Effect of Scalp Acupoint Massage Combined with Auricular Acupressure on Lying-in Women Under-going Elective Cesarean Section
Objective To explore the effect of scalp acupoint massage combined with auricular acupressure on reducing intraoperative anxiety and pain in lying-in women undergoing elective cesarean section.Methods A total of 80 lying-in women were selected by convenience sampling who underwent elective cesarean sections in Yudu County Hospital of Traditional Chinese Medicine from July 2022 to June 2023.They were divided into the control group(n=40)and the observation group(n=40)by order of admission.The control group was given routine intervention;the observation group,in addition to this,was given scalp acupoint massage combined with auricular acupressure.For these lying-in women,changes in hemodynamic indicators were compared between groups at multiple time points:upon entering the operating theater,30 min later,at the beginning of surgery,30 min later and upon leaving the operating theater;the psychological status was compared between groups using the simplified Spielberger State Anxiety Inventory(SSAI)at multiple time points:pre-intervention,5 min pre-anesthesia and 6 h postoperatively;the pain severity and comfort were compared between groups using the Verbal Rating Scale(VRS)and Kolcaba General Comfort Questionnaire(GCQ)at multiple time points:pre-intervention,5 min pre-anesthesia,and 6 h and 24 h postoperatively.Results The pulse,systolic and diastolic pressure of the observation group at five distinct time points were lower than those of the control group,the oxygen saturation level of the observation group was higher than that of the control group,and there were significant differences in hemodynamic changes between groups in terms of inter-group effect,time effect and interactive effect(P<0.05).The SSAI scores at 5 min pre-anesthesia and 6 h postoperatively were lower than those pre-intervention for the two groups,the SSAI scores of the observation group were lower than those of the control group,and there were significant differences in SSAI scores between groups in terms of inter-group effect,time effect and interactive effect(P<0.05).The VRS scores of the observation group at 6 h and 24 h postoperatively were lower than those of the control group,and there were significant differences in VRS scores between groups in terms of inter-group effect,time effect and interactive effect at four distinct time points(P<0.05).The GCQ scores of the observation group at 5 min pre-anesthesia,6 h and 24 h postoperatively were higher than those of the control group,and there were significant differences in GCQ scores between groups in terms of inter-group effect,time effect and interactive effect at four distinct time points(P<0.05).Conclusion Scalp acupoint massage in combination with auricular acupressure plays a positive role in maintaining intraoperative hemodynamic stability of lying-in women undergoing elective cesarean section,reducing their intraoperative and postoperative anxiety and pain,and improving their overall comfort.