Hamlacı Yasemin, Yazici Saadet
Faculty of Health Science, Eskisehir Osmangazi University, Eskişehir, Turkey (Ms Hamlacı); and Faculty of Health Science, Istanbul University (Dr Yazici), İstanbul, Turkey.
Holist Nurs Pract. 2017 May/Jun;31(3):167-176. doi: 10.1097/HNP.0000000000000205.
Controlling labor pain is one of the basic goals for caregivers during the birthing process. There are many pharmacological and nonpharmacological methods that are used for controlling pain and helping the mother to cope with pain and have a favorable labor. The study was planned as a randomized, controlled experimental study to detect the effect of acupressure applied to Point LI4 on perceived labor pains. The study sample comprised 88 pregnant women (44 acupressure group, 44 control group), who complied with the study guidelines, agreed with the conditions of the study, and signed the informed consent. Acupressure was applied to the study group when cervical dilatation reached 4 to 5 cm and again when cervical dilation was 7 to 8 cm. Acupressure was applied to Point LI4 on both the hands at the same time from the beginning to the end of the contraction (16 times). Evaluation with the visual analog scale was made 6 times: when the pregnant woman was first admitted to the hospital, before and after acupressure, and within 2 hours after delivery. The control group received routine care. There were statistically significant differences between the groups in subjective labor pain scores (P < .0001). There was a significant difference between the groups in terms of total duration of labor. As shown from our study, applying acupressure to Point LI4 was found to be effective in decreasing the perception of labor pains and shortening the labor (P < .05). Mothers were pleased with this treatment, but they found it insufficient to control their pain.
控制分娩疼痛是分娩过程中护理人员的基本目标之一。有许多药物和非药物方法可用于控制疼痛，帮助母亲应对疼痛并顺利分娩。本研究计划作为一项随机对照实验研究，以检测按压合谷穴对分娩疼痛感受的影响。研究样本包括88名孕妇（44名按压穴位组，44名对照组），她们符合研究指南，同意研究条件并签署了知情同意书。当宫颈扩张达到4至5厘米时，对研究组进行穴位按压，宫颈扩张至7至8厘米时再次进行按压。在宫缩开始至结束期间，同时对双手的合谷穴进行按压（16次）。使用视觉模拟量表进行6次评估：孕妇首次入院时、穴位按压前后以及分娩后2小时内。对照组接受常规护理。两组在主观分娩疼痛评分上存在统计学显著差异（P < .0001）。两组在总产程方面存在显著差异。如我们的研究所示，发现按压合谷穴可有效减轻分娩疼痛感受并缩短产程（P < .05）。母亲们对这种治疗感到满意，但她们发现这种方法不足以控制疼痛。
