strategies Used by People to Promote Health in trial 1 and 2 groups were significantly higher than those in the control group(both P<0.001),while the scores in trial 2 group were slightly higher than those in trial 1 group(P=0.132).Conclusion Compared with the conventional treatment of pancreatic cancer,auricular point sticking and pressing combined with acupoint massage can effectively mitigate adverse reactions in the process of chemotherapy,lower the incidence of nausea,vomiting,fatigue,reduce the pressure of patients under treatment,enhance patients'self-efficacy,help patients face up to treatment.
Auricular point sticking and pressingAcupoint massagePancreatic cancerNausea and vomitingCancer induced fatigueSelf-efficacy