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手部反射疗法按摩对冠状动脉造影术后患者疼痛和疲劳的影响:一项随机对照临床试验

The Effect of Hand Reflexology Massage on Pain and Fatigue in Patients after Coronary Angiography: A Randomized Controlled Clinical Trial.

作者信息

Rejeh Nahid, Tadrisi Seyed Davood, Yazdani Shahrooz, Saatchi Kiarash, Vaismoradi Mojtaba

机构信息

Department of Nursing, Faculty of Nursing and Midwifery, Shahed University, Tehran, Iran.

Trauma Research Center, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran.

出版信息

Nurs Res Pract. 2020 Aug 29;2020:8386167. doi: 10.1155/2020/8386167. eCollection 2020.

Abstract

INTRODUCTION

Coronary angiography can cause pain and fatigue in patients. Hand reflexology as complementary and integrative care approach has been suggested to help with the reduction of patient's pain and fatigue.

AIM

This study aimed to investigate the effect of hand reflexology on pain and fatigue in patients after coronary angiography.

DESIGN

A randomized controlled clinical trial.

METHODS

This study was conducted on 90 patients in an angiography department of a referral hospital in an urban area of Iran. The patients were randomly divided into two interventions ( = 45) and control ( = 45) groups. Hand reflexology was performed for 20 minutes in the intervention group. Pain and fatigue in the groups were measured immediately, 4 and 6 hours after the intervention.

RESULTS

Statistically significant differences were observed in pain and fatigue scores between the groups after the intervention ( = 0.001). The intervention had medium to large effects on the patients' pain and fatigue. Hand reflexology as a nonpharmacological and safe technique can be used by nurses along with other pharmacologic interventions in order to reduce patients' suffering related to invasive procedures. The trial is registered with IRCT20110912007529N17.

摘要

引言

冠状动脉造影可导致患者疼痛和疲劳。手部反射疗法作为一种补充和综合护理方法,已被建议用于帮助减轻患者的疼痛和疲劳。

目的

本研究旨在调查手部反射疗法对冠状动脉造影术后患者疼痛和疲劳的影响。

设计

一项随机对照临床试验。

方法

本研究在伊朗一个城市地区的一家转诊医院的血管造影科对90名患者进行。患者被随机分为两个干预组(n = 45)和对照组(n = 45)。干预组进行20分钟的手部反射疗法。在干预后立即、4小时和6小时测量两组的疼痛和疲劳情况。

结果

干预后两组之间的疼痛和疲劳评分存在统计学显著差异(P = 0.001)。该干预对患者的疼痛和疲劳有中等到较大的效果。手部反射疗法作为一种非药物且安全的技术,护士可将其与其他药物干预措施一起使用,以减轻患者与侵入性操作相关的痛苦。该试验已在IRCT20110912007529N17注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a108/7475748/39a36cd7de75/NRP2020-8386167.001.jpg

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