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反射疗法对全腹部子宫切除术后减轻疼痛和焦虑的影响。

Effect of Reflexology on Decreasing Postoperative Pain and Anxiety After Total Abdominal Hysterectomy.

机构信息

Department of Midwifery, Biruni University Faculty of Health Sciences, Istanbul, Turkey (Dr Avci); and Department of Women's Health and Diseases Nursing, Istanbul University Florence Nightingale Faculty of Nursing, Istanbul, Turkey (Dr Oskay).

出版信息

Holist Nurs Pract. 2023;37(2):78-89. doi: 10.1097/HNP.0000000000000570.

Abstract

Surgical patients experience both postoperative pain and anxiety, as they try to cope with pain. Despite technological advances, pharmacological methods are inadequate for decreasing postoperative pain and anxiety. Reflexology has been implemented and considered effective in these areas in many countries. The aim of this study was to determine the effect of reflexology on decreasing postoperative pain and anxiety after a hysterectomy. The study was an intervention randomized study. The population of the investigation is all patients who had a hysterectomy between February 2012 and December 2014 in the Istanbul University Obstetrics and Gynecology service. The sample was 100 women chosen after a power analysis (minimum: 74) (experimental: 54, control: 46) within the population of the investigation who agreed to participate in the study. Using a table of random numbers, patients in the sample were divided into groups. Data was collected using the patient information and vital signs form, State-Trait Anxiety Inventory (STAI-I), Visual Analog Scale (VAS) Pain and Anxiety Scales, and BRIEF pain inventory. All women in the groups had similar sociodemographic, obstetric, and pain characteristics, past experience of illness, and characteristics related to their hysterectomy. All of the patients in the reflexology group stated that reflexology helped them feel better. The reflexology group compared with the control group had lower than the average VAS pain and VAS and STAI anxiety at all assessment times. Reflexology is effective in reducing anxiety and pain.

摘要

手术患者在努力应对疼痛的同时,会经历术后疼痛和焦虑。尽管技术有所进步,但药物治疗方法对于减轻术后疼痛和焦虑仍然不够有效。在许多国家,反射疗法已被实施并被认为在这些领域有效。本研究的目的是确定反射疗法对减轻子宫切除术后疼痛和焦虑的影响。该研究是一项干预性随机研究。研究人群为 2012 年 2 月至 2014 年 12 月期间在伊斯坦布尔大学妇产科接受子宫切除术的所有患者。根据幂分析(最小值:74)选择了 100 名女性作为样本(实验组:54 名,对照组:46 名),这些女性在调查人群中同意参与研究。使用随机数表,将样本中的患者分为两组。使用患者信息和生命体征表、状态-特质焦虑量表(STAI-I)、视觉模拟量表(VAS)疼痛和焦虑量表以及 BRIEF 疼痛量表收集数据。所有组中的女性都具有相似的社会人口统计学、产科和疼痛特征、疾病既往史以及与子宫切除术相关的特征。反射疗法组的所有患者都表示,反射疗法使他们感觉更好。与对照组相比,在所有评估时间点,反射疗法组的 VAS 疼痛和 VAS 以及 STAI 焦虑评分均低于平均值。反射疗法可有效减轻焦虑和疼痛。

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