Abbasoğlu Aslıhan, Cabıoğlu Mehmet Tuğrul, Tuğcu Ali Ulaş, İnce Deniz Anuk, Tekindal Mustafa Agah, Ecevit Ayşe, Tarcan Aylin
Division of Neonatology, Department of Pediatrics, Başkent University Faculty of Medicine, Mareşal Fevzi Çakmak Caddesi, 10. Sokak, No: 4506490, Ankara, Turkey.
Department of Physiology, Başkent University Faculty of Medicine, Ankara, Turkey.
Explore (NY). 2015 Sep-Oct;11(5):363-6. doi: 10.1016/j.explore.2015.07.005. Epub 2015 Jul 3.
CONTEXT: Acupressure is an ancient Chinese healing art. In this pain-relieving method, the fingers are used to press key acupuncture points on the skin surface that stimulates the body׳s regulatory processes. OBJECTIVE: The aim of this study was to investigate the effect of acupressure at Kun Lun (UB60) and Taixi (K3) points for pain management in preterm infants prior to heel lancing for blood collection. DESIGN: This was a prospective, randomized controlled study. SETTING: The study setting was the neonatal intensive care unit at Baskent University Hospital in Turkey. PATIENTS: A total of 32 preterm infants between 28 and 36 weeks׳ gestational age were randomly assigned to one of two groups: an acupressure group (n = 16) or a control group (n = 16). INTERVENTION: In the acupressure group, immediately before the heel prick, acupressure was applied for three minutes at UB60 and K3 points. MAIN OUTCOME MEASURES: A behavioral pain score was determined using the Premature Infant Pain Profile (PIPP) scale. RESULTS: There were no significant differences between the groups with respect to gestational age, birth weight, sex, mode of delivery, age at time of procedure, weight at time of procedure, or PIPP score. Mean duration of procedure and mean duration of crying were both shorter in the acupressure group (both P = .001). CONCLUSIONS: Applying acupressure at the BL60 and K3 points before heel lancing was associated with shorter procedural time and shorter duration of crying in preterm infants.
背景:指压按摩是一种古老的中医疗法。在这种缓解疼痛的方法中,手指用于按压皮肤表面的关键穴位,从而刺激身体的调节过程。 目的:本研究旨在探讨在足跟采血前对昆仑穴(UB60)和太溪穴(K3)进行指压按摩对早产儿疼痛管理的效果。 设计:这是一项前瞻性随机对照研究。 地点:研究地点为土耳其巴斯肯特大学医院的新生儿重症监护病房。 患者:共有32名孕龄在28至36周之间的早产儿被随机分为两组:指压按摩组(n = 16)和对照组(n = 16)。 干预措施:在指压按摩组中,在足跟采血前,对UB60和K3穴位进行三分钟的指压按摩。 主要观察指标:使用早产儿疼痛量表(PIPP)确定行为疼痛评分。 结果:两组在孕龄、出生体重、性别、分娩方式、手术时年龄、手术时体重或PIPP评分方面无显著差异。指压按摩组的平均手术时间和平均哭闹时间均较短(P均 = 0.001)。 结论:足跟采血前对BL60和K3穴位进行指压按摩与早产儿较短的手术时间和较短的哭闹时间相关。
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