Observational Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Apr 19, 2024; 14(4): 533-540
Published online Apr 19, 2024. doi: 10.5498/wjp.v14.i4.533
Analysis of acupoint massage combined with touch on relieving anxiety and pain in patients with oral implant surgery
Jin-Hong Qu, Cheng-Cheng Shou, Xin He, Qin Wang, Yue-Xia Fang
Jin-Hong Qu, Department of Stomatology, Hangzhou Lin'an Traditional Chinese Medicine Hospital, Hangzhou 311300, Zhejiang Province, China
Cheng-Cheng Shou, Department of Software R&D, Hangzhou Broadlink Technology Co, Ltd., Hangzhou 311300, Zhejiang Province, China
Xin He, Department of Stomatology, Hangzhou Red Cross Hospital, Hangzhou 310003, Zhejiang Province, China
Qin Wang, Department of Cardiovascular, Hangzhou Lin'an Traditional Chinese Medicine Hospital, Hangzhou 311300, Zhejiang Province, China
Yue-Xia Fang, Department of Traditional Chinese Medicine Development, Hangzhou Lin'an Traditional Chinese Medicine Hospital, Hangzhou 311300, Zhejiang Province, China
Co-first authors: Jin-Hong Qu and Qin Wang.
Author contributions: Qu JH and Wang Q contributed equally to this work as co-first authors; Qu JH, Shou CC, He X, Wang Q, and Fang YX designed the research study; Qu JH, Shou CC, He X, Wang Q, and Fang YX performed the research; Qu JH and Wang Q contributed new reagents and analytic tools; Qu JH and Wang Q analyzed the data and wrote the manuscript; and all authors have read and approve the final manuscript.
Institutional review board statement: The study was reviewed and approved by the Hangzhou Lin'an Traditional Chinese Medicine Hospital Institutional Review Board (Approval No. lazyyllK20180508001).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent.
Conflict-of-interest statement: No conflicts of interest.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yue-Xia Fang, RN, Associate Chief Nurse, Department of Traditional Chinese Medicine Development, Hangzhou Lin'an Traditional Chinese Medicine Hospital, No. 288 Xishui North Road, Jinbei Street, Lin'an District, Hangzhou 311300, Zhejiang Province, China. 710125030@qq.com
Received: December 19, 2023
Peer-review started: December 19, 2023
First decision: January 9, 2024
Revised: January 13, 2024
Accepted: March 7, 2024
Article in press: March 7, 2024
Published online: April 19, 2024
Processing time: 120 Days and 2.3 Hours
Abstract
BACKGROUND

Oral implant surgery is an effective procedure for artificial implants in missing tooth areas under local anesthesia. Because patients under local anesthesia are conscious during this procedure, compared with general anesthesia-related operations, they are more likely to experience negative emotions, such as anxiety and tension. These emotional reactions result in shivering and chills in the limbs, leading to poor doctor-patient cooperation and even avoidance of treatment. In traditional Chinese medicine, it is believed that acupoint massage regulates blood and Qi, dredge menstruation, and relieve pain, which is beneficial for patients’ emotional adjustment; however, there are few related clinical studies.

AIM

To observe the changes in anxiety and pain in patients with oral implant after acupoint massage combined with touch therapy.

METHODS

One hundred patients undergoing oral implantation in our hospital between May 2020 and May 2023 were randomly divided into control and study groups, according to a random number table, with 50 patients in each group. The control group received routine intervention, and the study group received acupoint massage combined with touch on the basis of the control group. Anxiety [assessed using the Modified Dental Anxiety Scale (MDAS)], pain severity, blood pressure, heart rate, and satisfaction were compared between the two groups.

RESULTS

Before intervention, the difference in MDAS score between the two groups was not significant (P > 0.05), while after the intervention, the MDAS scores decreased in both groups compared with those before the intervention (P < 0.05); the MDAS score of the study group was lower than that of the control group, with a statistically significant difference (P < 0.05). The degree of pain in the intervention group was significantly lower than that in the control group (P < 0.05). Before the intervention, there were no significant differences in systolic and diastolic blood pressures or heart rate between the two groups (P > 0.05). The systolic and diastolic blood pressures and heart rate in the intervention group, during and after the intervention, were significantly lower than those in the control group (P < 0.05). The total degree of satisfaction in the study group was significantly higher than that in the control group (P < 0.05).

CONCLUSION

Acupoint massage combined with touch better relieves anxiety and pain in patients undergoing dental implant surgery, improving the perioperative comfort of these patients and ensuring safety and a smooth operation.

Keywords: Oral implant; Acupoint massage; Touch; Anxiety; Degree of pain

Core Tip: Traditional Chinese medicine believes that acupoint massage can regulate blood and Qi, dredge menstruation, and relieve pain, all of which are beneficial for patients’ emotional adjustment. However, patients undergoing oral implant surgery are in a state of local anesthesia and consciousness, and can feel tension and pain, which may lead to the interruption of treatment. Therefore, acupoint massage combined with touch may improve treatment efficacy.