{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T14:24:44Z","timestamp":1787408684175,"version":"build-2736575974"},"reference-count":39,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Holist Nurs"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Childbirth is a multidimensional experience involving physical, emotional, and psychological challenges. Holistic nursing interventions such as acupressure may improve maternal well-being beyond pain relief, yet comparative evidence for SP6 (Sanyinjiao) and LI4 (Hegu) acupressure is limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the preliminary effectiveness of nurse-administered SP6 and LI4 acupressure on labour pain, maternal coping, and intrapartum maternal comfort among primiparous women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this three-arm pilot randomized controlled trial, 90 primiparous women were randomly assigned (1:1:1) to SP6 acupressure, LI4 acupressure, or routine intrapartum care (30\/group). Acupressure was administered at 4, 6, and 8\u2005cm cervical dilatation. Labour pain and coping were assessed repeatedly, and maternal comfort was measured once at 10\u2005cm cervical dilatation. Data were analysed using linear mixed-effects models and one-way ANOVA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Significant group, time, and group \u00d7 time interaction effects were observed for labour pain and coping (all\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001). Compared with LI4 acupressure and routine care, SP6 acupressure produced greater pain reduction, improved maternal coping, and higher intrapartum maternal comfort (all\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Guided by Swanson's Theory of Caring, SP6 acupressure appears to be a feasible holistic nursing intervention that supports person-centred maternity care. Larger multicentre randomized controlled trials are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08980101261477557","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:09:32Z","timestamp":1787238572000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Nurse-Led SP6 and LI4 Acupressure for Improving Labour Pain, Maternal Coping, and Intrapartum Maternal Comfort: A Three-Arm Pilot Randomized Controlled Trial Guided by Swanson's Theory of Caring"],"prefix":"10.1177","author":[{"given":"Sakila","family":"Basnet","sequence":"first","affiliation":[{"name":"Sikkim Manipal University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8926-3867","authenticated-orcid":false,"given":"Barkha","family":"Devi","sequence":"additional","affiliation":[{"name":"Sikkim Manipal University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geeta Shyamsunder","family":"Soohinda","sequence":"additional","affiliation":[{"name":"Sikkim Manipal University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,20]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12906-025-04965-0"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctim.2020.102413"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD000331.pub4"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0000000000000636"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1155\/prm\/7873155"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-148-4-200802190-00008"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11142111"},{"key":"e_1_3_3_9_1","article-title":"CONSORT 2025 Statement: Updated guideline for reporting randomised trials","volume":"388","author":"Hopewell S.","year":"2025","unstructured":"Hopewell S., Chan A. 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