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Title: Self-administered acupressure for treating adult psychiatric patients with constipation : a randomized controlled trial
Authors: Wong, WK
Chien, WT 
Lee, WM
Issue Date: 2015
Source: Chinese medicine, 2015, v. 10, 32, p. 1-10
Abstract: Background: Constipation has a high prevalence rate (>30 %) in psychiatric patients with psychotropic drugs. Common pharmacological and non-pharmacological interventions for constipation might have longer-term negative and adverse effects that would outweigh their short-term efficacy in symptom reduction. This randomized controlled trial aims to investigate the effect of self-administered acupressure for the management of constipation, in hospitalized psychiatric patients.
Methods: Seventy-eight patients were recruited in matched pairs in terms of gender, age and laxative use from five acute psychiatric wards in Hong Kong. Each of these matched pairs of patients was randomly assigned to either a self-administered acupressure (n = 39) or a sham group (n = 39), using computer-generated random numbers. After baseline measurement, the intervention and sham group received the same training in self-administered acupressure and supervised practice once per day for 10 days, except light pressure on non-acupoints was taught to the sham group. The acupoints chosen for acupressure included Zhongwan (RN12), right and left Tianshu (ST25), right and left Quchi (LI11). Participants' symptoms and quality of life regarding constipation were measured at baseline and immediately and 2 weeks after completion of the interventions with constipation assessment scale and patient assessment of constipation quality of life questionnaire, respectively.
Results: After 2 weeks follow-up, participants who had received self-administered acupressure indicated significantly greater improvements in both symptom severity (P = 0.0003) and quality of life (P = 0.0004) when compared with the sham group.
Conclusion: The psychiatric patients with constipation who practiced self-administered acupressure for 10 days improved their symptom severity and perceived quality of life immediately and 2 weeks after completion of the intervention in comparison with the sham group. Trial registration: The trial was registered with the ClinicalTrials.gov (Reg. No: NCT02187640)
Publisher: BioMed Central
Journal: Chinese medicine 
ISSN: 1749-8546 (online)
DOI: 10.1186/s13020-015-0064-7
Rights: © 2015 Wong etal. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
The following publication Wong, W. K., Chien, W. T., & Lee, W. M. (2015). Self-administered acupressure for treating adult psychiatric patients with constipation : a randomized controlled trial. Chinese Medicine, 10, 32, 1-10 is available at https://dx.doi.org/10.1186/s13020-015-0064-7
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