Summary: | 碩士 === 輔英科技大學 === 護理系碩士班 === 105 === Background:Acute pain is the most common problem among lumbar surgery patients.
However, if the patient is not properly disposed problems of postoperative pain,
stress and anxiety may cause sleeping problems or make existing problems
worse.
Objective:This study aimed to examine the effects of acupoint stimulation in postoperative
recovery with pain, hemodynamics, heart rate variability, anxiety, and sleep quality
in lumbar spine surgery patients.
Methods:A randomized controlled trials research design was used. The participants were
allocated to experimental and control group by randomized block. The
experimental group received a 3-days acupoint stimulation (three times a day, at
least thirty minutes each time); whereas the control group received rounte care.
The physiological indicators and questionnaire were measured before and after the
intervention program. Statistical analysis of repeated data using generalized
estimating equations by SPSS 22.0 version software. Statistically the covariance
variable adjusted through the patient-controlled analgesia dosage.
Results:The average age was 66.05 ± 10.23 years for the experimental group and 59.5 ±
12.56 years for the control group. The demographic characteristics were
homogeneous between the two groups (p>.05). After acupoint stimulation program,
there were statistically significant differences between the two groups in the degree
of pain (β=-3.75, 95% CI -4.40,-3.10, p<.001), anxiety (β=-10.15, 95% CI -12.90,
-7.40, p<.001), and effective sleep(β=106.50, 95% CI 69.56, 143.44, p<.001). There
was no statistically significant differences between the two groups in the systolic
blood pressure (β=1.30, 95% CI-2.25, 4.87, p=.473), diastolic blood pressure
(β=0.55, 95%CI-1.48, 2.58, p=.594), and heart rate variability of LF/HF (β=0.30, 95%
CI-0.49, 1.09, p=.460).
Conclusion:This study demonstrates that acupoint stimulation could improve the
postoperative recovery of pain, anxiety and sleep quality. The results of this
study can be used as evidence-based health care practices and reference
guides. This study suggests the change of hemodynamic parameters and heart
rate variability indicators should be followed for a long-term effect in the future.
Key word:acupressure, postoperative recovery, pain, anxiety, quality of sleep, heart rate
variability
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