摘要
目的:探讨腕踝针疗法在围术期置三腔气囊导尿管患者中的应用效果。方法:选取2020年9月-2021年9月江西省中西医结合医院围术期置三腔气囊导尿管后疼痛不适患者80例,按随机数字表法将其分为对照组和观察组,各40例。两组均接受心理呵护等基础治疗,对照组予以双氯芬酸钠肛塞治疗,观察组在对照组的基础上加用腕踝针疗法。比较两组舒适度、心理状态、睡眠质量及安全性。结果:观察组干预30 min和1、4、8 h后简化舒适状况量表(GCQ)评分分别为(79.06±6.34)分、(82.45±6.31)分、(85.84±6.45)分、(91.57±5.23)分,均高于对照组的(73.34±6.36)分、(77.74±6.34)分、(80.19±6.28)分、(84.89±6.56)分,差异均有统计学意义(P<0.05);观察组干预1周后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分分别为(36.52±4.18)分、(38.75±4.21)分,均低于对照组的(41.69±4.25)分、(42.63±4.45)分,差异均有统计学意义(P<0.05);观察组干预1周后匹兹堡睡眠质量指数(PSQI)评分为(4.52±0.69)分,低于对照组的(5.23±1.03)分,差异有统计学意义(P<0.05);两组不良事件发生率相比,差异无统计学意义(P>0.05)。结论:腕踝针疗法可提高围术期置三腔气囊导尿管患者舒适度,减少焦虑、抑郁情绪滋生,改善睡眠质量,安全可靠。
Objective:To investigate the application effect of wrist and ankle needle therapy in patients with perioperative three-chamber balloon catheter.Method:A total of 80 patients with pain and discomfort after perioperative placement of three-chamber balloon catheter in Jiangxi Hospital of Integrated Traditional Chinese and Western Medicine from September 2020 to September 2021 were selected and divided into control group and observation group according to random number table method,with 40 cases in each group.Both groups received basic intervention such as psychological care,the control group was treated with Diclofenac Sodium anal plug,and the observation group was treated with wrist and ankle needle therapy on the basis of the control group.The comfort,psychological state,sleep quality and safety of the two groups were compared.Result:The GCQ scores of the observation group were(79.06±6.34)points,(82.45±6.31)points,(85.84±6.45)points,(91.57±5.23)points after 30 min,1 h,4 h and 8 h intervention,respectively,which were higher than(73.34±6.36)points,(77.74±6.34)points,(80.19±6.28)points,(84.89±6.56)points of the control group,the differences were statistically significant(P<0.05);1 week after intervention,the scores of self rating anxiety scale(SAS)and self rating depression scale(SDS)in the observation group were(36.52±4.18)points and(38.75±4.21)points respectively,which were lower than(41.69±4.25)points and(42.63±4.45)points in the control group,the differences were statistically significant(P<0.05);1 week after intervention,the Pittsburgh sleep quality index(PSQI)score of the observation group was(4.52±0.69)points,which was lower than that of the control group(5.23±1.03)points,the difference was statistically significant(P<0.05);there was no significant difference in the incidence of adverse events between the two groups(P>0.05).Conclusion:Wrist and ankle needle therapy can improve the comfort of patients with perioperative three-chamber balloon catheter,reduce the breeding of anxiety and depression,and improve the quality of sleep,which is safe and reliable.
作者
章三娇
熊春梅
徐文璇
ZHANG Sanjiao;XIONG Chunmei;XU Wenxuan(Jiangxi Hospital of Integrated Traditional Chinese and Western Medicine,Nanchang 330006,China;不详)
出处
《中国医学创新》
CAS
2022年第18期83-86,共4页
Medical Innovation of China
基金
江西省中医药管理局科技计划项目(2020A0101)。
关键词
围术期
三腔气囊导尿管
腕踝针疗法
双氯芬酸钠
舒适度
Perioperative period
Three-chamber balloon catheter
Wrist and ankle needle therapy
Diclofenac Sodium
Comfort
