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耳穴按压联合情绪释放技术对下肢骨折患者术后疼痛及焦虑状态的疗效:一项随机临床对照试验。

The efficacy of auricular acupressure combined with emotional freedom techniques on the postoperative pain and anxiety state of patients with lower limb fractures: A randomized clinical controlled trial.

作者信息

Zhou Xianglong, Zhang Guoqin, Chen Dandan, Yao Huiping, Wang Qi

机构信息

Department of Orthopaedics, Taizhou Third People's Hospital, Taizhou, Jiangsu, China.

Department of Nursing, Taizhou People's Hospital, Taizhou, Jiangsu, China.

出版信息

Medicine (Baltimore). 2025 Jan 31;104(5):e41401. doi: 10.1097/MD.0000000000041401.

Abstract

BACKGROUND

Lower limb fractures cause local pain, swelling, ecchymosis, and dysfunction. Clinically, incision and reduction surgery are often employed to treat lower limb fractures. However, postoperative pain can be intense, leading to adverse emotions that hinder subsequent recovery.

METHODS

A total of 99 postoperative patients with lower limb fractures were randomly divided into 3 groups: the control group (routine care, 33 patients), the auricular acupressure group (routine care plus auricular acupressure, 33 patients), and the combined group (routine care, auricular acupressure, and emotional freedom techniques [EFT], 33 patients). Pain levels were measured using the visual analog scale (VAS), and anxiety levels were measured using the self-rating anxiety scale (SAS) at various time points post-intervention. Patient satisfaction with nursing care was also evaluated at the end of the intervention.

RESULTS

The VAS scores in the combined group were significantly lower than those in the auricular acupressure and control groups at 4, 12, 24, and 48 hours post-intervention (P < .05). Additionally, the SAS scores in the combined group were significantly lower than those in the auricular acupressure and control groups at 72 hours post-intervention (P < .05). The combined group also reported significantly higher satisfaction with nursing care compared to the other 2 groups at the end of the intervention (P < .05).

CONCLUSION

Auricular acupressure combined with EFT effectively reduces pain levels, alleviates anxiety, and increases patient satisfaction with nursing care in postoperative patients with lower limb fractures.

摘要

背景

下肢骨折会导致局部疼痛、肿胀、瘀斑和功能障碍。临床上,常采用切开复位手术治疗下肢骨折。然而,术后疼痛可能很剧烈,会导致不良情绪,从而阻碍后续恢复。

方法

将99例下肢骨折术后患者随机分为3组:对照组(常规护理,33例患者)、耳穴按压组(常规护理加耳穴按压,33例患者)和联合组(常规护理、耳穴按压和情绪释放技术[EFT],33例患者)。在干预后的不同时间点,使用视觉模拟量表(VAS)测量疼痛程度,使用自评焦虑量表(SAS)测量焦虑程度。在干预结束时,还评估了患者对护理的满意度。

结果

干预后4、12、24和48小时,联合组的VAS评分显著低于耳穴按压组和对照组(P < 0.05)。此外,干预后72小时,联合组的SAS评分显著低于耳穴按压组和对照组(P < 0.05)。在干预结束时,联合组对护理的满意度也显著高于其他两组(P < 0.05)。

结论

耳穴按压联合情绪释放技术可有效降低下肢骨折术后患者的疼痛程度,缓解焦虑,并提高患者对护理的满意度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c723/11789872/afaa887e570c/medi-104-e41401-g001.jpg

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