手術前不安や血液動力学上のパラメータに対する圧療法の効果: ランダム化対照試験
Tuğba Çam Yanik1, Zeliha Yaman2, Gülay Altun Ugras1
1Mersin University, Nursing Faculty, Department of Surgical Nursing, Mersin, Turkey. Postal address: Mersin University Faculty of Nursing, Çiftlikköy Campus, 33169 Yenişehir/Mersin, Turkey.
まとめ
システクトミー前の患者の不安は,アクプレッシャーによって効果的に軽減されました. 呼吸速度 (RR) を低下させましたが,他の血液動力学的パラメータは影響を受けず,手術前の不安管理のための標的的利益を示しました.
科学分野:
- 統合医療
- 外科 介護
- アキュプンクチャーとアキュプレッサーの研究
背景:
- 細胞切除手術前の不安は 患者の血液動力学に悪影響を及ぼします
- 手術はしばしば患者の大きな不安を引き起こします.
- 効果的な非薬学的な不安軽減戦略の必要性
研究 の 目的:
- 術前不安の緩和における Akupressure の有効性を評価する.
- 膀切除手術を受けた患者の血液動力学的パラメータに対する圧療法の影響を評価する.
- 手術の不安に対する看護介入として Akupressure を探索する.
主な方法:
- システクトミーを予定している52人の患者さんを対象とした単一センターの予備的ランダム化試験です.
- 手術前の13分間,特定のポイント (HT7,LI4,EX-NH3) に圧力をかけます.
- Visual Analog Scale-Anxiety (VAS-A) を使った圧治療群と偽の圧治療群の比較
主要な成果:
- アキュプレッサーは,施術直後から最大30分間の間,偽アキュプレッサーと比較して,不安のレベルを著しく低下させた.
- 呼吸速度は,施術後および10分後に,アクプレッサーグループで有意に低下した.
- シストリック血圧 (SBP),ダイアストリック血圧 (DBP),心拍数 (HR),酸素飽和度 (SpO2) は有意な影響を受けませんでした.
結論:
- アキュプレッシャーは 乳房切除前の不安を軽減する 効果的な看護療法です
- 測定された血液動力学的パラメータの中で,アクプレッシャーが呼吸速度に特異的な効果を示した.
- 発見は,手術前の看護のプロトコルに Akupressure を統合することを支持しています.
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