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穴位按压对剖宫产术后产妇疼痛和舒适度的影响:一项随机对照试验。

The effect of acupressure on postpartum pain and comfort after cesarean delivery: a randomized controlled trial.

机构信息

Department of Nursing, Faculty of Health Sciences, Eastern Mediterranean University, Famagusta, Turkish Republic of Northern Cyprus.

出版信息

Women Health. 2024 Nov-Dec;64(10):892-903. doi: 10.1080/03630242.2024.2428793. Epub 2024 Nov 12.

DOI:10.1080/03630242.2024.2428793
PMID:39532534
Abstract

This randomized controlled study aims to investigate the effect of acupressure on pain and postpartum comfort following a cesarean section. The study was conducted with 60 women who underwent cesarean delivery. The participants were randomly assigned to either the intervention or control group. In the intervention group, acupressure was applied to the LI4, SP6, and P6 points for 15 minutes at the 2nd and 4th hours after the cesarean section. In the control group, acupressure was not applied and only routine nursing care was given. Data was collected using a personal information form, Visual Analog Scale (VAS), and Postpartum Comfort Questionnaire (PCQ). Acupressure application was applied to the intervention group at the 2nd and 4th hour after cesarean section. All data collection forms were filled out by women in the intervention group before starting acupressure application at 2 hours after cesarean section. VAS was filled out again after acupressure application at 2 hours. VAS was filled out before and after acupressure application at 4 hours after cesarean section. PSQ was filled out in both groups before discharge. In the study, the intervention group's 2nd (3.03 ± 1.24,  < .001) and 4th (4.06 ± 1.22,  < .001) hour posttest VAS scores were lower and PCQ posttest scores (140.6 ± 9.01,  < .001) were higher than the control group. The results indicate that acupressure intervention applied to points LI4, SP6, and P6 was a useful nonpharmacological treatment for postpartum pain and comfort for the study group.

摘要

这项随机对照研究旨在探讨穴位按压对剖宫产术后疼痛和产后舒适度的影响。研究对象为 60 名接受剖宫产的女性。参与者被随机分配到干预组或对照组。在干预组中,在剖宫产术后第 2 和第 4 小时,对 LI4、SP6 和 P6 点进行 15 分钟的穴位按压。在对照组中,未进行穴位按压,仅给予常规护理。使用个人信息表、视觉模拟量表(VAS)和产后舒适度问卷(PCQ)收集数据。穴位按压在剖宫产术后第 2 和第 4 小时应用于干预组。所有数据收集表均由干预组的女性在剖宫产术后 2 小时开始穴位按压前填写。VAS 在剖宫产术后 2 小时按压后再次填写。VAS 在剖宫产术后 4 小时按压前后填写。PSQ 在两组均在出院前填写。在研究中,干预组第 2 小时(3.03±1.24,  < .001)和第 4 小时(4.06±1.22,  < .001)的 VAS 评分较低,而第 4 小时的 PCQ 评分(140.6±9.01,  < .001)较高。结果表明,对 LI4、SP6 和 P6 点进行穴位按压干预是一种有用的非药物治疗方法,可减轻研究组产后疼痛和不适。

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