足部反射疗法对开颅手术后患者机械通气断流和意识完全恢复时间的影响

Elsayed Mahmoud Sabek, Nayera Tantaewy, Manal Mohamed Ahmed Ayed, Masouda Hassan Atrous
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摘要

背景:开颅手术后,脑肿瘤患者面临着一些问题,如气管插管拔管延迟和意识减退。本研究旨在评估足部反射疗法对患者开颅术后机械通气断流和意识完全恢复时间的影响。设计:本研究采用准实验研究设计。研究地点研究在贝尼苏伊夫大学医院神经外科重症监护室进行。研究对象:本研究有目的性地抽取了 60 名开颅术后患者;研究对象被分为两组,每组 30 人(干预组和对照组)。在干预组中,除常规护理外,每天早晚两次进行足部反射疗法,每次 30 分钟(每只脚 15 分钟)。这项工作持续一周。对照组只接受标准的开颅术后治疗。工具:使用四种工具收集数据:工具 (1):患者个人资料。工具(II):格拉斯哥昏迷量表 (GCS),工具 (III):完全清醒时间,以及工具 (IV):退出呼吸机。结果:研究结果表明,两组患者的人口统计学属性差异无统计学意义(P>0.05)。结果显示,与对照组相比,干预组在恢复意识和脱离机械通气所需时间方面的平均得分明显较低。结论:研究结果表明,足部反射疗法对开颅手术后患者断开机械通气和完全恢复意识所需的时间有积极影响。建议 :建议将足部反射疗法作为一种非药物策略和辅助疗法,与常规护理一起应用,以缩短机械通气的断流时间和完全恢复意识的时间。
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Impact of Foot Reflexology on Patients' Post-Craniotomy Weaning from Mechanical Ventilation and Time to Full Consciousness Recovery
Background : After craniotomy, patients with brain tumors face several problems, such as delayed endotracheal tube extubation and diminished consciousness. The present study aimed to evaluate the effects of foot reflexology on the impact of foot reflexology on patients' post-craniotomy weaning from mechanical ventilation and time to full consciousness recovery. Design: A quasi-experimental research design was used to conduct this study. Setting: The study was carried out at the neurosurgery intensive care unit at Beni-Suef University Hospital. Subjects: A purposive sample of 60 patients post-craniotomy was recruited in this study; the studied patients were assigned into two groups, with 30 patients in each group (the intervention and control groups). In the intervention group, foot reflexology was done twice a day, in the morning and the evening, for 30 minutes (15 minutes for each foot), in addition to the patient's regular care. This was done for a week. The control group just received standard post-craniotomy treatment. Tools: Four tools were used to collect data: Tool (1): Patients personal data. Tool (II) : Glasgow Coma Scale (GCS), Tool (III): Time of full consciousness , and Tool (IV): Withdrawal from the ventilator . Results : The findings indicated that there was no statistically significant variation in the demographic attributes of the two groups (p>0.05). The findings showed that, in comparison to the control group, the intervention group's mean scores for the amount of time required to regain consciousness and wean off of mechanical ventilation were significantly lower. Conclusion : The results showed that foot reflexology on the impact of foot reflexology have a positive effect on patients' post-craniotomy weaning from mechanical ventilation and time to full consciousness recovery. Recommendation : Foot reflexology is recommended to be applied as a non-pharmacological strategy and complementary therapy along with routine care to reduce weaning from mechanical ventilation and time to full consciousness recovery.
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