热毯热敷和芳香疗法对手术后患者血压的干预作用

Prima Zakaria, Roro Sri Endang Pujiastuti, M. Mardiyono
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摘要

背景:手术后是一种容易出现术后并发症的情况。在这种情况下,病人在恢复室中,需要观察血液循环、呼吸和意识的功能。手术过程有可能破坏身体的完整性,甚至会威胁到病人的生命。有效的治疗方法可以解决病人在术后护理中遇到的问题。其中一种疗法是将毛毯热敷和芳香疗法结合起来,这种疗法有望在提高人体调节系统对血压变化的耐受性方面产生更强的效果。目的:本研究证明了提供毛毯热敷和精油芳香疗法的综合干预措施对确定术后患者血压变化的有效性:本研究是真正的实验研究,采用前测-后测设计。本研究采用随机抽样方法,将 60 名受访者分为 2 组。研究时间为 2022 年 12 月 26 日至 2023 年 1 月 28 日。本研究采用计算机进行统计分析。测试前和测试后的差异检验采用 Wilcoxon 检验。组间差异检验采用曼-惠特尼检验:接受热敷、将毯子加热到 44 摄氏度并持续 30 分钟,以及在 100 毫升水中滴入 4 滴香薰精油并扩散 15 分钟。这项研究表明,在降低血压的平均值方面存在显著差异:温热毯敷和香薰精油疗法联合使用可有效降低脊髓麻醉术后患者在恢复室的血压,效果显著,即术前值为 134.30 mmHg,术后值为 120.80 mmHg。舒张压值也很明显,前值为 88.10 mmHg,后值为 79.67。干预组收缩压的平均 Delta 值为-14.50 毫米汞柱,对照组为-6.70 毫米汞柱。干预组舒张压的平均 Delta 值为-8.43 毫米汞柱,对照组为-4.83 毫米汞柱。
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Interventions of warm blanket compresses and aromatherapy on blood pressure of post-surgery patients
Background: Post-surgery is a condition that is prone to post-surgery complications. During this condition the patient is in the recovery room and observations are made on the function of circulation, respiration and consciousness. Surgical procedures carry the risk of disrupting body integrity and can even become a threat to the patient's life. Effective therapy is used to overcome problems experienced by patients in post-operative care. One of the therapies carried out is by combining warm compresses using blankets and aromatherapy which is expected to have a stronger effect in increasing tolerance of the body's regulatory system to changes in blood pressure. Purpose: This research proves the effectiveness of the combined intervention of providing warm blanket compresses and essential aroma therapy to determine changes in blood pressure in patients after surgery. Method: The research is true experimental research with a pretest-posttest design. This study had 60 respondents who were divided into 2 groups and were taken using random sampling method techniques. The research was conducted on 26 December 2022 – 28 January 2023. In this research statistical analysis was carried out computerized. The pre-test post-test difference test uses the Wilcoxon test. The difference test between groups uses Mann – Whitney. Results: Receiving a combination of warm compresses, blankets heated to a temperature of 44 Celsius for 30 minutes and giving 4 drops of essential aromatherapy in 100 cc of water with diffusion for 15 minutes. This research shows that there is a significant difference in the average value of blood pressure reduction. Conclusion: The combination of giving warm blanket compresses and essential aromatherapy was effective in reducing blood pressure in patients after spinal anesthesia surgery in the recovery room with significant results obtained, namely with a pre value of 134.30 mmHg and a post value of 120.80. Diastolic values ​​were significant, namely with a pre-value of 88.10 mmHg and a post value of 79.67. The mean delta value for systolic blood pressure in the intervention group was -14.50 mmHg in the control group and -6.70 mmHg. The mean delta value for diastolic blood pressure in the intervention group was -8.43 mmHg in the control group and -4.83 mmHg.
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