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©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
Wrist-ankle acupuncture combined with pain nursing for the treatment of urinary calculi with acute pain
Li-Mei Wu, Qian Liu, Xiao-Hua Yin, Li-Ping Yang, Jun Yuan, Xiao-Qi Zhang, Yan-Li Wang
Li-Mei Wu, Qian Liu, Nursing Clinic, Hebei Provincial Hospital of Traditional Chinese Medicine, Shijiazhuang 050000, Hebei Province, China
Li-Mei Wu, Qian Liu, Nursing Clinic, Hebei Technology Innovation Center of TCM Spleen and Kidney Diseases, Shijiazhuang 050000, Hebei Province, China
Xiao-Hua Yin, Department of Nursing, Hebei Provincial Hospital of Traditional Chinese Medicine, Shijiazhuang 050000, Hebei Province, China
Li-Ping Yang, Department of Acupuncture and Moxibustion Orthopaedics, Hebei Provincial Hospital of Traditional Chinese Medicine, Shijiazhuang 050000, Hebei Province, China
Jun Yuan, Department of Acupuncture and Moxibustion, Hebei Provincial Hospital of Traditional Chinese Medicine, Shijiazhuang 050000, Hebei Province, China
Xiao-Qi Zhang, Experimental Acupuncture and Moxibustion Teaching and Research Office, Acupuncture and Moxibustion Tuina College of Hebei University of Traditional Chinese Medicine, Shijiazhuang 050200, Hebei Province, China
Yan-Li Wang, Department of Respiratory, Hebei Provincial Hospital of Traditional Chinese Medicine, Shijiazhuang 050000, Hebei Province, China
Author contributions: Wang YL proposed the research theme; Wu LM designed the research protocols and wrote the manuscript; Liu Q participated in the analysis the data; Yin XH revised major elements of the manuscript; Wu LM, Liu Q, Yin XH, Yang LP, Yuan J, and Zhang XQ participated in study’s intervention program; all authors reviewed and approved the final version to be published.
Supported by Project of Administration of Traditional Chinese Medicine of Hebei Province of China, No. 2020048.
Institutional review board statement: The study was reviewed and approved by Hebei Provincial Hospital of Traditional Chinese Medicine.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: There are no conflicts of interest to report.
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: Yan-Li Wang, Nurse, Department of Respiratory, Hebei Provincial Hospital of Traditional Chinese Medicine, No. 389 Zhongshan East Road, Shijiazhuang 050000, Hebei Province, China.
wangyanliw89@163.com
Received: April 14, 2023
Peer-review started: April 14, 2023
First decision: April 26, 2023
Revised: May 11, 2023
Accepted: May 24, 2023
Article in press: May 24, 2023
Published online: June 26, 2023
Processing time: 73 Days and 10.3 Hours
BACKGROUND
Urological calculi often cause renal colic, which is characterized by paroxysmal or persistent severe pain in the upper abdomen or lumbar region. Development of methods to quickly relieve these pain symptoms has garnered clinical attention. Wrist-ankle acupuncture is a type of floating acupuncture therapy administered at selected points in the carpal and ankle areas, and it has good pain-relieving effects. We used wrist-ankle acupuncture combined with pain nursing for pain intervention in patients with renal calculi to confirm its application and safety.
AIM
To study the effect of wrist-ankle acupuncture combined with pain nursing in the treatment of urinary calculi with acute pain.
METHODS
Eighty-two patients with urinary calculi with acute pain as the first symptom followed at our hospital from November 2019 to June 2021 were enrolled in the study and classified into two groups according to the odd and even numbers of the visit sequences, each with 41 cases. The control group received a routine nursing intervention and intramuscular injection of nonsteroidal anti-inflammatory drugs, whereas the observation group received pain management nursing and wrist-ankle acupuncture. Subsequently, the pain-relieving effect was compared between the two groups.
RESULTS
The score on the visual analog scale (VAS) at 24, 48, and 72 h postintervention was decreased in both groups compared with the baseline data; moreover, the observation group scored significantly lower than the control group on the VAS at each time point after the intervention (P < 0.05). The clinical efficacy at 24 h postintervention was not significantly different between the two groups (P > 0.05). In turn, the pain recurrence rate at 72 h postintervention was lower in the observation group compared with the control group (P < 0.05). Finally, the nursing satisfaction rate in the observation group was significantly higher than that observed in the control group (P < 0.05). No serious adverse reactions occurred during the treatment and the safety of treatment was high in both groups.
CONCLUSION
Wrist-ankle acupuncture combined with pain nursing for treating urolithiasis with acute pain effectively alleviated the degree of pain and reduced the recurrence rate, which was worthy of clinical application.
Core Tip: In this observational study, the control group underwent conventional nursing intervention with pharmacological analgesia, whereas the observation group underwent wrist-ankle acupuncture combined with pain nursing. Wrist-ankle acupuncture combined with pain nursing could rapidly relieve the pain symptoms and reduce the pain recurrence rate in patients with urinary calculi, and it also significantly improved patient satisfaction with care.
