Batvani Marzieh, Yousefi Hojatollah, Valiani Mahboubeh, Shahabi Javad, Mardanparvar Hossein
Student Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Ulcer Repair Research Center, Department of Adult Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2018 Mar-Apr;23(2):143-148. doi: 10.4103/ijnmr.IJNMR_83_16.
Myocardial infarction is a major complication of coronary heart disease, and due to high mortality, is a part of important medical emergencies. Today, complementary and alternative medicine, as nonpharmacological and health promotion methods is considered. Therefore, this study was designed to evaluate the effectiveness of acupressure on physiological parameters of patients with myocardial infarction.
This clinical trial was carried out among two groups and three stages in 2015. Study participants included 64 patients hospitalized in Iran, Isfahan Shahid Chamran hospital. Acupressure in five points and at any point for 2 minutes, twice per day for 3 days was done in the experimental group and as the same at a false point for the control group. Physiological parameters were recorded before, immediately, and 30 minutes after intervention. Data were analyzed using SPSS 20 and independent -tests, Chi-square, Mann-Whitney test, repeated-measurements analysis of variance.
Independent -test immediately and 30 minutes after the intervention showed that mean systolic blood pressure and arterial oxygen saturation in the intervention group were significantly lower and higher than the control group, respectively; however, mean diastolic blood pressure and heart rate were not significantly different. However, 30 minutes after intervention, diastolic blood pressure and heart rate were significantly lower in the intervention group.
Acupressure in five points of body had a positive effect on physiological parameters, and showed that after a short time of interventions these parameters lead to promotion over time.
心肌梗死是冠心病的主要并发症，由于其高死亡率，属于重要的医疗急症范畴。如今，补充和替代医学作为非药物及健康促进方法受到关注。因此，本研究旨在评估穴位按压对心肌梗死患者生理参数的有效性。
本临床试验于2015年分两组分三个阶段进行。研究参与者包括64名在伊朗伊斯法罕沙希德·查姆兰医院住院的患者。实验组对五个穴位进行穴位按压，每个穴位按压2分钟，每天两次，共3天，对照组在假穴位进行同样操作。在干预前、干预即刻和干预后30分钟记录生理参数。数据使用SPSS 20软件进行分析，采用独立样本t检验、卡方检验、曼-惠特尼检验、重复测量方差分析。
干预即刻及干预后30分钟的独立样本t检验显示，干预组的平均收缩压显著低于对照组，平均动脉血氧饱和度显著高于对照组；然而，平均舒张压和心率无显著差异。不过，干预后30分钟，干预组的舒张压和心率显著降低。
对身体五个穴位进行穴位按压对生理参数有积极影响，表明在短时间干预后这些参数会随时间推移得到改善。
