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胆囊切除术术后应用穴位按压对胃肠道系统功能、疼痛和焦虑的影响:一项随机、安慰剂对照研究。

The effect on gastrointestinal system functions, pain and anxiety of acupressure applied following laparoscopic cholecystectomy operation: A randomised, placebo-controlled study.

机构信息

Erciyes University, Institute of Health Sciences, Surgical Nursing, Kayseri, Turkey.

Erciyes University, Faculty of Health Sciences, Nursing Department, Kayseri, Turkey.

出版信息

Complement Ther Clin Pract. 2021 May;43:101304. doi: 10.1016/j.ctcp.2021.101304. Epub 2021 Jan 9.

Abstract

The aim of this randomised, placebo-controlled, 3-way blinded study was to determine the effect on GIS symptoms, pain and anxiety of acupressure applied for a total of 12 min, as 3 min at each of the ST25, CV12, TH6, and HT7 acupuncture points, at 0, 4 and 8 h after laparoscopic cholecystectomy operation. The research data were collected using a patient data collection form, the Numeric Pain Intensity Scale and the State-Trait Anxiety Inventory. The patients were evaluated in respect of the time to first flatus and defecation, pain and the State-Trait Anxiety points at 0, 4, and 8 h postoperatively. The application of acupressure was determined to have signficantly reduced acute postoperative pain and shortened the time to defecation (p < 0.05). The application of acupressure can be recommended in the nursing interventions following laparoscopic cholecystectomy to reduce acute pain and shorten the time to defecation.

摘要

本随机、安慰剂对照、三向盲法研究的目的是确定在腹腔镜胆囊切除术后 0、4 和 8 小时,对 ST25、CV12、TH6 和 HT7 穴位各按压 3 分钟,总共按压 12 分钟,对 GIS 症状、疼痛和焦虑的影响。研究数据通过患者数据采集表、数字疼痛强度量表和状态-特质焦虑量表收集。评估患者术后 0、4 和 8 小时的首次排气和排便时间、疼痛和状态-特质焦虑点。按压穴位显著减轻了急性术后疼痛并缩短了排便时间(p<0.05)。可以推荐在腹腔镜胆囊切除术后的护理干预中应用穴位按压,以减轻急性疼痛并缩短排便时间。

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