Fasihi Seyede Mahtab, Karampourian Arezou, Khatiban Mahnaz, Hashemi Mamak, Mohammadi Younes
Department of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
Urology and Nephrology Research Center, Chronic Diseases (Home Care) Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
Contemp Clin Trials Commun. 2022 Mar 31;27:100914. doi: 10.1016/j.conctc.2022.100914. eCollection 2022 Jun.
Hugo point is the most important pain control point in the body, so the study was performed to determine the effect of Hugo point massage on respiratory volume and the pain intensity after chest tube placement.
The study was performed as a randomized crossover clinical trial on 61 patients with a chest tube. Patients were placed in every 2 h through the ternary permutation block once under a false point pressure, once under a Hugo point pressure, and once without intervention. Data were collected using a questionnaire of demographic, clinical information, the Numerical Pain Rating Scale, and spirometry. Analysis of variance with repeated measures was used to analyze the data.
There was no significant difference in the pain intensity before and during the intervention between the three groups. However, after the intervention, the mean pain intensity in the control group was higher than the Hugo and placebo groups (P < 0.001), and the mean pain intensity in the placebo group was higher than in the Hugo group (P < 0.001). There was no significant difference between the three groups in terms of the rate of ascent and retention time of spirometry ball the three times before, during, and after the intervention.
Hugo point massage reduces the pain intensity; however, has no significant effect on their respiratory volume. Hugo point massage is recommended to reduce the severity of pain in patients with chest tube.
胡果点是人体最重要的疼痛控制点，因此开展本研究以确定胡果点按摩对胸腔闭式引流术后呼吸量和疼痛强度的影响。
本研究为一项针对61例胸腔闭式引流患者的随机交叉临床试验。患者每2小时接受一次假穴按压、一次胡果点按压和一次无干预操作，顺序通过三元排列区组安排。使用一份包含人口统计学、临床信息、数字疼痛评分量表和肺活量测定的问卷收集数据。采用重复测量方差分析对数据进行分析。
三组在干预前和干预期间的疼痛强度无显著差异。然而，干预后，对照组的平均疼痛强度高于胡果组和安慰剂组（P<0.001），安慰剂组的平均疼痛强度高于胡果组（P<0.001）。三组在干预前、干预期间和干预后三次肺活量测定球上升速率和保留时间方面无显著差异。
胡果点按摩可降低疼痛强度；然而，对呼吸量无显著影响。建议采用胡果点按摩减轻胸腔闭式引流患者的疼痛程度。
