{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:40:58Z","timestamp":1786650058594,"version":"build-2736575974"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Noninvasive mechanical ventilation (NIPPV) can improve oxygenation and ventilation in patients with acute exacerbation chronic obstructive pulmonary disease (AECOPD), but some patients may struggle to acclimate to it, ultimately leading to treatment failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To determine the impact of acupoint application and massage on the comfort degree and stress state of patients with AECOPD undergoing NIPPV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of160 AECOPD patients were endeavored to study with a retrospective study. The 160 participants were randomly divided into NIPPV group and acupoint application and massage accompany with NIPPV groups with 80 cases each. Changes in the comfort degree, anxiety index, stress indicators, satisfaction degree, hospitalization time, stop using NIPPV time, blood gas indicators before and after NIPPV treatment, and the treatment effect were detected for the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      In contrast to NIPPV as a solitary treatment, the integration of acupoint therapy and massage with NIPPV markedly enhanced patient comfort and eased their stress levels; it substantially diminished the anxiety index, alleviated frontal sinus pain and abdominal bloating, reduced the duration of offline periods and hospital stays, and significantly betters the eating and sleeping quality of patients (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Acupoint application and massage can improve the comfort degree, stress state, and anxiety; shorten the NIPPV time and hospital stay; reduce the intubation rate; and improve the treatment effect of patients with AECOPD undergoing NIPPV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/njcp.njcp_167_24","type":"journal-article","created":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T04:00:15Z","timestamp":1753675215000},"page":"838-847","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Effect of Acupoint Application and Massage on the Comfort Degree and Stress State of Patients Undergoing Noninvasive Mechanical Ventilation due to Acute Chronic Obstructive Pulmonary Exacerbation in Dali, China"],"prefix":"10.4103","volume":"28","author":[{"given":"MW","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Emergency, Dali Bai Autonomous Prefecture People\u2019s Hospital, Dali, Yunnan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"YK","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Dali Bai Autonomous Prefecture People\u2019s Hospital, Dali, Yunnan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"BC","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Dali Bai Autonomous Prefecture People\u2019s Hospital, Dali, Yunnan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ZQ","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Clinical Laboratory, Dali Bai Autonomous Prefecture People\u2019s Hospital, Dali, Yunnan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"QK","family":"He","sequence":"additional","affiliation":[{"name":"Department of Gerontology, Second People\u2019s Hospital of Baoshan City, Baoshan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"XY","family":"Duan","sequence":"additional","affiliation":[{"name":"Department of Tuberculosis Diseases, Third People\u2019s Hospital of Kunming City, Kunming, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7,28]]},"reference":[{"key":"R2-20260422","doi-asserted-by":"crossref","first-page":"501","DOI":"10.2147\/COPD.S447519","article-title":"Platelet-to-Lymphocyte Ratio (PLR), Neutrophil-to-Lymphocyte Ratio (NLR), Monocyte-to-Lymphocyte Ratio (MLR), and Eosinophil-to-Lymphocyte Ratio (ELR) as biomarkers in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD)","volume":"19","author":"Liao","year":"2024","journal-title":"Int J Chron Obstruct Pulmon Dis"},{"key":"R3-20260422","doi-asserted-by":"crossref","first-page":"1374","DOI":"10.1056\/NEJMc2000638","article-title":"Metoprolol for the prevention of exacerbations of COPD","volume":"382","author":"Mehmood","year":"2020","journal-title":"N Engl J Med"},{"key":"R4-20260422","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.1111\/resp.13497","article-title":"Technological advances in home non-invasive ventilation monitoring: Reliability of data and effect on patient outcomes","volume":"24","author":"Borel","year":"2019","journal-title":"Respirology"},{"key":"R5-20260422","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1159\/000498848","article-title":"Comparison of Hospital Anxiety and Depression Scale (HADS) andZung Self-Rating Anxiety\/Depression Scale (SAS\/SDS) in evaluating anxiety and depression in patients with psoriatic arthritis","volume":"236","author":"Yue","year":"2020","journal-title":"Dermatology"},{"key":"R6-20260422","first-page":"2048032","article-title":"Comparison of comfort and effectiveness of total face mask and oronasal mask in noninvasive positive pressure ventilation in patients with acute respiratory failure: A clinical trial","volume":"2017","author":"Sadeghi","year":"2017","journal-title":"Can Respir J"},{"key":"R7-20260422","doi-asserted-by":"crossref","first-page":"5541","DOI":"10.21037\/apm-21-925","article-title":"Clinical observation of warming acupuncture and moxibustion at the temples combined with Deanxit in the treatment of tension headache with anxiety and depression: A retrospective study","volume":"10","author":"A","year":"2021","journal-title":"Ann Palliat Med"},{"key":"R8-20260422","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1186\/s13063-021-05542-9","article-title":"Power and sample size calculation for stepped-wedge designs with discrete outcomes","volume":"22","author":"Xia","year":"2021","journal-title":"Trials"},{"key":"R9-20260422","doi-asserted-by":"crossref","first-page":"770","DOI":"10.1177\/02692163221079697","article-title":"Evidence-based management approaches for patients withsevere chronic obstructive pulmonary disease (COPD): A practice review","volume":"36","author":"Fu","year":"2022","journal-title":"Palliat Med"},{"key":"R10-20260422","doi-asserted-by":"crossref","first-page":"1694","DOI":"10.3758\/s13428-018-1041-8","article-title":"The Visual Analogue Scale for rating, ranking and paired-comparison (VAS-RRP): A new technique for psychological measurement","volume":"50","author":"Sung","year":"2018","journal-title":"Behav Res Methods"},{"key":"R11-20260422","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1186\/s12888-019-2427-6","article-title":"Norms for Zung\u2019s self-rating anxiety scale","volume":"20","author":"Dunstan","year":"2020","journal-title":"BMC Psychiatry"},{"key":"R12-20260422","first-page":"251","article-title":"[Acupuncture combined with acupoint application improves symptoms, daily life quality and lung function in chronic obstructive pulmonary disease patients during acute exacerbation]. (Chinese)","volume":"41","author":"Liu","year":"2016","journal-title":"Zhen Ci Yan Jiu"},{"key":"R13-20260422","first-page":"1505","article-title":"Application of acupoint massage combined with decompression ball therapy on anxiety and depression in patients with diabetic retinopathy","volume":"38","author":"Wu","year":"2023","journal-title":"Hu Shi Jin Xiu Za Zhi"},{"key":"R14-20260422","doi-asserted-by":"crossref","first-page":"533","DOI":"10.5498\/wjp.v14.i4.533","article-title":"Analysis of acupoint massage combined with touch on relieving anxiety and pain in patients with oral implant surgery","volume":"14","author":"Qu","year":"2024","journal-title":"World J Psychiatry"},{"key":"R15-20260422","first-page":"917","article-title":"Effect of acupoint massage combined with massage on pain relief in patients undergoing percutaneous laser disc decompression","volume":"41","author":"Sun","year":"2012","journal-title":"Shanxi Medical Journal"},{"key":"R16-20260422","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1016\/S0254-6272(13)60062-X","article-title":"Effect of point application on chronic obstructive pulmonary disease in stationary phase and effects on pulmonary function: A systematic evaluation of randomized controlled trials","volume":"32","author":"Li","year":"2012","journal-title":"J Tradit Chin Med"},{"key":"R17-20260422","doi-asserted-by":"crossref","first-page":"e25849","DOI":"10.1097\/MD.0000000000025849","article-title":"Effects of acupoint massage combined with relaxation therapy on patients with postoperative fatigue syndrome after lumbar surgery","volume":"100","author":"Zheng","year":"2021","journal-title":"Medicine (Baltimore)"},{"key":"R18-20260422","doi-asserted-by":"crossref","first-page":"101240","DOI":"10.1016\/j.ctcp.2020.101240","article-title":"The effectiveness of massage on peri-operative anxiety in adults: A meta-analysis of randomized controlled trials and controlled clinical trials","volume":"41","author":"Guo","year":"2020","journal-title":"Complement Ther Clin Pract"},{"key":"R19-20260422","doi-asserted-by":"crossref","first-page":"e32058","DOI":"10.1097\/MD.0000000000032058","article-title":"Traditional Chinese acupoint massage, acupuncture, and moxibustion for people with diabetic gastroparesis: A systematic review and meta-analysis","volume":"101","author":"Li","year":"2022","journal-title":"Medicine (Baltimore)"},{"key":"R20-20260422","doi-asserted-by":"crossref","first-page":"75","DOI":"10.21037\/apm.2017.07.01","article-title":"Anxiety and psychosomatic symptoms in palliative care: From neuro-psychobiological response to stress, to symptoms\u2019 management with clinical hypnosis and meditative states","volume":"7","author":"Satsangi","year":"2018","journal-title":"Ann Palliat Med"},{"key":"R21-20260422","doi-asserted-by":"crossref","first-page":"4943204","DOI":"10.1155\/2016\/4943204","article-title":"Principle study of head meridian acupoint massage to stress release via grey data model analysis","volume":"2016","author":"Lee","year":"2016","journal-title":"Evid Based Complement Alternat Med"},{"key":"R22-20260422","first-page":"1375","article-title":"Efficacy of acupoint massage combined with acupoint application on arterial blood gas in patients undergoing laparoscopic cholecystectomy","volume":"32","author":"Zhenqing","year":"2019","journal-title":"Pak J Pharm Sci"}],"container-title":["Nigerian Journal of Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/njcp.njcp_167_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:01:34Z","timestamp":1786647694000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/njcp.njcp_167_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":21,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/njcp.njcp_167_24","relation":{},"ISSN":["1119-3077","2229-7731"],"issn-type":[{"value":"1119-3077","type":"print"},{"value":"2229-7731","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"2024-02-25","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-18","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}