穴位压力对冠状动脉搭桥术后患者疼痛程度和焦虑水平的影响

Islam S.A.E.A., Zienab H.A., Sabah N.H.
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摘要

背景:出现中度至重度的焦虑和疼痛是心脏手术后常见的症状,这是非常具有挑战性的药物治疗。穴位按压是很有希望的,因为它是非药物的,没有明显的副作用,并已用于改善术后结果。研究目的:本研究旨在评估穴位按压对冠状动脉旁路移植术后患者疼痛程度和焦虑水平的影响。设计:为达到本研究目的,采用准实验研究设计。环境:本研究在Misr科技大学医院心脏直视外科和Ain Shams大学医院心脏外科学术研究所进行。对象:本研究目的样本为80例成年患者。工具:使用三种工具;结构化访谈问卷、疼痛数值量表和状态-特质焦虑量表。结果:实验组在干预前有85%和67.5%的患者存在严重疼痛和焦虑,干预后只有7.5%和15%;对照组在干预前有75%左右的患者存在严重疼痛和焦虑,干预后有52.5%和65%。针刺干预前后两组患者疼痛严重程度和焦虑水平差异有显著统计学意义。结论:穴位按压对减轻冠状动脉搭桥术后患者的疼痛程度和焦虑水平有积极作用。建议:建议护士除了药物治疗外,还应考虑使用指压作为治疗疼痛和焦虑的有效方法。
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The Effect of Acupressure on Severity of Pain and Level of Anxiety for Patients Post Coronary Artery Bypass Graft
Background: Experiencing moderate to severe anxiety and pain are common symptoms after cardiac surgery, which is very challenging to treat with medical treatment. Acupressure is promising because it’s nonpharmacologic, has no apparent side effects, and has been used to improve postoperative outcomes. Aim of this study: This study aimed to evaluate the effect of acupressure on severity of pain and level of anxiety for patients post coronary artery bypass graft. Design: Quasi-experimental research design was used to achieve the aim of this study. Setting: This study was conducted at open heart surgery unit at Misr University for Science and Technology hospital and at Academic Institute for Heart Surgery Ain Shams University hospital. Subjects: A Purposive sample of 80 adult patients was included in the study. Tools: Three tools were used; structured interviewing questionnaire, Numerical scale of pain and State Trait Anxiety Inventory. Results: the 85% and 67.5% of the study group had severe pain and anxiety pre acupressure intervention compared to only 7.5% and 15% of them post intervention, while, about 75% of the control group had severe pain and anxiety pre intervention compared to 52.5% and 65% of them post intervention. There was high statistically significant difference between both groups regarding pain severity and anxiety level pre to post acupressure intervention. Conclusion: The study concluded that acupressure had a positive effect on reduction of severity of pain and level of anxiety post coronary artery bypass graft. Recommendations: It is recommended that nurses should consider using acupressure as an effective technique for pain and anxiety management in addition to drug therapy.
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