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題 名 | 耳穴按摩對肝膽術後病人疼痛與焦慮之成效=Efficacy of Auricular Acupressure for Relieving Pain and Anxiety in Patients Receiving Hepatobiliary Surgery |
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作 者 | 楊淑溫; 蔡秀鸞; 陳梓泓; 周少鈞; 劉介宇; | 書刊名 | 輔仁醫學期刊 |
卷 期 | 13:4 2015.12[民104.12] |
頁 次 | 頁185-195 |
分類號 | 413.915 |
關鍵詞 | 肝膽手術; 疼痛; 焦慮; 耳穴按摩; Hepatobiliary surgery; Pain; Anxiety; Auricular acupressure; |
語 文 | 中文(Chinese) |
中文摘要 | 背景與目的:本研究在探討耳穴按摩對肝膽術後病人其疼痛與焦慮改善之成效。方法:採實驗性前 -後測設計,符合選案條件之病人且同意參與,隨機分派至實驗或控制組。對象為台灣北部某教學醫院外科病房,經專科醫師診斷為符合之病人。以Randomization Main電腦體進行簡單之隨機分派至實驗組與控制組,共有 43人參與研究,實驗組術後第一天至第七天分別接受每天三次,每次 15分鐘的耳穴按摩,控制組僅接受常規照護。以結構式問卷收集資料,包括:疼痛視覺類比量表、醫院焦慮量表、脈搏與血氧濃度監測、止痛藥物使用劑量等。所得資料以描述性統計及一般線性模式 (General Linear Model, GLM)分析。若交互作用項顯著,進一步使用 Johnson-Neyman法估計其交點之 95%信賴區間,並推論其介入有效範圍。所有統計分析使用 IBM SPSS ver 20.0進行分析。結果:疼痛視覺類比量表在實驗組實施耳穴按摩介入後,組別與疼痛前測之交互作用在控制了止痛藥使用量後,達到統計顯著差異 (p=0.002),進一步使用 Johnson-Neyman法估計交點信賴區間為 (88.082, 89.420),代表肝膽術後病人,若其前測疼痛視覺得分在 89.42分以上者,若其接受耳穴按摩介入措施,其後測分數將會達到顯著改善。然而,實驗組與對照組在焦慮地改善上並未呈現顯著差異。結論:建議肝膽術後病人除常規的治療與照護外,可以輔以耳穴按摩,以達到疼痛減輕的效果。 |
英文摘要 | Background and Purpose: This study investigated the efficacy of auricular acupressure for relieving pain and anxiety in patients receiving hepatobiliary surgery. Methods: This study adopted an experimental pre- and post-test design. A total of 43 participants who satisfied the inclusion criteria and agreed to participate in the study were randomly divided into an experimental group and a control group by using Randomization Main software. The experimental group received auricular acupressure three times(15 mins/time) per day for 1 week following surgery, and the control group received routine care. Pulse rates and oxygen saturation levels were monitored, and structural questionnaires were administered: the visual analogue scale (VAS) of pain, Intravenous Patient-Controlled Analgesia, and the Hospital Anxiety and Depression Scale. The data were presented using descriptive statistics and analyzed using a general linear model. If the interaction between a group and a pretest showed statistical significance, the Johnson-Neyman method was applied to estimate the 95% confidence interval of post-test efficacy. All data were analyzed using SPSS Version 20.0 software. Results: The interaction term between the VAS pretests of the groups showed statistically significant differences, and the Johnson-Neyman method was applied. The results showed that, when the pretest VAS score was greater than 89.42 points (p = 0.002), the experimental group showed a significantly lower score on the post-test than did the control group. However, the experimental and control groups did not show a significant difference for anxiety. Conclusions: In addition to conventional treatment, auricular acupressure is suggested for relieving pain and anxiety in patients receiving hepatobiliary surgery. |
本系統中英文摘要資訊取自各篇刊載內容。