足部反射疗法对冠状动脉旁路手术后男性患者躁动和拔管时间的影响：一项随机对照临床试验。
The effects of foot reflexology on agitation and extubation time in male patients following coronary artery bypass surgery: A randomized controlled clinical trial.
机构信息
Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
IMPACCT, Faculty of Health, University of Technology Sydney, Sydney, Australia.
出版信息
Complement Ther Clin Pract. 2020 Aug;40:101201. doi: 10.1016/j.ctcp.2020.101201. Epub 2020 May 25.
BACKGROUND AND PURPOSE
This study examined the effects of foot reflexology on agitation and extubation time of male patients following coronary artery bypass graft surgery.
MATERIALS AND METHODS
In this randomized three-arm controlled clinical trial, participants (n = 120) were randomly assigned to the intervention, placebo, or control groups. The intervention group received foot reflexology massage for 15 min. Agitation was assessed using the Richmond Agitation- Sedation Scale before the intervention (Time 1) and immediately (Time 2) and 10 min after the intervention (Time 3). Extubation time was measured as the time from gaining full consciousness to endotracheal extubation.
RESULTS
Agitation reduced in all groups from Time 1 to Time 3 (p < 0.05); however, the intervention group showed a significantly higher reduction at Time 2 (p < 0.001) and Time 3 (p < 0.001). Also, extubation time was significantly shorter in the intervention group (p < 0.01).
CONCLUSION
Foot reflexology may be introduced as a nursing intervention to facilitate the weaning process in the cardiac ICUs.
背景与目的
本研究旨在探讨足部反射疗法对冠状动脉旁路移植术后男性患者躁动和拔管时间的影响。
材料与方法
这是一项随机三臂对照临床试验，将 120 名参与者随机分为干预组、安慰剂组和对照组。干预组接受足部反射按摩 15 分钟。在干预前（时间 1）、立即（时间 2）和干预后 10 分钟（时间 3）使用 Richmond 躁动-镇静量表评估躁动。拔管时间定义为从意识恢复到气管插管拔出的时间。
结果
所有组的躁动评分均从时间 1 降至时间 3（p < 0.05）；然而，干预组在时间 2（p < 0.001）和时间 3（p < 0.001）的降幅更大。此外，干预组的拔管时间明显缩短（p < 0.01）。
结论
足部反射疗法可作为一种护理干预措施，促进心脏重症监护病房的脱机过程。
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