Kamali Mahsa, Bagheri-Nesami Masoumeh, Ghaemian Ali, Moosazadeh Mahmood, Esmaeili-Ahangarkelai Nadali, Ghasemi Charati Fahimeh, Haghighat Sahar
Pediatric Infectious Diseases Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran.
Cardiovascular Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Middle East J Dig Dis. 2022 Oct;14(4):422-430. doi: 10.34172/mejdd.2022.303. Epub 2022 Oct 30.
: Cardiac patients are prone to experiencing constipation. The main purpose of the present study was to assess the effect of acupressure on preventing constipation in patients with acute myocardial infarction (AMI) under primary percutaneous coronary intervention. : The present randomized clinical trial was conducted on 90 patients with AMI (30 patients in each group) who were randomly allocated based on inclusion criteria. The intervention was carried out among the patients with AMI on the acupressure points SJ6, LI4, ST25, and SP6 two times a day (10 am and 6 pm) for three sequential days. : On the first and second days of the study, all of the patients had no defecation, and the first defecation occurred on the third day of the study. In the intervention, sham, and control groups, 93.3%, 46.7%, and 50.0% had normal defecation on the third day of the study, respectively. The results of the Chi-square test revealed significant differences among the three groups (<0.001). : The results of the present study showed that patients with AMI in the intervention group had significant improvement in terms of stool consistency based on the Bristol stool scale. So, acupressure can be used as a nursing intervention in critical care units.
心脏病患者容易出现便秘。本研究的主要目的是评估穴位按压对接受直接经皮冠状动脉介入治疗的急性心肌梗死（AMI）患者预防便秘的效果。：本随机临床试验对90例AMI患者（每组30例）进行，这些患者根据纳入标准被随机分配。对AMI患者在穴位三焦经6穴、大肠经4穴、胃经25穴和脾经6穴进行干预，每天两次（上午10点和下午6点），连续三天。：在研究的第一天和第二天，所有患者均未排便，首次排便发生在研究的第三天。在干预组、假手术组和对照组中，分别有93.3%、46.7%和50.0%的患者在研究的第三天排便正常。卡方检验结果显示三组之间存在显著差异（<0.001）。：本研究结果表明，根据布里斯托大便分类法，干预组的AMI患者在大便稠度方面有显著改善。因此，穴位按压可作为重症监护病房的一种护理干预措施。
