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[手部按摩对经桡动脉冠状动脉介入治疗患者的影响]

[The Effects of Hand Massage in Patients Who Underwent Transradial Percutaneous Coronary Intervention].

作者信息

Shin Eun Sil, Kim Myung Hee

机构信息

Coronary Care Unit, Dong-A University Hospital, Busan, Korea.

College of Nursing, Pusan National University, Yangsan, Korea.

出版信息

J Korean Acad Nurs. 2018 Aug;48(4):465-474. doi: 10.4040/jkan.2018.48.4.465.

Abstract

PURPOSE

This study aimed to determine the effect of hand massage in patients who underwent transradial percutaneous coronary intervention.

METHODS

This was a quasi-experimental study with a nonequivalent control group and non-synchronized design. The study included 30 patients in the experimental group and 30 in the control group. Hand massage was performed 2 times for 5 minutes each in the experimental group and the control group only received usual nursing interventions. Pain, level of discomfort, and vital signs were defined as key outcome measures, and the data were analyzed using the chi-square test, an independent t-test, Mann-Whitney U test, repeated-measures analysis of variance, and Friedman test.

RESULTS

Significant differences were observed between the 2 groups in the pain score (F=7.91, =.003), discomfort score (F=18.15, <.001), pulse (F=12.92, <.001), and respiration rate (χ²=19.35, <.001).

CONCLUSION

Hand massage can be a helpful nursing intervention for transradial percutaneous coronary intervention by reducing pain and discomfort to a considerable degree.

摘要

目的

本研究旨在确定手部按摩对经桡动脉行经皮冠状动脉介入治疗患者的影响。

方法

这是一项采用非等效对照组和非同步设计的准实验研究。研究纳入30例实验组患者和30例对照组患者。实验组进行2次手部按摩,每次5分钟,对照组仅接受常规护理干预。将疼痛、不适程度和生命体征定义为主要结局指标,并使用卡方检验、独立样本t检验、曼-惠特尼U检验、重复测量方差分析和弗里德曼检验对数据进行分析。

结果

两组在疼痛评分(F = 7.91,P = 0.003)、不适评分(F = 18.15,P < 0.001)、脉搏(F = 12.92,P < 0.001)和呼吸频率(χ² = 19.35,P < 0.001)方面存在显著差异。

结论

手部按摩可通过大幅减轻疼痛和不适,成为经桡动脉行经皮冠状动脉介入治疗的一种有益护理干预措施。

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