Training in self-needling and performing it as part of a clinical trial: the practitioner and patient experience
Item
Title
Training in self-needling and performing it as part of a clinical trial: the practitioner and patient experience
Author(s)
Bardy, J. See all items with this value
Mackereth, P. See all items with this value
Finnegan-John, J. See all items with this value
Molassiotis, A. See all items with this value
Journal Publication
Acupuncture in Medicine See all items with this value
Date
2015
volume
33(3)
pages
210-216
Research Type
RCT
Keywords
CANCER -- Complications -- Treatment See all items with this value
FATIGUE -- Treatment See all items with this value
Acupuncture See all items with this value
ATTITUDE (Psychology) See all items with this value
BREAST tumors See all items with this value
CONTENT analysis (Communication) See all items with this value
FOCUS groups See all items with this value
Interviewing See all items with this value
RESEARCH -- Methodology See all items with this value
MEDICAL cooperation See all items with this value
MEDICAL personnel See all items with this value
Research See all items with this value
RESEARCH -- Finance See all items with this value
HEALTH self-care See all items with this value
QUALITATIVE research See all items with this value
TEACHING methods See all items with this value
THEMATIC analysis See all items with this value
RANDOMIZED controlled trials See all items with this value
PATIENTS -- Attitudes See all items with this value
England See all items with this value
Abstract
Objective: To evaluate the immediate effects of traditional local thermal therapy with indirect moxibustion on renal hemodynamics in patients with chronic kidney disease (CKD) by using Doppler ultrasonography (US). Design: Examiner-blinded crossover study. Participants: Forty-three participants with CKD (mean age ± standard deviation [SD], 44 ± 15 years; estimated glomerular filtration rate, 69.5 ± 25.5 mL/min per 1.73 m2; 20 men and 23 women). Intervention: Participants received three successive treatment sessions of indirect moxibustion bilaterally at BL 23, a crucial acupuncture point, in the session. In the control session, the examiner was blinded by using smoke and aroma produced by moxibustion performed in an ashtray placed near the patient's body. Outcome measures: The main outcome measure was resistive index (RI) in the renal segmental arteries. Blood flow parameters, including RI, were measured for six renal segmental arteries by using Doppler US at rest (baseline), immediately after completion of moxibustion (post 1), and 10 minutes later (post 2). Adverse events were monitored during intervention. Results: In the control session, RI at post 1 (median [first, third quartile]: 0.587 [0.562, 0.626]) and post 2 (0.583 [0.567, 0.629]) did not change significantly compared with baseline (0.592 [0.563, 0.636]), while in the treatment session, RI at post 1 (0.565 [0.530, 0.618]) and post 2 (0.561 [0.533, 0.614]) decreased significantly compared with baseline (0.590 [0.550, 0.652]) ( p < 0.001 and p < 0.001, respectively). The reduction in RI from baseline to post 2 in treatment session was significantly greater than in control session (mean ± SD, ?0.026 ± 0.028 versus ?0.003 ± 0.028; mean difference, ?0.023 [95% confidence interval, ?0.036 to ?0.010]; p = 0.001]. No adverse events, such as burns, were observed during the study period. Conclusion: Renal vascular resistance was decreased after indirect moxibustion therapy in patients with CKD.
pmid
Accession Number: 103624320; Source Information: Jun2015, Vol. 33 Issue 3, p210; Subject Term: CANCER -- Complications -- Treatment; Subject Term: FATIGUE -- Treatment; Subject Term: ACUPUNCTURE; Subject Term: ATTITUDE (Psychology); Subject Term: BREAST tumors; Subject Term: CONTENT analysis (Communication); Subject Term: FOCUS groups; Subject Term: INTERVIEWING; Subject Term: RESEARCH -- Methodology; Subject Term: MEDICAL cooperation; Subject Term: MEDICAL personnel; Subject Term: RESEARCH; Subject Term: RESEARCH -- Finance; Subject Term: HEALTH self-care; Subject Term: QUALITATIVE research; Subject Term: TEACHING methods; Subject Term: THEMATIC analysis; Subject Term: RANDOMIZED controlled trials; Subject Term: PATIENTS -- Attitudes; Subject Term: ; Geographic Subject: ENGLAND; Geographic Subject: ; Number of Pages: 7p; ; Document Type: Article;
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