Effectiveness of acupoint pressure on older people with constipation in nursing homes: a double-blind quasi-experimental study
- 18 September 2020
- journal article
- research article
- Published by Taylor & Francis Ltd in Contemporary Nurse
- Vol. 56 (5-6), 417-427
- https://doi.org/10.1080/10376178.2020.1813042
Abstract
Aims: To compare the differences between acupoint pressure, abdominal massage and laxatives in treatment of constipation for residents in two nursing homes. Background: There is lack of evidence on the utility of complementary therapies in the management of constipation among older adults. Design: Quasi-experimental. Methods: A total of 90 participants from two nursing homes in Taiwan were assigned to three groups: the control group (with laxatives only), group I (with laxatives and abdominal massage) and group II (with laxatives, acupoint pressure therapy [APT] and abdominal massage). The intervention was performed over 10 days. A double-blind technique was applied in both participants and the outcome assessors. Constipation as main outcome was evaluated and recorded for 10 days. Observation of the frequency of defecation and the consistency, particularly firmness of faeces over each 24 hours’ period was recorded. The Transparent Reporting of Evaluations with Nonrandomized Designs (TREND) checklist was utilised in reporting methods and findings. Results: Three variations were revealed as interface factors and showed significant differences in each group. The results showed a statistically significant decrease in constipation in the experimental groups I and II. The scores of defecation frequency, difficulty degree and time of defecation, stool quality and awareness of defecation were obviously improved after treatment. Conclusions: We concluded APT could be used in conjunction with laxatives and must be considered as a long-term intervention. The combination of APT, abdominal massage and laxatives is superior to both abdominal massage with laxatives and laxatives alone. Relevance to clinical practice: Acupoint pressure as an effective complementary therapy of constipation among older adults living in nursing home provides a non-pharmacological, independent nursing intervention that nurses could use. This is relevant to nursing home settings where nurses make autonomous decision on important clinical assessments and interventions.Keywords
This publication has 25 references indexed in Scilit:
- The effectiveness of moxibustion for the treatment of functional constipation: a randomized, sham-controlled, patient blinded, pilot clinical trialBMC Complementary and Alternative Medicine, 2011
- Update on the management of constipation in the elderly: new treatment optionsClinical Interventions in Aging, 2010
- The burden of constipation on quality of life: results of a multinational surveyAlimentary Pharmacology & Therapeutics, 2007
- Complementary and Alternative Medicine Use Among Asian-American Subgroups: Prevalence, Predictors, and Lack of Relationship to Acculturation and Access to Conventional Health CareThe Journal of Alternative and Complementary Medicine, 2006
- Book Review: Principles of pain management for anaesthetistsPalliative Medicine, 2006
- Complementary and alternative medicine use in multiracial SingaporeComplementary Therapies in Medicine, 2005
- Improving the Reporting Quality of Nonrandomized Evaluations of Behavioral and Public Health Interventions: The TREND StatementAmerican Journal of Public Health, 2004
- Prevention of constipation through risk managementNursing Standard, 2003
- Motives for food choice: a comparison of consumers from Japan, Taiwan, Malaysia and New ZealandFood Quality and Preference, 2002
- Dietary patterns in Asian and Caucasian men in Bradford: differences and implications for nutrition educationJournal of Human Nutrition and Dietetics, 1993