This Article

Citations


Creative Commons License
Except where otherwise noted, this work is licensed under Creative Commons Attribution-NonCommercial 4.0 International License.

Quality of Life and Performing Acupuncture on 150 Patients Suffering From Chronic Pains: A Randomized and Intervention Study Before and After Performing


1 Department of Midwifery in Medical University, Mashhad Branch, Islamic Azad University, Mashhad, IR Iran
2 Department of Foreign Languages, Mashhad Branch, Islamic Azad University, Mashhad, IR Iran
*Corresponding Author: Tahereh Fathi Najafi, Department of Midwifery in Medical University, Mashhad Branch, Islamic Azad University, Mashhad, IR Iran .Tel: +98-5118687122, Fax: +98-5118687122, E-mail: fathi_midwife@yahoo.com.
Iranian Red Crescent Medical Journal. 2013 March; 15(3): 269-271. , DOI: 10.5812/ircmj.1411
Article Type: Letter; Received: Dec 23, 2011; Revised: May 18, 2012; Accepted: May 28, 2012; epub: Mar 5, 2013; ppub: Mar 5, 2013
Running Title: Acupuncture and Quality of Life

Keywords: Acupuncture; Quality of Life; Pain

Dear Editor,


Pain is the commonest complain of human being. If it becomes chronic it affects all the dimensions of life quality. There are many ways to relief pain but some of them have disadvantages that make not well feeling for patients. Currently, people have been attracted to complementary treatments and one of the main ways to cure chronic pain is acupuncture (1-4). Two extensive studies in Germany have shown the effects of acupuncture on the life quality of the patients suffering from chronic diseases 1.According to WHO the best definition of quality of life is: “understanding one’s situation in life based on the culture, the evaluative system with which one is living, the goals, expectations, standards, and priorities (5). The purpose of this study is to examine the effect of acupuncture on the quality of life on 150 patients who suffered from chronic pain. This study is a descriptive and intervention type before and after of intervention. All patients were suffering from arthritis pain, migraine backaches, muscular spasms, pain in the neck, and in the knee. The patients went through acupuncture for 8 -10 sessions and either once or two times a week. The number and the place of needles were 8 -12 for each patient which were located on the right place and acupuncture was done by Dr Sadr Nabavi who has a specialist in acupuncture. Data analysis was done by SPSS software. T –test and variance analysis was done at the meaningful level of 5%.The life quality questionnaire (WHOQOL) of the World Health Organization included have 4 domains. 77.3% i.e. of the participants were women. 22.7% i.e. were men. The highest age range were between 41 -50 (28%) and the lowest were between 71 -75 (4.7%).46% of the pain was related to backaches, rheumatoid arthritis 16.7%, migraine 14.7% and the smallest rate goes to other disorders like pain in the neck 9.3%.). After 3 months of acupuncture, it was revealed that Life quality is changed (P = 0.0001 and P = 0.0001 respectively) in Environmental and Physical domains in women. All domains in quality of life don’t show a significant difference in men (Table 1). The rate of Physical domain increases in the patients who are over 60 years old and under 31 i.e. (P = 0.004 vs. P = 0.174). Psychological domain doesn’t difference before and after acupuncture in different age groups. (P = 0.2 to P = 0.8 for all age groups) (Table 1).


Table 1.
Quality of Life Before and After Acupuncture Based on Gender

Our study revealed that the Physical and Environmental domains of women suffering from muscular –skeletal diseases are better than before acupuncturing. (respectively P = 0.0001, P = 0.0001), while psychological and social doesn’t show it. (respectively P = 0.083, P = 0.208).”Wang, Hunter and Hoseiabadi and their colleagues” showed a meaningful difference in Physical and Environmental domains (6-8). In this study the best life quality improvement in Physical domain has been seen in women. Uthaikhup and Plank also confirm our findings (9, 10). All domains don’t show difference in before and after acupuncture in men it may be depend on their attitude to complementary medicine in Iran. However, acupuncture can be considered as a useful way of treatment for the patients who suffer from chronic muscular- skeletal diseases.

Acknowledgments

The researchers would like to thank all the patients who truthfully collaborated with us during the treatment procedure and Dr Reza Sadr-e- Nabavi who let us work in his clinic. The source funding of this survey was paid by the authors, because they liked doing of acupuncture in their city for first time.

Footnotes

Please cite this paper as Fathi Najafi T, Hejazi M, Meshkat M, Hajibabakashani S, Quality of Life and Performing Acupuncture on 150 Patients Suffering From Chronic Pains: A Randomized and Intervention Study Before and After Performing. Iran Red Cres Med J. 2013; 15(3): 269-71. DOI: 10.5812/ircmj.1411
Authors’ Contribution None declared.
Financial Disclosure None declared.
Funding Support None declared.

References


  • 1. Cho SH, Kim J. Efficacy of acupuncture in management of premenstrual syndrome: a systematic review. Complement Ther Med. 2010;18(2):104-11. [DOI] [PubMed]
  • 2. Stavem K, Rossberg E, Larsson PG. Health-related quality of life in a trial of acupuncture, sham acupuncture and conventional treatment for chronic sinusitis. BMC Res Notes. 2008;1:37. [DOI] [PubMed]
  • 3. Vaghela SA, Donnellan CP. Acupuncture for back pain, knee pain and insomnia in transverse myelitis - a case report. Acupunct Med. 2008;26(3):188-92. [PubMed]
  • 4. van den Berg I, Tan L, van Brero H, Tan KT, Janssens AC, Hunink MG. Health-related quality of life in patients with musculoskeletal complaints in a general acupuncture practice: an observational study. Acupunct Med. 2010;28(3):130-5. [DOI] [PubMed]
  • 5. Bonomi AE, Patrick DL, Bushnell DM, Martin M. Validation of the United States' version of the World Health Organization Quality of Life (WHOQOL) instrument. J Clin Epidemiol. 2000;53(1):1-12. [PubMed]
  • 6. Hoseinabadi R, Nourozi K, Poursmail Z, Karimlu M, Maddah Sadat B, Cheraghi MA. The effect of acupressure on quality of sleep in Iranian elderly nursing home residents. Complement Ther Clin Pract. 2010;16(2):81-5. [DOI] [PubMed]
  • 7. Hunter RF, McDonough SM, Bradbury I, Liddle SD, Walsh DM, Dhamija S, et al. Exercise and Auricular Acupuncture for Chronic Low-back Pain: A Feasibility Randomized-controlled Trial. Clin J Pain. 2012;28(3):259-67. [DOI] [PubMed]
  • 8. Wang C, de Pablo P, Chen X, Schmid C, McAlindon T. Acupuncture for pain relief in patients with rheumatoid arthritis: a systematic review. Arthritis Rheum. 2008;59(9):1249-56. [DOI] [PubMed]
  • 9. Plank S, Goodard J. The effectiveness of acupuncture for chronic daily headache: an outcomes study. Mil Med. 2009;174(12):1276-81. [PubMed]
  • 10. Uthaikhup S, Sterling M, Jull G. Psychological, cognitive and quality of life features in the elderly with chronic headache. Gerontology. 2009;55(6):683-93. [DOI] [PubMed]

Table 1.

Quality of Life Before and After Acupuncture Based on Gender

Variant Age, y (Less) Age, y (Most) Age, y, Mean ± SD P value
Male
Physical 0.068
Before 18 68 52.3 ± 10.9
After 39 75 54.9 ± 8.5
Psychological 0.055
Before 25 75 53.1 ± 10.2
After 29 71 50.6 ± 7.5
Social 0.915
Before 0 100 56.6 ± 25.9
After 17 92 56.9 ± 17.7
Environmental 0.091
Before 31 91 59.7 ± 15.6
After 38 91 62.1 ± 13.0 0.525
Total
Before 31 80 55.4 ± 12.2
After 38 70 56.1 ± 8.3
Female
Physical 0.001
Before 7 82 51.5 ± 15.6
After 11 82 54.4 ± 10.9
Psychological 0.737
Before 25 75 52.4 ± 11.7
After 33 75 52.2 ± 8.6
Social 0.063
Before 0 100 57.0 ± 25.4
After 17 100 59.7 ± 21.2
Environmental 0.0001
Before 22 97 60.9 ± 17.3
After 22 97 63.8 ± 15.2
Total 0.002
Before 20 89 55.4 ± 14.0
After 30 88 57.5 ± 11.1