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Effect of Perineal Self-Acupressure on Constipation: A Randomized Controlled Trial

Abbott, R, Ayres, I, Hui, E and Hui, KK (2014) Effect of Perineal Self-Acupressure on Constipation: A Randomized Controlled Trial Journal of General Internal Medicine, 30 (4). pp. 434-439.

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Abstract

BACKGROUND: The efficacy of perineal self-acupressure in treating constipation is uncertain. OBJECTIVE: We aimed to evaluate whether perineal self-acupressure would improve patient reports of quality of life and bowel function at 4 weeks after training. DESIGN: A randomized, parallel group trial was conducted. SETTING: The study took place at the UCLA Department of Medicine. PATIENTS: One hundred adult patients who met Rome III criteria for functional constipation participated. INTERVENTION: The control group received information about standard constipation treatment options, while the treatment group received training in perineal self-acupressure plus standard treatment options. MEASUREMENTS: Primary outcome was the Patient Assessment of Constipation Quality of Life (PAC-QOL). Secondary outcomes included patient assessments of bowel function (as measured by a modified Bowel Function Index (BFI)), and health and well-being (as measured by the SF-12v2). RESULTS: The mean PAC-QOL was improved by 0.76 in the treatment group and by 0.17 in the control group (treatment-effect difference, 0.59 [95 % CI, 0.37 to 0.81]; p < 0.01). The mean modified BFI was improved by 18.1 in the treatment group and by 4.2 in the control group (treatment-effect difference, 13.8 [95 % CI, 5.1 to 22.5]; p < 0.01). The mean SF-12v2 Physical Component Score was improved by 2.69 in the treatment group and reduced by 0.36 in the control group (treatment-effect difference, 3.05, [95 % CI, 0.85 to 5.25]; p < 0.01); and the mean SF-12v2 Mental Component Score was improved by 3.12 in the treatment group and improved by 0.30 in the control group (treatment-effect difference, 2.82, [95 % CI, −0.10 to 5.74]; p < 0.07). LIMITATION: The trial was not blinded. CONCLUSION: Among patients with constipation, perineal self-acupressure improves self-reported assessments of quality of life, bowel function, and health and well-being relative to providing standard constipation treatment options alone. © 2014, Society of General Internal Medicine.

Item Type: Article
Subjects : Law
Authors :
NameEmailORCID
Abbott, Rr.abbott@surrey.ac.ukUNSPECIFIED
Ayres, IUNSPECIFIEDUNSPECIFIED
Hui, EUNSPECIFIEDUNSPECIFIED
Hui, KKUNSPECIFIEDUNSPECIFIED
Date : 18 November 2014
Identification Number : 10.1007/s11606-014-3084-6
Copyright Disclaimer : © Society of General Internal Medicine 2014. Published by Springer.
Uncontrolled Keywords : acupressure, constipation, perineum
Related URLs :
Depositing User : Symplectic Elements
Date Deposited : 16 May 2017 15:37
Last Modified : 18 May 2017 13:13
URI: http://epubs.surrey.ac.uk/id/eprint/820907

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