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雷火灸联合穴位按压对经皮冠状动脉介入治疗患者股动脉鞘管拔出时疼痛、焦虑及生命体征的影响:一项随机对照研究。

The effect of reiki and acupressure on pain, anxiety and vital signs during femoral sheath removal in patients undergoing percutaneous coronary intervention: A randomized controlled study.

机构信息

Department of Nursing Services Coordinator, Mersin University Hospital, Mersin, Turkey.

Department of Medical Nursing, Faculty of Nursing, Mersin University, Mersin, Turkey.

出版信息

Explore (NY). 2024 Nov-Dec;20(6):103070. doi: 10.1016/j.explore.2024.103070. Epub 2024 Oct 9.

DOI:10.1016/j.explore.2024.103070
PMID:39405793
Abstract

OBJECTIVE

This study was conducted to determine the effect of reiki and acupressure on pain, anxiety, and vital signs during femoral sheath removal in patients undergoing percutaneous coronary intervention.

METHODS

The study, which was conducted as a prospective randomized controlled study, was carried out with 84 patients: reiki group (n = 28), acupressure group (n = 28), and control group (n = 28). Twenty minutes before the femoral catheter was extracted, 18 minutes of reiki was applied to the seven chakra regions in the reiki group, and 20 minutes of acupressure was applied to the LI4, HT7, and PC6 points in the acupressure group. The control group received standard care. All three groups were given the assessment with Visual Analog Scale, Spielberger State Anxiety Scale, and 5 minutes before & 5 minutes after sheath removal and vital sign data also collected at these time points.

RESULTS

After the intervention, it was determined that the pain and anxiety scores of both the reiki and acupressure groups were significantly lower than the pain and anxiety scores of the control group (p < 0.05). In addition, heart rate and respiratory rates were significantly lower than the control groups in the measurements made after the intervention of both reiki and acupressure groups (p < 0.05). Systolic and diastolic blood pressures after acupressure, but not after reiki, were significantly lower compared to the control group.

CONCLUSIONS

According to the results of the study, reiki and acupressure applied before the removal of the femoral sheath after percutaneous coronary intervention reduce pain and anxiety and improve vital signs to some extent.

摘要

目的

本研究旨在探讨雷火灸和穴位按压对经皮冠状动脉介入治疗患者股鞘拔除过程中疼痛、焦虑和生命体征的影响。

方法

本研究为前瞻性随机对照研究,共纳入 84 例患者:雷火灸组(n=28)、穴位按压组(n=28)和对照组(n=28)。在股鞘拔出前 20 分钟,雷火灸组在 7 个穴位上进行 18 分钟的雷火灸,穴位按压组在 LI4、HT7 和 PC6 三个穴位上进行 20 分钟的穴位按压,对照组给予常规护理。三组患者均采用视觉模拟评分法(VAS)、状态焦虑量表(STAI)进行评估,在股鞘拔出前 5 分钟和拔出后 5 分钟时记录生命体征数据。

结果

干预后,雷火灸组和穴位按压组的疼痛和焦虑评分均明显低于对照组(p<0.05)。此外,雷火灸组和穴位按压组在干预后测量的心率和呼吸率均明显低于对照组(p<0.05)。穴位按压后收缩压和舒张压明显低于对照组,但雷火灸后无明显变化。

结论

本研究结果表明,经皮冠状动脉介入治疗后股鞘拔出前应用雷火灸和穴位按压可在一定程度上减轻疼痛和焦虑,改善生命体征。

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