Efeitos da auriculoterapia nos níveis pressóricos de adultos e idosos hipertensos

Victor Hugo Martins Santos; Margani Cadore Weis-Maia; Camila Maria Cenzi; Jaqueline Costa Lima; Camila de Souza dos Santos; Marina Nolli Bittencourt

doi:10.15253/2175-6783.20252694304

Authors

Victor Hugo Martins Santos Universidade Federal de Mato Grosso https://orcid.org/0000-0002-8828-2377
Margani Cadore Weis-Maia Universidade Federal de Mato Grosso https://orcid.org/0000-0002-5214-5960
Camila Maria Cenzi Universidade Federal de Mato Grosso https://orcid.org/0000-0003-3277-2972
Jaqueline Costa Lima Universidade Federal de Mato Grosso https://orcid.org/0000-0002-2264-3301
Camila de Souza dos Santos Universidade Estadual de Mato Grosso https://orcid.org/0000-0002-1660-8657
Marina Nolli Bittencourt Universidade Federal de Mato Grosso https://orcid.org/0000-0002-1660-3418

DOI:

https://doi.org/10.15253/2175-6783.20252694304

Keywords:

Auriculotherapy; Hypertension; Adult; Aged; Non-Randomized Controlled Trials as Topic.

Abstract

Objective: to evaluate the effect of auriculotherapy on blood pressure and well-being parameters in hypertensive adults and older adults. Methods: a quasi-experimental, before-and-after study of a group undergoing a course of auriculotherapy. The initial sample was 41 people and the final sample was 29. Blood pressure was measured before the intervention, immediately after and five days later. The analysis of variance test was applied to compare the blood pressure means at the three time points. The World Health Organization-Five Well-Being Index questionnaire was used to check well-being. Results: there was a statistically significant difference between the systolic blood pressure levels before and after the intervention (p=0.001), with means of 133.17 mmHg pre-intervention, 127.07 mmHg immediately after care and 127.58 mmHg after five days. The well-being score improved significantly between the pre-intervention and the fifth day (p=0.023). Conclusion: auriculotherapy had beneficial effects on systolic blood pressure levels and the well-being of the population it served, proving to be a collaborative strategy in the management of hypertension. Contributions to practice: auriculotherapy can help regulate blood pressure, promote greater autonomy for nurses and patient-centered care. Brazilian Registry of Clinical Trials: RBR-6r8y39d.

References

Barroso WKS, Rodrigues CIS, Bortolotto LA, Mota-Gomes MA, Brandão AA, Feitosa ADM, et al. Brazilian Guidelines of Hypertension – 2020. Arq Bras Cardiol. 2021;116(3):516-658. doi: https://dx.doi.org/10.36660/abc.20201238

World Health Organization. Global report on hypertension – the race against a silente killer [Internet]. 2023 [cited Oct 10, 2024]. Available from:https://www.who.int/publications/i/item/9789240081062

Ministério da Saúde (BR). Vigitel Brasil 2023: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico [Internet]. 2023 [cited Oct 10, 2024]. Available from: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/svsa/vigitel/vigitel-brasil-2023-vigilancia-de-fatores-de-risco-e-protecao-para-doencas-cronicas-por-inquerito-telefonico

Julião NA, Souza A, Guimarães RRM. Trends in the prevalence of systemic arterial hypertension and health care service use in Brazil over a decade (2008-2019). Ciênc Saúde Coletiva. 2021;26(9):4007-19. doi: https://dx.doi.org/10.1590/1413-81232021269.08092021

Fu J, Liu Y, Zhang L, Zhou L, Li D, Quan H, et al. Nonpharmacologic interventions for reducing blood pressure in adults with prehypertension to established hypertension. J Am Heart Assoc. 2020;9(19):e016804. doi: https://dx.doi.org/10.1161/jaha.120.016804

Ministério da Saúde (BR). Portaria nº 371, de 04 de março de 2002 [Internet]. 2002 [cited Oct 10, 2024]. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2002/prt0371_04_03_2002_rep.html

Albuquerque KR, Borges JWP, Rodrigues MTP. Non-adhesion of systemic arterial hypertension in basic health care. Cad Saúde Colet. 2024;32(1):e32010393. doi: https://doi.org/10.1590/1414-462X202432010393

Wicket DC, Dallegrave D, Piexak DR, Mello MCVA, Corcini LMCS, Schimith MD. Integrative and complementary practices in health, nurses’ profile and care provided to people with hypertension: a mixed study design. Rev Latino-Am Enfermagem. 2023;(31):e3915. doi: https://dx.doi.org/10.1590/1518-8345.6287.3914

Conselho Federal de Enfermagem. Resolução COFEN nº739/2024: Normatiza a atuação da Enfermagem nas Práticas Integrativas e Complementares em Saúde [Internet]. 2024 [cited Oct 10, 2024]. Available from: https://www.cofen.gov.br/resolucao-cofen-no-739-de-05-de-fevereiro-de-2024/

World Health Organization (WHO). WHO traditional medicine strategy: 2014-2023 [Internet]. 2013 [cited Oct 10 2024]. Available from:https://iris.who.int/bitstream/handle/10665/92455/9789241506090_eng.D365D222D0C43CB972F07F6C9?sequence=1

Ministério da Saúde (BR). Política Nacional de Práticas Integrativas e Complementares no SUS: atitude de ampliação de acesso [Internet]. 2015 [cited Oct 10, 2024]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/politica_nacional_praticas_integrativas_complementares_2ed.pdf

Corrêa HP, Moura CC, Azevedo C, Bernardes MFVG, Mata LRFP, Chianca TCM. Effects of auriculotherapy on stress, anxiety and depression in adults and older adults: a systematic review. Rev Esc Enferm USP. 2020;(54):e03626. doi: https://doi.org/10.1590/S1980-220X2019006703626

Gao JL, Chen G, He HQ, Liu C, He QY, Li J, et al. The effect of auricular therapy on blood pressure: a systematic review and meta-analysis. Eur J Cardiovasc Nurs. 2020;19(1):20-30. doi: https://doi.org/10.1177/1474515119876778

Couceiro SM, Sant’Anna LB, Sant’Anna MB, Menezes RSM, Mesquita ET, Sant’Anna FM. Auricular vagal neuromodulation and its application in patients with heart failure reduced ejection fraction. Arq Bras Cardiol. 2023;120(5):e20220581. doi: https://doi.org/10.36660/abc.20220581

Marca AP, Chiapetti BAC, Cmparin KA, Aragão FA. Efeitos imediatos da terapia auricular em indivíduos hipertensos de uma unidade de pronto atendimento. Semin Ciênc Bil Saúde. 2019;40(1):15-24. doi: https://dx.doi.org/10.5433/1679-0367.2019v40n1p15

Ma J, Zhang Y, Ge Q, Wu K. The effect of auricular acupuncture on preoperative blood pressure across age groups: a prospective randomized controlled trial. Clin Exp Hypertens. 2023;45(1):2169452. doi: https://doi.org/10.1080/10641963.2023.2169452

Zhao Z, Zhou Y, Li W, Zhao-Hui T, Xia T, Li H. Auricular acupressure in patients with hypertension and insomnia: a systematic review and meta-analysis. Evid Based Complement Alternat Med. 2020;2020:7279486. doi: https://doi.org/10.1155/2020/7279486

Yeh M, Chang Y, Huang Y, Lee T. A randomized controlled trial of auricular acupressure in heart rate variability and quality of life for hypertension. Complement Ther Med. 2015;23(2):200-9. doi: https://doi.org/10.1016/j.ctim.2015.01.005

Silva SS, Rodrigues DMO, Jorge RADLVC, Drago LC. Possible effects of auriculottherapy on systemic arterial hypertension: pilot clinical trial. Repos Univer Anima [Internet]. 2020 [cited Oct 10, 2024];1-16 Available from: https://repositorio.animaeducacao.com.br/handle/ANIMA/16416

Neves ML, Coutinho BD, Silva EDC, Santos ARS, Silva MD. Ear acupuncture and neuromodulation: narrative review. Longhua Chin Med. 2022;5(27):1-11. doi: https://dx.doi.org/10.21037/lcm-21-42

Souza CM, Hidalgo MPL. World Health Organization 5-item well-being index: validation of the Brazilian Portuguese version. Eur Arch Psychiatry Clin Neurosci. 2012;262(3):239-44. doi: https://doi.org/10.1007/s00406-011-0255-x

Hong S, Ahn L, Kwon J, Choi D. Acupuncture for regulating blood pressure of stroke patients: A systematic review and meta-analysis. J Altern Complement Med. 2020;26(12):1105-16. doi: https://doi.org/10.1089/acm.2019.0454

Spinelli ACS. Arterial hypertension: treatment adherence. Rev Bras Hipertens. 2020;27(1):18-22. doi: https://dx.doi.org/10.47870/1519-7522/2020270118-22

Nascimento MO, Bezerra SMMS. Adherence to antihypertensive medication, pressoric control and associated factors in primary health care. Texto Contexto Enferm. 2020;29:e20190049. doi: https://dx.doi.org/10.1590/1980-265X-TCE-2019-0049

Butt MF, Albusola A, Farmer AD, Aziz Q. The anatomical basis for transcutaneous auricular vagus nerve stimulation. J Anat. 2020;236(4):588-611. doi: https://doi.org/10.1111/joa.13122

Hase M, Hase A. Implementation des NADA-Protokolls in der psychosomatik. Dtsch Z Akupunkt. 2014;57:12-15. doi: http://dx.doi.org/10.1016/j.dza.2014.10.003

Cobo B, Cruz C, Dick P. Gender and racial inequalities in the access to and the use of Brasilian health services. Ciênc Saúde Colet. 2021;26(9):4021-32. doi: https://dx.doi.org/10.1590/1413-81232021269.05732021