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OBJECTIVE: To evaluate the effects of an auricular acupressure intervention on the quality of life of women with breast cancer undergoing chemotherapy compared with those who did not undergo the intervention. METHOD: A randomized clinical trial with 54 women followed weekly for 12 weeks, with 27 being allocated to the intervention group in which crystal pellets were applied to six acupoints (shen men, kidney, stomach, cardia, brainstem and endocrine), and 27 in the control group. Quality of life was measured in five stages; the first before starting the intervention, and the following stages every three weeks using the Quality of Life Questionnaire - Core 30 and the Quality of Life Questionnaire - Breast Cancer BR-23 instruments. RESULTS: There was improvement in all domains related to quality of life; however, there was significance regarding nausea, vomiting and breast symptoms in the intervention group. CONCLUSION: Auricular acupressure has proven to be a safe, effective, low cost method with no side effects and easily applicable by trained nurses. It may be recommended as complementary therapy in treating breast cancer to improve the quality of life of these women. The study was registered in the Brazilian Registry of Clinical Trials with the code no. RBR-36zcfg.

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Objective: The study's goal has been to identify in the literature the use of auriculotherapy with needles as an intervention to improve cancer patients' life quality. Methods: It is an Integrative Literature Review of articles published in Portuguese, English, Spanish and/or German, available in full at the databases VHL, CAPES, CINHAL, PubMed, Web of Science and Scopus. The study was carried out in January 2017. The descriptors employed were cancer, neoplasms, auriculotherapy, ear acupuncture, and auricular acupuncture, and six studies were then selected. Results: The use of auricular therapy with needles as interventions in the clinical symptoms due to cancer and its treatment, as well as in the improvement of the domains affected in people's life quality have indicated satisfactory evidence. Conclusion: The evidences have identified an improvement in the quality of life of oncology patients that underwent auriculotherapy with needles, therefore, this intervention is a safe, effective and economical complementary therapy, which is very well accepted by the patients

Objetivo: Identificar na literatura o uso da auriculoterapia com agulhas como intervenção para melhoria da qualidade de vida de pacientes com câncer. Método: Revisão integrativa de artigos publicados em português, inglês, espanhol e/ou alemão, disponíveis na íntegra nas bases de dados BVS, CAPES, CINHAL, PUBMED, WEB of SCIENCE e SCOPUS. A pesquisa ocorreu no período de janeiro de 2017. Foram utilizados os descritores câncer, neoplasia, auriculoterapia, acupuntura orelha e acupuntura auricular, sendo selecionados seis estudos. Resultados: O uso da auriculoterapia com agulhas como intervenções nos sintomas clínicos decorrentes do câncer e de seu tratamento bem como na melhoria dos domínios afetados na qualidade de vida apontou evidências satisfatórias. Conclusão: As evidências identificaram melhora na qualidade de vida de pacientes oncológicos que foram submetidos a auriculoterapia com agulhas e que esta intervenção é uma terapia complementar segura, eficaz e econômica, muito bem aceita pelos pacientes

Objetivo: Identificar la producción disponible relacionada al uso de la acupuntura auricular como intervención para la mejora de la calidad de vida de pacientes con cáncer. Método: Revisión integrativa de literatura con búsqueda en bases electrónicas y bibliotecas virtuales BVS, CAPES, CINHAL, PUBMED, WEB of SCIENCE y SCOPUS En el período de enero de 2017 con los descriptores cáncer, neoplasia, auriculoterapia, acupuntura o acupuntura auricular y acupuntura auricular, la acupuntura auricular y la acupuntura auricular. La revisión integrativa propuesta tuvo lugar en seis etapas distintas y complementarias. Resultados: Se identificaron seis artículos con evidencias satisfactorias de las intervenciones en los síntomas clínicos inherentes al cáncer y su tratamiento que demostraron impactos positivos de la auriculoterapia como intervención. Conclusión: Los estudios relacionados con el tema son escasos, apuntan una realidad científica poco explorada. Un número mayor de estudios clínicos debe ocurrir para fortalecer las evidencias de las intervenciones terapéuticas efectivas, subsidiar la práctica y asegurar asistencia cualificada

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Resumo: Trata-se de um ensaio clínico randomizado com o objetivo de avaliar os efeitos da acupressura auricular na melhoria da qualidade de vida de mulheres com câncer de mama em tratamento quimioterápico e teve como objetivo de intervenção realizar um protocolo para aplicação da acupressura auricular no ambulatório de hematologia e oncologia do Complexo Hospital de Clínicas da Universidade Federal do Paraná. A pesquisa foi realizada de março de 2017 até abril de 2018.Participaram 54 mulheres com câncer de mama que estavam recebendo quimioterapia, com idade igual ou superior a 18 anos, não gestantes e que tinham disponibilidade para aplicação da acupressura auricular no ambulatório. Foram excluídas aquelas em uso de medicamentos antidepressivos e/ou ansiolíticos. Foram randomizadas 27 mulheres no grupo intervenção e 27 no grupo controle ou Sham, com alocação de 1:1 (1 intervenção: 1 controle ou Sham pseudointervenção). Os pontos utilizados foram escolhidos pela equipe de pesquisa, de acordo com os principais sintomas físicos e emocionais causados pelo câncer e seu tratamento identificados na literatura. O grupo intervenção recebeu a aplicação da acupressura auricular com esferas de cristal em seis acupontos, (shenmem, rim, estômago, cárdia, tronco cerebral e endócrino), o grupo controle recebeu a aplicação do micropore® nos mesmos acupontos e ambos com aplicação semanal por 12 semanas. A qualidade de vida foi avaliada em cinco momentos diferentes, a primeira antes de iniciar a intervenção e as demais sequencialmente com intervalo de três semanas, com os questionários da European Organization for Research and Treatment of Cancer, Quality of Life Questionnaire Core 30 e Quality of Life Questionnaire - Breast Cancer BR23. Os resultados mostraram que a idade média das mulheres foi de 51,3 anos e demonstraram melhorias em todos os domínios relacionados à qualidade de vida. Porém, as significantes no grupo intervenção foram na escala de sintomas do Quality of Life Questionnaire Core 30 para náuseas e vômito, p valor= 0,0018 e no Quality of Life Questionnaire - Breast Cancer nos sintomas da mama, p valor= 0,00046. A acupressura auricular mostrou-se método seguro, eficaz, de baixo custo, sem efeitos colaterais, facilmente aplicável por enfermeiros em pacientes ambulatoriais e pode ser recomendada como terapia complementar no tratamento do câncer de mama com vistas à melhorar a QV. O resultado do objetivo de intervenção foi a elaboração do protocolo de auriculoterapia para aplicação da acupressura auricular como tratamento complementar nos pacientes com diagnóstico de câncer de mama em tratamento quimioterápico, atendidos no local da pesquisa.

Abstract: This is a randomized clinical trial with the objective of evaluating the effects of auricular acupressure on the quality of life of women with breast cancer undergoing chemotherapeutic treatment and had the objective of implementing a protocol for the application of auricular acupressure in hematology and oncology of the Clinical Hospital of the Federal University of Paraná. The research was carried out from March 2017 until April 2018. Participants were 54 women with breast cancer who were receiving chemotherapy, aged 18 years or above, not pregnant and who were available to come weekly for auricular acupressure. Excluding those who were taking antidepressant and / or anxiolytic drugs. Twenty-seven women in the intervention group and 27 in the control or Sham group, with allocation of 1: 1 (1 intervention: 1 control or Sham pseudo-intervention) were randomized. The intervention group received the application of auricular acupressure with crystal beads in six acupoints (shenmem, kidney, stomach, cardia, brainstem and endocrine). The control group received the application of the micropore in the same acupoints. Both groups received weekly sessions during 12 weeks. Quality of life was assessed at five different times, the first being before the intervention and the next four every three weeks with questionnaires from the European Organization for Research and Treatment of Cancer, Quality of Life Questionnaire Core 30 and Quality of Life Questionnaire - Breast Cancer BR23. The results showed that the average age of women was 51.3 years and showed improvements in all domains related to quality of life. However the signifiers in the intervention group were in the symptom scale of the Quality of Life Questionnaire Core 30 for nausea and vomiting, p value = 0.0018 and in the Quality of Life Questionnaire - Breast Cancer in breast symptoms, p value = 0.00046. Atrial acupressure has proved to be a safe, effective, low-cost, no-side-effect method easily applied by nurses in outpatients and may be recommended as a complementary therapy in the treatment of breast cancer to improve QoL in these women.The result of the intervention was the elaboration of anauriculotherapy protocol for the application of auricular acupressure as a complementary treatment in patients with breast cancer diagnosis undergoing chemotherapy, treated at the research site.

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