Auricular acupressure relieves anxiety and fatigue, and reduces cortisol levels in post-caesarean section women

A single-blind, randomised controlled study

Shu Yu Kuo, Su Hua Tsai, Shu Ling Chen, Ya Ling Tzeng

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background: Anxiety and fatigue adversely affect women's postpartum recovery, but few effective non-pharmacological interventions are known to relieve these two common and unpleasant symptoms. Objectives: To examine the efficacy of an auricular acupressure intervention provided during early postpartum in reducing anxiety, fatigue levels, cortisol levels, blood pressure, and heart rate. Design: A single-blind, randomised controlled trial. Setting: A 40-bed postpartum unit. Participants: Women who underwent caesarean section were randomly allocated to two groups: intervention (auricular pressure, n = 40), and control (usual care, n = 40). Methods: The intervention group received auricular acupressure on the shenmen acupoint twice a day (9 AM and 5 PM), and the control group received usual postpartum care. Serum cortisol levels were assessed by immunochemiluminescence, with blood pressure and heart rate assessed by electric sphygmomanometer. Anxiety and fatigue symptoms were assessed using the State Anxiety subscale of the State-Trait Anxiety Inventory and the Fatigue Continuum Form, respectively. Results: Of the 76 women who completed the study, those who received auricular acupressure had significantly lower mean cortisol levels (mean difference = 4 μg/dl, p <0.05), heart rate (mean difference = 9.2 beats/min, p <0.001), anxiety symptoms (mean difference = 3.8, p <0.01), and fatigue symptoms (mean difference = 7.1, p <0.01) than women in the control group at 5 days postpartum. Conclusions: Auricular acupressure is an effective non-pharmacological method for reducing cortisol levels, heart rate, anxiety, and fatigue in early postpartum after caesarean section.

Original languageEnglish
Pages (from-to)17-26
Number of pages10
JournalInternational Journal of Nursing Studies
Volume53
DOIs
Publication statusPublished - Jan 1 2016

Fingerprint

Acupressure
Cesarean Section
Fatigue
Hydrocortisone
Anxiety
Postpartum Period
Heart Rate
Postnatal Care
Sphygmomanometers
Blood Pressure
Acupuncture Points
Control Groups
Randomized Controlled Trials
Pressure
Equipment and Supplies

Keywords

  • Acupressure
  • Anxiety
  • Auricular
  • Caesarean section
  • Cortisol
  • Fatigue
  • Postpartum
  • Randomised controlled trial

ASJC Scopus subject areas

  • Nursing(all)

Cite this

@article{a6165b04c5a241a4959a7bd600a6e8f7,
title = "Auricular acupressure relieves anxiety and fatigue, and reduces cortisol levels in post-caesarean section women: A single-blind, randomised controlled study",
abstract = "Background: Anxiety and fatigue adversely affect women's postpartum recovery, but few effective non-pharmacological interventions are known to relieve these two common and unpleasant symptoms. Objectives: To examine the efficacy of an auricular acupressure intervention provided during early postpartum in reducing anxiety, fatigue levels, cortisol levels, blood pressure, and heart rate. Design: A single-blind, randomised controlled trial. Setting: A 40-bed postpartum unit. Participants: Women who underwent caesarean section were randomly allocated to two groups: intervention (auricular pressure, n = 40), and control (usual care, n = 40). Methods: The intervention group received auricular acupressure on the shenmen acupoint twice a day (9 AM and 5 PM), and the control group received usual postpartum care. Serum cortisol levels were assessed by immunochemiluminescence, with blood pressure and heart rate assessed by electric sphygmomanometer. Anxiety and fatigue symptoms were assessed using the State Anxiety subscale of the State-Trait Anxiety Inventory and the Fatigue Continuum Form, respectively. Results: Of the 76 women who completed the study, those who received auricular acupressure had significantly lower mean cortisol levels (mean difference = 4 μg/dl, p <0.05), heart rate (mean difference = 9.2 beats/min, p <0.001), anxiety symptoms (mean difference = 3.8, p <0.01), and fatigue symptoms (mean difference = 7.1, p <0.01) than women in the control group at 5 days postpartum. Conclusions: Auricular acupressure is an effective non-pharmacological method for reducing cortisol levels, heart rate, anxiety, and fatigue in early postpartum after caesarean section.",
keywords = "Acupressure, Anxiety, Auricular, Caesarean section, Cortisol, Fatigue, Postpartum, Randomised controlled trial",
author = "Kuo, {Shu Yu} and Tsai, {Su Hua} and Chen, {Shu Ling} and Tzeng, {Ya Ling}",
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T2 - A single-blind, randomised controlled study

AU - Kuo, Shu Yu

AU - Tsai, Su Hua

AU - Chen, Shu Ling

AU - Tzeng, Ya Ling

PY - 2016/1/1

Y1 - 2016/1/1

N2 - Background: Anxiety and fatigue adversely affect women's postpartum recovery, but few effective non-pharmacological interventions are known to relieve these two common and unpleasant symptoms. Objectives: To examine the efficacy of an auricular acupressure intervention provided during early postpartum in reducing anxiety, fatigue levels, cortisol levels, blood pressure, and heart rate. Design: A single-blind, randomised controlled trial. Setting: A 40-bed postpartum unit. Participants: Women who underwent caesarean section were randomly allocated to two groups: intervention (auricular pressure, n = 40), and control (usual care, n = 40). Methods: The intervention group received auricular acupressure on the shenmen acupoint twice a day (9 AM and 5 PM), and the control group received usual postpartum care. Serum cortisol levels were assessed by immunochemiluminescence, with blood pressure and heart rate assessed by electric sphygmomanometer. Anxiety and fatigue symptoms were assessed using the State Anxiety subscale of the State-Trait Anxiety Inventory and the Fatigue Continuum Form, respectively. Results: Of the 76 women who completed the study, those who received auricular acupressure had significantly lower mean cortisol levels (mean difference = 4 μg/dl, p <0.05), heart rate (mean difference = 9.2 beats/min, p <0.001), anxiety symptoms (mean difference = 3.8, p <0.01), and fatigue symptoms (mean difference = 7.1, p <0.01) than women in the control group at 5 days postpartum. Conclusions: Auricular acupressure is an effective non-pharmacological method for reducing cortisol levels, heart rate, anxiety, and fatigue in early postpartum after caesarean section.

AB - Background: Anxiety and fatigue adversely affect women's postpartum recovery, but few effective non-pharmacological interventions are known to relieve these two common and unpleasant symptoms. Objectives: To examine the efficacy of an auricular acupressure intervention provided during early postpartum in reducing anxiety, fatigue levels, cortisol levels, blood pressure, and heart rate. Design: A single-blind, randomised controlled trial. Setting: A 40-bed postpartum unit. Participants: Women who underwent caesarean section were randomly allocated to two groups: intervention (auricular pressure, n = 40), and control (usual care, n = 40). Methods: The intervention group received auricular acupressure on the shenmen acupoint twice a day (9 AM and 5 PM), and the control group received usual postpartum care. Serum cortisol levels were assessed by immunochemiluminescence, with blood pressure and heart rate assessed by electric sphygmomanometer. Anxiety and fatigue symptoms were assessed using the State Anxiety subscale of the State-Trait Anxiety Inventory and the Fatigue Continuum Form, respectively. Results: Of the 76 women who completed the study, those who received auricular acupressure had significantly lower mean cortisol levels (mean difference = 4 μg/dl, p <0.05), heart rate (mean difference = 9.2 beats/min, p <0.001), anxiety symptoms (mean difference = 3.8, p <0.01), and fatigue symptoms (mean difference = 7.1, p <0.01) than women in the control group at 5 days postpartum. Conclusions: Auricular acupressure is an effective non-pharmacological method for reducing cortisol levels, heart rate, anxiety, and fatigue in early postpartum after caesarean section.

KW - Acupressure

KW - Anxiety

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KW - Caesarean section

KW - Cortisol

KW - Fatigue

KW - Postpartum

KW - Randomised controlled trial

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