穴位按摩对胸腔镜手术患者术后疼痛管理的有效性:随机对照试验

Mark wiens

发布时间:2021-12-07

今日,一则小视频刷爆了石鼓人民的朋友圈。 视频中,一名男子用纳西话说着“昨天水位还在下面,今天就上涨了,真糟糕,真怕我的家石鼓被淹‘烂’了,帮我们说说吧……”视频里,男子哭天抢地,而身全家便利店加盟条件,网游之天师传奇,助学活动,

穴位按摩对胸腔镜手术患者术后疼痛管理的有效性:随机对照试验全家便利店加盟条件,网游之天师传奇,助学活动,

作者:NursingResearch护理研究前

Full text

Purpose

More than 86% patients experience moderate to severe pain after thoracoscopic surgery. A combination of diverse nonpharmacological pain relief methods is a developing trend for pain management. The purpose of this study was to explore the effect of acupressure in reducing pain after thoracoscopic surgery.

Design

A Randomized controlled study with purpose sampling was used for this study. Patients who underwent thoracoscopic surgery at a medical center in central Taiwan were enrolled. Study data was collected from September 2020 to April 2021 after the approval of the institutional review board. A total of 100 participants were randomized into two groups (49 and 51 in the experimental and control groups, respectively).

Methods

Participants in the experimental group received acupressure at the Neiguan (PC6) and Shenmen (HT7) acupoints thrice a day for 2 days, whereas those in the control group received routine treatment and did not receive acupressure. The measurement included questionnaires for the collection of general information, physiological information, and disease rating scale. The Visual Analogue Scale-Pain (VAS-P) was used to measure the severity of pain. SPSS statistical software was used for data analysis. Independent sample t-test and chi-squared test were used for deive statistics, and paired t-test and linear mixed model were used to examine the effect of acupressure in alleviating pain.

Findings

After acupressure intervention, the pain score of the experimental group was lower than that of the control group, and this difference was significant β = 17.76, p < 0.001 on day 1 after intervention; β = 19.80, p < 0.001 on day 2 after intervention. The postoperative pain score in the experimental group on day 2 after intervention was significantly lower than that in the control group (t = 2.039, p = 0.044). After the subjects received acupressure, pain index significantly decreased after considering the interaction between time and group (p < 0.001). Regardless of the type of surgery, there were significant differences in pain index when the interaction between time and group was considered (p < 0.001).

Conclusions

This study provided an experimental basis that acupressure can help in pain management in patients after thoracoscopic surgery, and the pain relief results become more significant as the duration of intervention increases.

Clinical relevance

Acupressure is effective in relieving postoperative pain in any type of thoracoscopic surgery. Nurses can use acupressure to help control pain in patients after thoracoscopic surgery.

全文翻译(仅供参考)

目的

超过86%的患者在胸腔镜手术后有中度至重度疼痛。综合使用各种非药物止痛方法是疼痛管理的一个发展趋势。本研究的目的是探讨穴位按摩对减轻胸腔镜手术后疼痛的效果。

设计

本研究采用目的抽样的随机对照研究。在台湾中部的一个医疗中心接受胸腔镜手术的患者被纳入研究。研究数据在机构审查委员会批准后于2020年9月至2021年4月收集。共有100名参与者被随机分为两组(实验组和对照组分别为49和51)。

方法

实验组的参与者在内关(PC6)和神门(HT7)穴位接受穴位按摩,每天三次,持续2天,而对照组的参与者接受常规治疗,不接受穴位按摩。测量包括收集一般信息、生理信息和疾病评分表的调查问卷。视觉模拟量表-疼痛(VAS-P)被用来测量疼痛的严重程度。采用SPSS统计软件进行数据分析。独立样本t检验和卡方检验用于描述性统计,配对t检验和线性混合模型用于考察穴位按摩缓解疼痛的效果。

研究结果

穴位按摩干预后,实验组的疼痛评分低于对照组,这种差异在干预后第1天有显著性β=17.76,p<0.001;干预后第2天β=19.80,p<0.001。实验组在干预后第2天的术后疼痛评分明显低于对照组(t = 2.039,p = 0.044)。受试者接受穴位按摩后,考虑到时间和组别之间的交互作用后,疼痛指数明显下降(p < 0.001)。无论哪种手术类型,在考虑时间和组间的交互作用后,疼痛指数都有显著差异(p < 0.001)。

结论

本研究为穴位按摩有助于胸腔镜手术后患者的疼痛管理提供了实验依据,而且随着干预时间的延长,疼痛缓解效果也更加明显。

临床意义

穴位按摩可以有效缓解任何类型胸腔镜手术的术后疼痛。护士可以利用穴位按摩来帮助控制胸腔镜手术后病人的疼痛。

原文链接:

https://doi.org/10.1111/jnu.12751

本文转载自其他网站,不代表健康界观点和立场。如有内容和图片的著作权异议,请及时联系我们(邮箱:guikequan@hmkx.cn)

北美外教一对一,股动力每日一股,动漫美女禁区图, http://www.xinzhiliao.com/zx/jiankang/38891.html

全家便利店加盟条件,网游之天师传奇,助学活动, 国家药监局关于发布《化妆品分类规则和分类目录》的公告(2021年第49号) 为贯彻落实《化妆品监督管理条例》,规范和指导化妆品分类工作,国家药监局制定了《化妆品分类规则和分类目录》(以

免责声明:本站所有信息均搜集自互联网,并不代表本站观点,本站不对其真实合法性负责。如有信息侵犯了您的权益,请告知,本站将立刻处理。联系QQ:1640731186