Aksu Aslıhan, Çam-Yanık Tuğba, Değirmenci Filiz, Vefikuluçay-Yılmaz Duygu, Altun-Uğraş Gülay, Çevikoğlu-Kıllı Mürşide
Department of Obstetrics and Gynecology Nursing, Faculty of Health Sciences, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Türkiye.
Department of Surgical Nursing, Mersin University Faculty of Nursing, Mersin, Türkiye.
Explore (NY). 2025 Jan-Feb;21(1):103102. doi: 10.1016/j.explore.2024.103102. Epub 2024 Dec 19.
Postoperative pain is one of the most common problems after caesarean section (CS). Pain reduction and effective mobilisation after CS positively affect maternal and infant health.
This study aimed to determine the effects of acupressure applied to women after CS on pain intensity and first mobilisation distance.
The sample of this prospective, two-armed (1:1), double-blind randomised controlled clinical trial consisted of 64 women undergoing CS (32 acupressure and 32 placebo acupressure group). The data were analysed using descriptive statistics, chi-square test, independent-groups t-test, Mann-Whitney U test, repeated-measures two-way analysis of variance (ANOVA) and simple main-effects analysis.
Findings showed statistically significant group effects (F = 19.32, p<.001), time effects (F = 27.67, p<.001), and group- and time-interaction effects (F = 26.60, p<.001) on postoperative pain after CS. In the acupressure group, the VAS scores were lower at 1 min, 2 h and 4 h after the intervention compared to before the intervention (p<.001; p<.001; p=.001, respectively). In the placebo group, the VAS score at 1 min after the application decreased, increasing at 2 h and 4 h, but these changes were not significant (p>.05). The first mobilisation distance of the acupressure group was significantly longer than that of the placebo group (p<.001).
Acupressure applied to the SP6, P6 and LI4 points was an effective nursing intervention for pain control and mobilisation after CS. Considering the significant impact of pain after CS on maternal and infant health, nurses should include acupressure, which is easy to apply, cost-effective, and efficacious, in postpartum care.
术后疼痛是剖宫产（CS）后最常见的问题之一。剖宫产术后减轻疼痛并有效促进产妇活动对母婴健康有积极影响。
本研究旨在确定剖宫产术后对女性进行穴位按压对疼痛强度和首次活动距离的影响。
这项前瞻性、双臂（1:1）、双盲随机对照临床试验的样本包括64例行剖宫产的女性（32例接受穴位按压，32例接受安慰剂穴位按压组）。数据采用描述性统计、卡方检验、独立样本t检验、曼-惠特尼U检验、重复测量双向方差分析（ANOVA）和简单主效应分析。
研究结果显示，穴位按压对剖宫产术后疼痛有显著的组效应（F = 19.32，p <.001）、时间效应（F = 27.67，p <.001）以及组与时间的交互效应（F = 26.60，p <.001）。在穴位按压组，干预后1分钟、2小时和4小时的视觉模拟评分（VAS）低于干预前（分别为p <.001；p <.001；p =.001）。在安慰剂组，按压后1分钟VAS评分下降，2小时和4小时升高，但这些变化无统计学意义（p >.05）。穴位按压组的首次活动距离显著长于安慰剂组（p <.001）。
对三阴交、内关和合谷穴进行穴位按压是剖宫产术后控制疼痛和促进活动有效的护理干预措施。考虑到剖宫产术后疼痛对母婴健康的重大影响，护士应在产后护理中采用易于实施、经济有效且有效的穴位按压方法。
