Department of Nursing, Hungkuang University, Taichung 433304, Taiwan.
Department of Nursing, Central Taiwan University of Science and Technology, Taichung 406053, Taiwan.
Int J Environ Res Public Health. 2022 Feb 7;19(3):1869. doi: 10.3390/ijerph19031869.
This study aimed to assess the effectiveness of practicing acupressure on the Shenmen and Neiguan acupoints with a view to reduce anxiety and improve the comfort and physical health of patients undergoing thoracoscopic surgery.
A total of 100 hospitalized patients undergoing thoracoscopic surgery were assigned randomly into the experimental ( = 49) and control groups ( = 51). Subjects in the experimental group received routine care plus acupressure on the Shenmen and Neiguan acupoints, while those in the control group received regular routine care. The data were collected using demographic information, physical and surgical data, the Visual Analog Scale (VAS)-A, the State-Trait Anxiety Inventory Y Form (STAI-Y1), and Shortened General Comfort Questionnaire scores. The linear mixed model was used to examine the influences of acupressure on VAS-A and STAI-Y1 scores at different time points before and after the surgery to observe group-by-time interactions.
The mean age of the subjects was 60.97 years. All subjects had mild-to-moderate anxiety after surgery and showed a statistically significant decline in regression coefficients on the first and second days after the intervention (β = -11.61, = 0.002; β = -18.71, < 0.001). Similarly, for STAI-YI scores, the data showed a significant difference in the pre-test and post-test interactions between the two groups (β = 4.72, = 0.031). Conversely, acupressure did not have a statistically significant difference on comfort (F = 2.953, = 0.057). Compared with the control subjects, the experimental subjects used less morphine and developed side effects less frequently ( < 0.01). They were also able to get out of bed after surgery 163.79 min earlier ( < 0.05).
Acupressure is a simple and easy-to-practice treatment. Acupressure on the Shenmen and Neiguan acupoints reduces anxiety and improves recovery in patients after undergoing thoracoscopic surgery.
本研究旨在评估按压神门和内关穴位对减轻焦虑、提高接受胸腔镜手术患者舒适度和身体健康的效果。
将 100 名住院接受胸腔镜手术的患者随机分为实验组（n=49）和对照组（n=51）。实验组患者接受常规护理加神门和内关穴位按压，对照组患者接受常规护理。使用人口统计学信息、身体和手术数据、视觉模拟量表（VAS）-A、状态-特质焦虑量表 Y 型（STAI-Y1）和简化一般舒适度问卷评分收集数据。使用线性混合模型来检验不同时间点手术前后按压对 VAS-A 和 STAI-Y1 评分的影响，以观察组间时间交互作用。
研究对象的平均年龄为 60.97 岁。所有患者术后均有轻度至中度焦虑，干预后第 1 天和第 2 天的回归系数呈统计学显著下降（β=-11.61，p=0.002；β=-18.71，p<0.001）。同样，对于 STAI-Y1 评分，两组间的预测试和后测试交互作用数据存在显著差异（β=4.72，p=0.031）。相反，按压对舒适度没有统计学显著差异（F=2.953，p=0.057）。与对照组相比，实验组患者使用的吗啡更少，副作用发生频率更低（p<0.01）。他们也能更早地在术后下床（p<0.05），早 163.79 分钟。
按压是一种简单易行的治疗方法。按压神门和内关穴位可减轻胸腔镜手术后患者的焦虑并促进康复。
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