反射疗法对冠状动脉搭桥手术前患者生命体征的影响。
The effect of reflexotherapy on patients' vital signs before coronary artery bypass graft surgery.
作者信息
Moeini Mahin, Kahangi Leila Sadat, Valiani Mahboobeh, Heshmat Reza
机构信息
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
出版信息
Iran J Nurs Midwifery Res. 2011 Winter;16(1):8-12.
BACKGROUND
Medical operation is an anxious factor that causes physiological reactions in body which consequently increases respiratory rate, heart rate and blood pressure. The aim of this study is assessing the effect of reflexotherapy on vital signs of patients before coronary artery bypass surgery in Shahid Chamran hospital of Isfahan.
METHODS
Fifty volunteer patients candidated for coronary artery bypass surgery were enrolled in this clinical trial. They were divided in two (control and treatment) groups. Vital signs were measured pre and post 30 minutes reflexotherapy in treatment group. Vital signs were also measured in patients in control group at the same condition of the treatment group, but reflexotherapy was not performed.
RESULTS
The mean differences of vital signs was not significant in control and treatment groups at the baseline. But post reflexotherapy intervention, systolic and diastolic blood pressure lowered significantly in the treatment group in comparison with control group (p < 0.05). No significant changes were observed for other vital sign.
CONCLUSIONS
The findings of the study shows that reflexotherapy is a safe, effective, cheep nursing intervention in reducing systolic and diastolic blood pressure of patients before coronary artery bypass surgery.
背景
医疗手术是一种会引发身体生理反应的焦虑因素，进而会提高呼吸频率、心率和血压。本研究的目的是评估反射疗法对伊斯法罕沙希德·查姆兰医院冠状动脉搭桥手术患者生命体征的影响。
方法
五十名志愿接受冠状动脉搭桥手术的患者参与了这项临床试验。他们被分为两组（对照组和治疗组）。在治疗组中，反射疗法前后30分钟测量生命体征。在与治疗组相同的条件下对对照组患者也测量生命体征，但不进行反射疗法。
结果
在基线时，对照组和治疗组生命体征的平均差异不显著。但反射疗法干预后，与对照组相比，治疗组的收缩压和舒张压显著降低（p < 0.05）。其他生命体征未观察到显著变化。
结论
该研究结果表明，反射疗法是一种安全、有效、廉价的护理干预措施，可降低冠状动脉搭桥手术患者术前的收缩压和舒张压。
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