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磁疗对手术患者术后尿潴留的影响:一项随机临床试验。

The Effect of Magnetic Therapy on Postoperative Urinary Retention in Patients Undergoing Surgery: A Randomized Clinical Trial.

作者信息

Zarei Ghasem, Mosleh Sorour, Zare Soraya, Abotalebi Mohammad Sadegh

机构信息

Department of Physiology, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Medical Education, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Iran J Nurs Midwifery Res. 2024 Jul 24;29(4):417-423. doi: 10.4103/ijnmr.ijnmr_106_23. eCollection 2024 Jul-Aug.

DOI:10.4103/ijnmr.ijnmr_106_23
PMID:39205838
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11349157/
Abstract

BACKGROUND

Urinary retention is a postoperative problem that causes pain and discomfort for patients, even when catheters are used. The potential role of magnetic therapy in treating postoperative urinary retention through acupuncture points remains uncertain. This research aims to assess the impact of magnetic therapy on urinary retention in patients undergoing surgery.

MATERIALS AND METHODS

This single-blind clinical trial study was conducted in a recovery department within an operating room and subsequently in the Surgery Department of Amin Hospital. The study took place in Isfahan in 2022, with a sample of 64 patients selected using a simple random sampling method and divided equally into two groups. In the intervention group, magnet plates were applied, while the control group received iron plates at seven specific points for duration of 35 ± 5 minutes. Demographic information, the type of urinary excretion, the duration of urinary retention, and the volume of excreted urine were recorded using a researcher-made checklist for both intervention and control groups. These data were compared and subjected to descriptive and analytical statistical analysis.

RESULTS

Among the participants (N = 64), the majority were male (N = 37, 57.80%), and the mean age was 40.17 years. The Chi-square analysis revealed no significant difference between the intervention and control groups in terms of the type of urinary excretion ( = 0.106). However, the Mann-Whitney U-test demonstrated significant difference between the two groups regarding the duration required to eliminate urinary retention and the volume of excreted urine (F = 62 and F = 62; < 0.001).

CONCLUSIONS

The use of a novel approach involving magnetic therapy applied to acupuncture and reflexology points has been shown to reduce the time required for the first urination and increase the volume of urine in post-surgery patients.

摘要

背景

尿潴留是一个术后问题,即使使用导尿管,也会给患者带来疼痛和不适。磁疗通过穴位治疗术后尿潴留的潜在作用仍不确定。本研究旨在评估磁疗对手术患者尿潴留的影响。

材料与方法

这项单盲临床试验研究在手术室的恢复科室进行,随后在阿明医院外科进行。该研究于2022年在伊斯法罕进行,采用简单随机抽样方法选取64例患者作为样本,并将其平均分为两组。干预组应用磁片,而对照组在七个特定穴位放置铁片,持续35±5分钟。使用研究人员制作的检查表记录干预组和对照组的人口统计学信息、排尿类型、尿潴留持续时间和排尿量。对这些数据进行比较,并进行描述性和分析性统计分析。

结果

在参与者(N = 64)中,大多数为男性(N = 37,57.80%),平均年龄为40.17岁。卡方分析显示,干预组和对照组在排尿类型方面无显著差异( = 0.106)。然而,曼-惠特尼U检验表明,两组在消除尿潴留所需时间和排尿量方面存在显著差异(F = 62和F = 62; < 0.001)。

结论

已证明采用一种涉及将磁疗应用于针灸和反射疗法穴位的新方法可减少术后患者首次排尿所需时间并增加尿量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b598/11349157/67b9d2a55521/IJNMR-29-417-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b598/11349157/67b9d2a55521/IJNMR-29-417-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b598/11349157/67b9d2a55521/IJNMR-29-417-g001.jpg

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