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手部和足部表面 strokes 按摩对急性冠脉综合征患者焦虑和生命体征的影响:一项随机临床试验。

Effect of hand and foot surface stroke massage on anxiety and vital signs in patients with acute coronary syndrome: A randomized clinical trial.

机构信息

Community-Oriented Nursing Midwifery Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.

Community-Oriented Nursing Midwifery Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.

出版信息

Complement Ther Clin Pract. 2018 May;31:126-131. doi: 10.1016/j.ctcp.2018.01.012. Epub 2018 Feb 13.

DOI:10.1016/j.ctcp.2018.01.012
PMID:29705444
Abstract

BACKGROUND AND OBJECTIVES

Anxiety affects various body systems, which leads to an increase in respiratory rate, heart rate, blood pressure, and myocardial oxygen demand. The aim of this study was to investigate the effect of hand and foot surface stroke massage on the level of anxiety and vital signs in patients with acute coronary syndrome (ACS).

MATERIALS AND METHODS

The single-blind clinical trial was performed on 70 patients with ACS. The patients were randomly assigned to the case and control groups. Anxiety levels were controlled 30 min before and 15 min after the intervention. The vital signs were checked in the two groups before, immediately after, 60 min, and 90 min after the intervention. The data were analyzed using SPSS software, descriptive statistics (mean ± standard deviation), independent t-test, paired t-test, and chi-square test.

RESULTS

No significant difference was observed in the patients' levels of anxiety, systolic blood pressure, diastolic blood pressure, respiratory rate, and pulse rate before the intervention. However, after the intervention, the mean changes in the levels of anxiety, blood pressure, heart rate, and respiratory rate were significant.

CONCLUSION

Hand and foot massage can be a useful nursing intervention in attenuating anxiety levels and improving the vital signs in patients.

摘要

背景和目的

焦虑会影响身体的多个系统,导致呼吸频率、心率、血压和心肌耗氧量增加。本研究旨在探讨手部和足部表面推拿按摩对急性冠状动脉综合征(ACS)患者焦虑水平和生命体征的影响。

材料和方法

对 70 名 ACS 患者进行单盲临床试验。将患者随机分为病例组和对照组。在干预前 30 分钟和干预后 15 分钟控制焦虑水平。在干预前、干预后即刻、60 分钟和 90 分钟检查两组的生命体征。使用 SPSS 软件对数据进行分析,采用描述性统计(均值±标准差)、独立 t 检验、配对 t 检验和卡方检验。

结果

干预前,两组患者的焦虑水平、收缩压、舒张压、呼吸率和脉搏率无显著差异。然而,干预后,焦虑水平、血压、心率和呼吸率的平均变化具有统计学意义。

结论

手部和足部按摩可以作为一种有用的护理干预措施,减轻患者的焦虑水平,改善生命体征。

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