首页|头部穴位按摩联合耳穴贴压对择期剖宫产产妇疼痛缓解的效果

头部穴位按摩联合耳穴贴压对择期剖宫产产妇疼痛缓解的效果

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目的 探讨头部穴位按摩联合耳穴贴压对降低择期剖宫产产妇术中焦虑及疼痛的效果.方法 采用便利抽样法,选取于2022年7月至2023年6月在于都县中医院择期剖宫产产妇80名为研究对象,根据入院顺序将其分为对照组与观察组,每组各40例.对照组接受常规干预,观察组在对照组基础上给予头部穴位按摩联合耳穴贴压干预.比较两组产妇入手术室时、入手术室后30 min、手术时、手术开始30 min、出手术室时的血流动力学指标变化情况,同时采用简版状态焦虑量表(SSAI)评估、疼痛强度简易描述量表(VRS)和Kolcaba舒适状况量表(GCQ)评估两组产妇干预前、开始麻醉前5 min及术后6 h的心理状况及干预前、开始麻醉前5 min、术后6 h、术后24 h疼痛程度及舒适度.结果 观察组产妇5个时间点的脉搏、收缩压、舒张压均低于对照组,血氧饱和度高于对照组,且两组产妇的血流动力学变化在组间效应、时间效应及交互作用上均存在统计学意义(P<0.05);两组产妇开始麻醉前5 min及术后6 h的SSAI评分均低于干预前,且观察组低于对照组,两组产妇在组间效应、时间效应及交互作用上均存在统计学意义(P<0.05);观察组术后6 h及术后24 h的VRS评分均低于对照组,且两组产妇在4个时间点的组间效应、时间效应及交互作用上均存在统计学意义(P<0.05);观察组开始麻醉前5 min、术后6 h及术后24 h的GCQ评分均高于对照组,且两组产妇在4个时间点的组间效应、时间效应及交互作用上均存在统计学意义(P<0.05).结论 头部穴位按摩联合耳穴贴压在维持择期剖宫产产妇术中血流动力学稳定,降低术中及术后焦虑、疼痛程度,提高舒适度方面具有积极作用.
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.

Cesarean sectionScalp acupoint massageAuricular acupressureAnxietyPain

邱凤敏、李连发、杨金娣

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于都县中医院,江西 赣州 341000

剖宫产术 头部穴位按摩 耳穴贴压 焦虑 疼痛

赣州市指导性科技计划

20222ZDX8817

2024

上海护理
上海市护理学会

上海护理

影响因子:1.097
ISSN:1009-8399
年,卷(期):2024.24(5)
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