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This randomized clinical trial aimed at evaluating the auriculotherapy as coping strategies in 75 nursing professionals in a University Hospital.
There is consensus that psychological and social factors can lead to physical health problems of individuals and coping strategies in stressful situations may be crucial for the mental, physical and social development of people. Taking care of professionals who provide health services is a key strategy, since good results depend on the service, especially in work teams healthy and, therefore, able to promote the humanization of service.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control Group | No Intervention | Control Group didn't receive any treatment and was evaluated at the same time and the same way of interventions group | |
| Auriculotherapy by needles | Experimental | The investigators used 3 points, Shenmen, Kidney, and Brain Stem with semi-permanent needles of 1.8 mm, 1 time per week for 8 sessions. |
|
| Auriculotherapy by seeds | Experimental | The investigators used the three points Shenmen, Kidney, and Brain Stem with mustard seeds, 1 time per week for 8 sessions. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| auriculotherapy by needles | Other | The chinese auriculotherapy is a intervention used by Chinese Traditional Medicine in order to balance the body energy and to treat several kind of diseases using semi-permanent needles in specific points of the auricular pavilion. |
| Measure | Description | Time Frame |
|---|---|---|
| Coping Strategy: Domain Social Support(After 60 Days) | Scale information: Folkman and Lazarus Coping Strategy Inventory with 66 items. The scale is constructed by 8 different "domains": confrontation, distancing, self-control, social support, acceptance of responsibility, escape avoidance, problem solving and positive reappraisal.The questions are scored by Likert scale: 0 (not used this strategy); 1 (used somewhat); 2 (used enough) and 3(used in large quantities) to the 66 items (Folkman and Lazarus Coping Strategy Inventory). It performed a summation of items and defined the scores: 0-4 points (not use this strategy), 5-9 (use this strategy a bit), 10-14 ( use this strategy quite) 14-18 (use strategy plenty). | after 60days |
| Coping Strategy: Distancing Domain | The questions are scored by Likert scale: 0 (not used this strategy); 1 (used somewhat); 2 (used enough) and 3(used in large quantities) to the 66 items (Folkman and Lazarus Coping Strategy Inventory). It performed a summation of items and defined the scores: 0-4 points (not use this strategy), 5-9 (use this strategy a bit), 10-14 ( use this strategy quite) 14-18 (use strategy plenty). | after 75 days |
| Coping Strategy: Social Support Domain | Scale information: Folkman and Lazarus Coping Strategy Inventory with 66 items. The scale is constructed by 8 different "domains": confrontation, distancing, self-control, social support, acceptance of responsibility, escape avoidance, problem solving and positive reappraisal.The questions are scored by Likert scale: 0 (not used this strategy); 1 (used somewhat); 2 (used enough) and 3(used in large quantities) to the 66 items (Folkman and Lazarus Coping Strategy Inventory). It performed a summation of items and defined the scores: 0-4 points (not use this strategy), 5-9 (use this strategy a bit), 10-14 ( use this strategy quite) 14-18 (use strategy plenty). | after 60 days |
| Measure | Description | Time Frame |
|---|---|---|
| Stress Scale | Scale information: Stress Symptoms List (LSS)with 60 items (better outcome)Low score: 12/29 points; Medium score: 30/60 points; High score: 61/120 points; Very high score (worse outcome): >120 points. | after 60 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Leonice FS Kurebayashi | University of Sao Paulo | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Universitário de São Paulo | São Paulo | São Paulo | 05508-000 | Brazil |
Of the 109 subjects, 4 were eliminated for having a low level of stress and three for not belonging to nursing staff.
Recruitment was conducted between January and September 2011 at University Hospital. Study participants were professionals from different sectors of the hospital after the invitation and 109 people answered the Stress Symptoms List. Obeying the exclusion criteria, 75 subjects were enrolled and randomized into three groups.
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| ID | Title | Description |
|---|---|---|
| FG000 | Auriculotherapy by Needles | The investigators used 3 points, Shenmen, Kidney, and Brain Stem with semi-permanent needles of 1.8 mm, 1 time per week for 8 sessions. auriculotherapy by needles : The chinese auriculotherapy is a intervention used by Chinese Traditional Medicine in order to balance the body energy and to treat several kind of diseases using semi-permanent needles in specific points of the auricular pavilion. |
| FG001 | Auriculotherapy by Seeds | The investigators used the three points Shenmen, Kidney, and Brain Stem with mustard seeds, 1 time per week for 8 sessions. auriculotherapy by seeds : We used the three points Shenmen, Kidney, and Brain Stem with mustard seeds, 1 time per week for 8 sessions.The subjects were instructed to stimulate the points three times a day. |
| FG002 | Control Group | Control Group didn't receive any treatment and was evaluated at the same time and the same way of interventions group |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Auriculotherapy by Needles | The investigators used 3 points, Shenmen, Kidney, and Brain Stem with semi-permanent needles of 1.8 mm, 1 time per week for 8 sessions. auriculotherapy by needles : The chinese auriculotherapy is a intervention used by Chinese Traditional Medicine in order to balance the body energy and to treat several kind of diseases using semi-permanent needles in specific points of the auricular pavilion. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Secondary | Stress Scale | Scale information: Stress Symptoms List (LSS)with 60 items (better outcome)Low score: 12/29 points; Medium score: 30/60 points; High score: 61/120 points; Very high score (worse outcome): >120 points. | Of the 109 subjects, four were eliminated for having a low level of stress and three for not belonging to nursing staff;seven didn't appear in the first session. Some lost sessions and were also excluded. One abandoned the treatment because of the side effects, one didn't complete the questionnaire, seven went on vacation or sick leave(2). | Posted | Mean | Standard Deviation | units on a scale | after 60 days |
|
after 4 sessions (one month)
The main symptoms or adverse events were:
Nightmares; Complaints of anxiety and unrest; Anxiety for food; Itching and redness in the auricular points.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Auriculotherapy by Needles | The investigators used 3 points, Shenmen, Kidney, and Brain Stem with semi-permanent needles of 1.8 mm, 1 time per week for 8 sessions. auriculotherapy by needles : The chinese auriculotherapy is a intervention used by Chinese Traditional Medicine in order to balance the body energy and to treat several kind of diseases using semi-permanent needles in specific points of the auricular pavilion. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nightmares | Psychiatric disorders | Abnormal dreams | Non-systematic Assessment |
Number of the participants(reduced sample)
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Leonice Fumiko Sato Kurebayashi | University of São Paulo | 5511 991126023 | fumie_ibez@yahoo.com.br |
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| ID | Term |
|---|---|
| D013315 | Stress, Psychological |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D020831 | Acupuncture, Ear |
| ID | Term |
|---|---|
| D015670 | Acupuncture Therapy |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D055097 | Auriculotherapy |
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|
| auriculotherapy by seeds | Other | We used the three points Shenmen, Kidney, and Brain Stem with mustard seeds, 1 time per week for 8 sessions.The subjects were instructed to stimulate the points three times a day. |
|
|
| BG001 | Auriculotherapy by Seeds | The investigators used the three points Shenmen, Kidney, and Brain Stem with mustard seeds, 1 time per week for 8 sessions. auriculotherapy by seeds : We used the three points Shenmen, Kidney, and Brain Stem with mustard seeds, 1 time per week for 8 sessions.The subjects were instructed to stimulate the points three times a day. |
| BG002 | Control Group | Control Group didn't receive any treatment and was evaluated at the same time and the same way of interventions group |
| BG003 | Total | Total of all reporting groups |
| Participants |
|
| Age Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| OG001 | Auriculotherapy by Seeds | The investigators used the three points Shenmen, Kidney, and Brain Stem with mustard seeds, 1 time per week for 8 sessions. auriculotherapy by seeds : We used the three points Shenmen, Kidney, and Brain Stem with mustard seeds, 1 time per week for 8 sessions.The subjects were instructed to stimulate the points three times a day. |
| OG002 | Control Group | Control Group didn't receive any treatment and was evaluated at the same time and the same way of interventions group |
|
|
|
| Primary | Coping Strategy: Domain Social Support(After 60 Days) | Scale information: Folkman and Lazarus Coping Strategy Inventory with 66 items. The scale is constructed by 8 different "domains": confrontation, distancing, self-control, social support, acceptance of responsibility, escape avoidance, problem solving and positive reappraisal.The questions are scored by Likert scale: 0 (not used this strategy); 1 (used somewhat); 2 (used enough) and 3(used in large quantities) to the 66 items (Folkman and Lazarus Coping Strategy Inventory). It performed a summation of items and defined the scores: 0-4 points (not use this strategy), 5-9 (use this strategy a bit), 10-14 ( use this strategy quite) 14-18 (use strategy plenty). | Of the 109 subjects, four were eliminated for having a low level of stress and three for not belonging to nursing staff;seven didn't appear in the first session. Some lost sessions and were also excluded. One abandoned the treatment because of the side effects, one didn't complete the questionnaire, seven went on vacation or sick leave(2). | Posted | Mean | Standard Deviation | units on a scale | after 60days |
|
|
|
|
| Primary | Coping Strategy: Distancing Domain | The questions are scored by Likert scale: 0 (not used this strategy); 1 (used somewhat); 2 (used enough) and 3(used in large quantities) to the 66 items (Folkman and Lazarus Coping Strategy Inventory). It performed a summation of items and defined the scores: 0-4 points (not use this strategy), 5-9 (use this strategy a bit), 10-14 ( use this strategy quite) 14-18 (use strategy plenty). | Posted | Mean | Standard Deviation | units on a scale | after 75 days |
|
|
|
|
| Primary | Coping Strategy: Social Support Domain | Scale information: Folkman and Lazarus Coping Strategy Inventory with 66 items. The scale is constructed by 8 different "domains": confrontation, distancing, self-control, social support, acceptance of responsibility, escape avoidance, problem solving and positive reappraisal.The questions are scored by Likert scale: 0 (not used this strategy); 1 (used somewhat); 2 (used enough) and 3(used in large quantities) to the 66 items (Folkman and Lazarus Coping Strategy Inventory). It performed a summation of items and defined the scores: 0-4 points (not use this strategy), 5-9 (use this strategy a bit), 10-14 ( use this strategy quite) 14-18 (use strategy plenty). | Of the 109 subjects, four were eliminated for having a low level of stress and three for not belonging to nursing staff;seven didn't appear in the first session. Some lost sessions and were also excluded. One abandoned the treatment because of the side effects, one didn't complete the questionnaire, seven went on vacation or sick leave(2). | Posted | Mean | Standard Deviation | units on a scale | after 60 days |
|
|
|
| 0 |
| 27 |
| 3 |
| 27 |
| EG001 | Auriculotherapy by Seeds | The investigators used the three points Shenmen, Kidney, and Brain Stem with mustard seeds, 1 time per week for 8 sessions. auriculotherapy by seeds : We used the three points Shenmen, Kidney, and Brain Stem with mustard seeds, 1 time per week for 8 sessions.The subjects were instructed to stimulate the points three times a day. | 0 | 26 | 1 | 26 |
| EG002 | Control Group | Control Group didn't receive any treatment and was evaluated at the same time and the same way of interventions group | 0 | 22 | 0 | 22 |
| Complaints of anxiety and unrest | Psychiatric disorders | complaints of anxiet | Non-systematic Assessment |
|
| Anxiety for food | Psychiatric disorders | Eating disorder | Non-systematic Assessment |
|
| Itching and redness in the auricular point | Immune system disorders | Itching | Non-systematic Assessment |
|
The copyright of the search results are the exclusive property of Latin American Journal of Nursing, barring any reproduction, in whole or in part in any form or means of printed or electronic, without the prior and necessary authorization is requested.
|
Coping Strategy: Confrontation domain |
| ANOVA |
It was carried out the analysis of variance (ANOVA) among the groups at the follow up and then it was used the post hoc test. |
| 0.029 |
| 95 |
| No |
| Superiority or Other |