穴位按压疗法对接受长时间机械通气支持患者的影响。

Effects of acupressure therapy for patients having prolonged mechanical ventilation support.

作者信息

Tsay Shiow-Luan, Wang Juei-Chin, Lin Kuan-Chia, Chung Ue-Lin

机构信息

Graduate Institute of Nursing, National Taipei College of Nursing, Taipei, Taiwan.

出版信息

J Adv Nurs. 2005 Oct;52(2):142-50. doi: 10.1111/j.1365-2648.2005.03576.x.

DOI:10.1111/j.1365-2648.2005.03576.x

PMID:16164475

Abstract

AIMS

This paper reports an investigation of the effects of acupressure therapy on dyspnoea, anxiety and physiological indicators of heart rate and respiratory rate in patients with chronic obstructive pulmonary disease having mechanical ventilation support.

BACKGROUND

Patients with chronic obstructive pulmonary disease who are using mechanical ventilation often experience dyspnoea and anxiety, which affects successful ventilator use.

METHODS

The study had an experimental blocking design, using sex, age and length of ventilator use as a blocking factor. Qualified patients in two intermediate respiratory intensive care units were randomly assigned to an acupressure group and a comparison group. A total of 52 patients with chronic obstructive pulmonary disease in northern Taiwan participated. Those in the experimental group received daily acupressure therapy and massage treatment for 10 days. Patients in the comparison group received massage treatment and handholding. The primary outcome measures were the visual analogue scales for dyspnoea and anxiety, and physiological indicators of heart rate and respiratory rate. Data were collected every day from baseline (day 1), during the treatment (days 2-10) and follow-up (days 11-17). Data were analysed using generalized estimation equations. The study was carried out in 2003.

RESULTS

Patients with chronic obstructive pulmonary disease who were using prolonged mechanical ventilatory support experienced high levels of dyspnoea and anxiety. Dyspnoea (P = 0.009), anxiety (P = 0.011) and physiological indicators (P < 0.0001) in the acupressure group improved statistically significantly over time when compared with those of the comparison group.

CONCLUSIONS

This results support the suggestion that acupressure therapy could decrease sympathetic stimulation and improve perceived symptoms of dyspnoea and anxiety in patients with chronic obstructive pulmonary disease who are using prolonged mechanical ventilation.

摘要

目的

本文报告了一项关于指压疗法对接受机械通气支持的慢性阻塞性肺疾病患者呼吸困难、焦虑以及心率和呼吸频率等生理指标影响的调查。

背景

使用机械通气的慢性阻塞性肺疾病患者常出现呼吸困难和焦虑，这影响了机械通气的成功使用。

方法

本研究采用实验性区组设计，将性别、年龄和机械通气使用时长作为区组因素。两个中级呼吸重症监护病房的合格患者被随机分配到指压组和对照组。台湾北部共有52例慢性阻塞性肺疾病患者参与。实验组患者接受为期10天的每日指压疗法和按摩治疗。对照组患者接受按摩治疗和握手安抚。主要结局指标为呼吸困难和焦虑的视觉模拟量表，以及心率和呼吸频率的生理指标。从基线期（第1天）、治疗期间（第2 - 10天）和随访期（第11 - 17天）每天收集数据。使用广义估计方程进行数据分析。该研究于2003年开展。