针刺对健康成年人感知压力的影响:一项混合方法研究OA
Effects of acupuncture on perceived stress in healthy adults:a mixed-method study
目的:评估针刺对于健康成年人所感知的压力、皮质醇水平以及定性指标的影响.方法:根据《非随机对照设计报告规范》的要求,进行了一项前后干预研究.共有32名参与者接受了为期4周的12次针刺治疗.通过感知压力量表评估感知压力;通过头发皮质醇水平测量生理压力.还进行了焦点小组讨论和额外的叙事分析以收集定性数据.结果:在最初的34名参与者中,有32人完成了为期4周、共12次的治疗方案,其依从率高达93.8%.在第 2、3 和4周,治疗前和治疗后的感知压力量表评分均存在显著差异(P<0.05).治疗前后的头发皮质醇水平未发现显著差异(P>0.05).定性分析确定了五个主要主题,即"可控的压力"、"放松与平静"、"改善睡眠"、"不愉快的经历"及"身体紧张的缓解".结论:针刺对于缓解健康成年人的紧张情绪以及提升其应对压力的能力是一种可行的干预手段,但似乎并未产生生物学上的影响.
Objective:To assess the effects of acupuncture on perceived stress,cortisol levels,and qualitative outcomes in healthy adults. Methods:A pre-post interventional study was conducted according to the Transparent Reporting of Evaluations with Nonrandomized Designs guidelines.A total of 32 participants underwent 12 acupuncture sessions over 4 weeks.Perceived stress was assessed using the perceived stress scale,while biological stress was measured using hair cortisol levels.Focus group discussions and additional narrative analysis were conducted to collect qualitative data. Results:Of the 34 initial participants,32 completed the 12-session treatment regimen over 4 weeks,resulting in a high compliance rate of 93.8%.Significant differences in perceived stress scale scores were observed between pre-treatment and post-treatment at weeks 2,3,and 4(P<0.05).However,no significant difference was found in hair cortisol levels between pre-treatment and post-treatment(P>0.05).Qualitative analysis identified five key themes:"manageable stress","relaxation and calm","improved sleep","unpleasant experiences",and"relief from body tension". Conclusion:Acupuncture is a feasible intervention for reducing perceived stress and enhancing stress-coping abilities in healthy adults,although it does not appear to have a biological effect.
GOH Lay-Khim;WONG Zhi Hang;ONG Lin Kooi;Nicholas KHONG Mun Hoe
School of Health Sciences,International Medical University,Bukit Jalil 57000,MalaysiaSchool of Alternative and Complementary Medicine,International Medical University,Bukit Jalil 57000,MalaysiaSchool of Health and Medical Sciences&Centre for Health Research,University of Southern Queensland,Toowoomba,Queensland 4350,AustraliaSchool of Pharmacy,Monash University Malaysia,Subang Jaya 47500,Malaysia
医药卫生
针刺疗法电针穴,神门穴,内关穴,百会头发皮质醇感知压力健康成年人
Acupuncture TherapyElectroacupuncturePoint,Shenmen(HT7)Point,Neiguan(PC6)Point,Baihui(GV20)Hair CortisolPerceived StressHealthy Adult
《针灸推拿医学（英文版）》 2026 (3)
263-270,8
This study was supported by the International Medical University and Monash University Malaysia Research Grant(No.IMU R 273/2021).The authors would like to express their sincere appreciation to Madam OMAR M for granting permission to conduct the study at the International Medical University Chinese Medicine Clinic,and to the clinic staff for their valuable assistance in facilitating the trial.The authors are also grateful to Mr.SNG K S and Mr.LIM G M for their support,and to the final-year Chinese Medicine interns for their contributions to maintaining the continuity of the research process.Finally,the authors extend their appreciation to Ms.THEW H Y for conducting the hair cortisol analysis.
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