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针刺疗法对接受关节镜下肩部手术的日间手术患者术后疼痛的影响

Acupuncture for postoperative pain in day surgery patients undergoing arthroscopic shoulder surgery.

作者信息

Ward Ulla, Nilsson Ulrica G

机构信息

Department of Anaesthesiology and Intensive Care, Orebro University hospital, Örebro, Sweden.

出版信息

Clin Nurs Res. 2013 Feb;22(1):130-6. doi: 10.1177/1054773812454136. Epub 2012 Jul 27.

Abstract

The purpose of this quasi-experimental study was to examine the effect of acupuncture on postoperative pain in day surgery patients undergoing arthroscopic shoulder surgery. Twenty-two participants scheduled to undergo arthroscopic shoulder surgery were included. The results showed that on postoperative day one pain decreased (-1.1) in patients receiving acupuncture compared to the control group in which pain increased (2.0), p=.014. Sleep quality was also significantly higher in the acupuncture group compared to the control group, p=.042. In conclusions, acupuncture seems to have a reducing effect on postoperative pain as well as increase sleep quality in day surgery patients undergoing arthroscopic shoulder surgery. In regards to application, nurses should be encouraged to use additional nonpharmacologic approaches like acupuncture in postoperative pain management, as this can be a part of the multimodal analgesic regimes to improve patients care.

摘要

这项准实验研究的目的是检验针灸对接受关节镜肩部手术的日间手术患者术后疼痛的影响。纳入了22名计划接受关节镜肩部手术的参与者。结果显示,与疼痛增加(2.0)的对照组相比,接受针灸治疗的患者术后第一天疼痛减轻(-1.1),p = 0.014。与对照组相比,针灸组的睡眠质量也显著更高,p = 0.042。总之,针灸似乎对接受关节镜肩部手术的日间手术患者的术后疼痛有减轻作用,并能提高睡眠质量。在应用方面,应鼓励护士在术后疼痛管理中使用针灸等额外的非药物方法,因为这可以成为多模式镇痛方案的一部分,以改善患者护理。

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