Department of Nursing, Faculty of Health Sciences, Eastern Mediterranean University, via Mersin 10, Famagusta, North Cyprus, Turkey.
Department of Internal Medicine Nursing, Mersin University Faculty of Nursing, Mersin, Turkey.
Explore (NY). 2024 Jan-Feb;20(1):101-109. doi: 10.1016/j.explore.2023.07.001. Epub 2023 Jul 4.
This randomised sham-controlled trial aimed to analyse the effects of acupressure on pain, anxiety, and vital signs in patients who underwent coronary angiography.
After undergoing coronary angiography, 105 patients were randomised into acupressure (n = 35), sham acupressure (n = 35), and control groups (n = 35). Patients in the acupressure group received acupressure on the heart meridian 7 (HT7), large intestine meridian 4 (LI4), and pericardium meridian (PC6) acupoints 30 min after admission to the clinic, for a period of 16 min, whereas those in the sham group received acupressure on locations 1-1.5 cm away from these points. The control group received standard treatment. The patient information form, Spielberger's state anxiety inventory, visual analogue scale, and vital signs follow-up form were used for data collection.
Consecutive measurements revealed that anxiety levels in the acupressure group were lower than that in the sham and control groups (p < 0.05). In addition, compared to the sham and control groups, the pain scores in the acupressure group decreased significantly after acupressure (p < 0.01). Although there was no significant difference between the pain scores of the sham group before and after acupressure intervention (p > 0.05), the scores of the control group increased significantly over time (p < 0.01). Finally, the vital signs decreased significantly in the acupressure and sham groups after intervention (p < 0.01), but increased significantly in the control group (p < 0.01).
The findings of this trial indicated that acupressure is an effective method for reducing anxiety, pain, and vital signs.
本随机假对照试验旨在分析按压穴位对行冠状动脉造影术患者疼痛、焦虑和生命体征的影响。
冠状动脉造影术后，将 105 例患者随机分为按压穴位组（n=35）、假按压穴位组（n=35）和对照组（n=35）。按压穴位组患者在入院 30 分钟后接受心脏经络 7（HT7）、大肠经络 4（LI4）和心包经络（PC6）穴位的按压治疗，时长 16 分钟，而假按压组则在距离这些穴位 1-1.5 厘米的位置进行按压。对照组接受标准治疗。使用患者信息表、斯皮尔伯格状态焦虑量表、视觉模拟量表和生命体征随访表收集数据。
连续测量结果显示，按压穴位组的焦虑水平低于假按压组和对照组（p<0.05）。此外，与假按压组和对照组相比，按压穴位组的疼痛评分在按压穴位后显著降低（p<0.01）。虽然假按压组在干预前后的疼痛评分没有显著差异（p>0.05），但对照组的疼痛评分随着时间的推移显著增加（p<0.01）。最后，干预后按压穴位组和假按压组的生命体征显著降低（p<0.01），但对照组的生命体征显著升高（p<0.01）。
本试验结果表明，按压穴位是一种有效降低焦虑、疼痛和生命体征的方法。
