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[足部反射疗法对原发性高血压患者的影响]

[Effects of foot reflexology on essential hypertension patients].

作者信息

Park Hyoung-Sook, Cho Gyoo-Yeong

机构信息

Department ot Nursing, Pusan National University, Psan 602-739, Korea.

出版信息

Taehan Kanho Hakhoe Chi. 2004 Aug;34(5):739-50. doi: 10.4040/jkan.2004.34.5.739.

Abstract

PURPOSE

This study was to evaluate the effects of foot reflexology on blood pressure, serum lipids level and life satisfaction in essential hypertension patients.

METHOD

The research design used was a nonequivalent control group pretest-posttest design. Foot Reflexology was used as the experimental treatment from June 23rd, 2003 until August 31st, 2003. Thirty-four subjects were assigned to an experimental group(18) and control group(16). Foot Reflexology was administered twice a week for 6 weeks and self foot Reflexology was administered twice a week for 4 weeks on the experimental group.

RESULT

There was a significant decrease in systolic blood pressure but no significant decrease in diastolic pressure in the experimental group compared to the control group. The total cholesterol level in the experimental group compared to the control group was not significantly decreased after foot reflexology. However, the triglyceride level in the experimental group compared to the control group was significantly decreased after foot reflexology. On the other hand, high density lipoprotein and low density lipoprotein levels in the experimental group compared to the control group was not significantly decreased after foot reflexology. Life satisfaction in the experimental group compared to the control group was significantly improved after foot reflexology.

CONCLUSION

The results proved that foot reflexology was an effective nursing intervention to decrease systolic pressure, and triglyceride but not for the blood cholesterol and to improve life satisfaction. Therefore, blood cholesterol should be further evaluated in a larger group of subjects and for a longer period. Further research is regarded as necessary to evaluate and to compare effects of self-foot reflexology and foot reflexology.

摘要

目的

本研究旨在评估足部反射疗法对原发性高血压患者血压、血脂水平及生活满意度的影响。

方法

采用的研究设计为非等效对照组前后测设计。2003年6月23日至2003年8月31日,将足部反射疗法作为实验性治疗方法。34名受试者被分为实验组(18人)和对照组(16人)。实验组每周接受两次足部反射疗法,共6周,之后每周进行两次自我足部反射疗法,共4周。

结果

与对照组相比,实验组收缩压显著降低,但舒张压无显著降低。足部反射疗法后,实验组总胆固醇水平与对照组相比无显著降低。然而,足部反射疗法后,实验组甘油三酯水平与对照组相比显著降低。另一方面,足部反射疗法后,实验组高密度脂蛋白和低密度脂蛋白水平与对照组相比无显著降低。足部反射疗法后,实验组生活满意度与对照组相比显著提高。

结论

结果证明,足部反射疗法是一种有效的护理干预措施,可降低收缩压和甘油三酯水平,但对血胆固醇无效,并可提高生活满意度。因此,应在更大规模的受试者群体中进行更长时间的血胆固醇评估。有必要进一步开展研究,以评估和比较自我足部反射疗法与足部反射疗法的效果。

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