| Summary: | 碩士 === 國立台北護理學院 === 護理研究所 === 96 === According to The Department of Health of the Executive Yuan demonstrated about 300 thousand people accepts the spinal anesthesia every year when they had to be operative. Then the patient of spinal anesthesia has conscious clear, the anxiety is common purpose for nursing care during the surgery process. This purpose of this study is investigate the efficacy of the auricular acupressure on anxiety、relaxation and physiological indicators for patients with spinal anesthesia. This study utilized experimental pre-test and post-test design and convenience sampling. Data was collected from sixty patients received surgery from medical center in northern Taiwan. Criteria for this particular study include the surgery patient with spinal anesthesia, 20 to 65 years old, can be communicated in either Mandarin or Taiwanese dialect, and have agreed to participate in this research. Sixty patients who participated in this research were randomized to the experimental groups or the control group. The patients in the experimental group A received per 15 minutes of auricular acupressure and regular nursing care during the surgery process. The patients in the experimental group B received per 30 minutes of auricular acupressure and regular nursing care during the surgery process. The patients in the control group only received regular nursing care. Measures included Visual Analog Scale for anxiety and relaxant (VAS), the Hospital Anxiety and Depression Scale (HADS) and vital sign check. Data collected were analyzed with descriptive statistics, General Linear Model (GLM), Generalized Estimating Equation (GEE). Result of the research showed the participants with moderate to severe levels of anxiety in pre-operative. The patients received auricular acupressure in the experimental group A and B can reduce levels of anxiety and advance relaxant significantly from the control group (p＜0.05). Then the patients in the experimental group A received per 15 minutes of auricular acupressure can reduce levels of anxiety and advance relaxant powerfully from the experimental group B received per 30 minutes of auricular acupressure (p＜0.05). But measured by the Hospital Anxiety and Depression Scale (HADS), only the experimental group B received per 30 minutes of auricular acupressure reduce levels of anxiety from the control group (p=0.016). In addition, the finding: the experimental groups that vital signs are stable than control group (p < 0.05). The results of this research can provide an important basis to professional nurses, reduce levels of anxiety, improve vital signs are stable during the surgery process, and then increase the quality of care for the surgery patient with spinal anesthesia.
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