本研究目的在探討經期下背穴位指壓介入方案對年輕女性經期不適、經期下背痛及經痛自我照顧行為。研究設計採實驗設計法,研究對象為南部地區一家大學有經期下背痛經驗之女學生進行收案,測量單次經痛視覺類比量表值在4分以上者。研究對象採取隨機分派,實驗組接受每週3次每次30分鐘之穴位指壓按摩介入;對照組則提供衛教手冊,而沒有接受穴位指壓按摩的介入措施。資料共收集五次,分別是在收案時進行前測、穴位指壓按摩介入措施30分鐘之後測以及第4、8、12個月追蹤經期下背痛的變化。本研究共計130位樣本完成追蹤,其中實驗組65名、對照組65名。收集資料的量表包括:個人基本屬性調查表、經期不適量表、視覺疼痛類比量表、簡易型麥克吉爾疼痛量表及經痛自我照顧行為量表。所蒐集的資料以SPSS17.0 WINDOW套裝軟體進行統計分析。運用的統計方法包括百分比、平均值、標準差、卡方檢定、重複測量變異數分析等。研究結果發現,在30分鐘後測及第4、8、12個月追蹤研究中,接受穴位指壓按摩的實驗組較對照組能顯著降低經期不適及經期下背痛,並能提升經痛自我照顧行為。本研究結果可提供健康專業人員及年輕女性對經期不適及經期下背痛保健之參考,並提供健康政策制定者進一步了解穴位指壓於經期不適之實務效用。
The purpose of this study is to discuss the effects of acupressure on menstrual distress, low back pain, and self-care behavior in dysmenorrhic young female adults. We recorded cases of menstrual lower back pain among female students from a university in the southern area; among these students, those who scored over 4 in the single Visual Analog Scale for Pain (VASP) were enrolled. The students were randomly assigned into the acupressure and control groups; the control group was only provided with health-education handbooks without acupressure intervention, while the experimental group received received acupressure massage three times a week for 30 minutes. Data were collected 5 times at the following intervals: before admission, 30 min after acupressure administration, after 4, 8, and 12 months to track variations in their menstrual lower back pains. In all, we studied 130 cases (65 in the control group and 65 in the experimental group). The scales used to collect data were: Basic personal attributes questionnaire, Visual Analog Scale for Pain (VASP), Short Form McGill Pain Questionnaire (MPQ-SF), Menstrual Distress Questionaire (MDQ), and Dysmenorrhic Self-Care Behavior Scale (DSCBS). The collected data were statistically analyzed using the SPSS17.0 Windows suite software. Statistical methods included percentage, mean, standard deviation, chi-square test, repeated measures analysis of variance, etc. Studies on data collected 30 min after and 4, 8, and 12 months after acupressure administration indicate that the experimental group, experienced significantly lesser menstrual distress and lower back pain than the control group; moreover, the experimental group was also capable of increased dysmenorrhic self-care behavior. These results may provide references to healthcare professionals and young women to administer self-care during menstrual distress and low back pain , and to help further understand the practical effects of acupressure on acupoints for treating menstrual distress.
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