The effects of acupressure for postoperative recovery and heart rate variability

• Main Authors: 沈桂鳳SHEN KUEI-FENG, 沈桂鳳
• Other Authors: Chen‭, ‬Ching-Hsiu
• Format: Others
• Language: zh-TW
• Published: 2017
• Online Access: http://ndltd.ncl.edu.tw/handle/75720500530223341723

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