穴位按壓對植物人便秘之成效初探：隨機分派研究

便秘是植物人常見的問題，爲了解決便秘，臨床上常會給軟便劑藥物及灌腸。本研究目的在探討穴位按壓對改善植物人便秘之成效，採隨機分派方式，以新竹市某植物人安養院之全部院民共23位爲研究對象，隨機分派至實驗組或對照組，實驗組12位，對照組11位，對照組植物人接受常規軟便劑處置，實驗組植物人除常規軟便劑處置，還接受關元（單）、中脘（單）、天樞（雙）、腹結（雙）、足三里（雙）等八個穴位，每天1次，每次各部位按壓1分鐘，共計18天的穴位按壓介入措施。所得資料以SPSS13.0版軟體，以次數分配、百分比、t檢定、卡方檢定與重複測量變異數分析進行統計分析。研究結果顯示實驗組之各項數據雖未達到統計上之顯著差異，但在穴位指壓介入後6天，其自解便重量及腸蠕動開始出現增加的趨勢，排便性質也由原本的硬便轉爲軟便，呈現改善。本研究結果建議未來可繼續探討穴位按壓對於改善植物人便秘之成效，以降低用藥過多所引起的副作用，以及直接降低醫療相關費用的支出。

關鍵字

穴位按壓；植物人；便秘

並列摘要

Constipation is a common problem among persistent vegetative state. To solve this problem, medicines (softener and laxatives) and enema are used clinically as routine. The study was to investigate the effectiveness of acupressure at zhongwan (CV12), tianshu, (ST25), guanyuan (RN4), Fujie, (SP 14), and Zsnl (ST 36). The study was a randomized controlled trial. Twenty-three subjects were recruited in Hsinchu, who were randomly assigned to the experimental and control groups. Medications (softener, laxatives and enema) and acupressure were administered to the experimental group, while medications alone were dispensed to the control group. Acupressure was done once a day (one minute per site) for 18 days. Subjects were evaluated by an assessment on the weight of stool, bowel movements, and the quality of stool. SPSS 13.0 for Windows was used for data processing. Descriptive statistics, student’s t-test, Chi-square analysis and repeated measures were used to analyze the data. Results showed that there was no significance in the both groups. However, after 6 days of the intervention, the weight of stool and bowel movements were increased, and the quality of stool was improved in the experimental group. On the basis of these findings, health providers may choose to use medications supplemented by acupressure to relieve constipation of patients in a persistent vegetative state.

並列關鍵字

acupressure ； persistent vegetative state ； constipation

被引用紀錄

林幸雅、黃靜宜、黃頌儼、吳美雯（2023）。穴位按壓對大腸直腸癌病人手術後腸蠕動之成效。腫瘤護理雜誌，23(1)，25-35。https://doi.org/10.6880/TJON.202306_23(1).03

蔡幸（2011）。穴位按摩對長期臥床病患促進腸蠕動療效之初探〔碩士論文，中臺科技大學〕。華藝線上圖書館。https://doi.org/10.6822/CTUST.2011.00054

延伸閱讀

邱月桂、蕭雅群、林秀真、陳虹如、高有怡、簡淑慧（2012）。應用穴位按壓及非藥物處置降低神經加護單位病人便秘之改善專案。中西醫結合護理雜誌，(2)，57-66。https://doi.org/10.6211/TTCMNA.NO2-2012-05
張靖梅、林獻鋒（2011）。以系統性文獻回顧探討穴位按壓於便秘之應用。長庚護理，22(3)，311-320。https://doi.org/10.6386/CGN.201109_22(3).0002
林妙穎、謝伶瑜（2016）。運用穴位按壓於改善癌症末期病患便祕問題之成效：一項小型前驅式研究。安寧療護雜誌，21(2)，129-140。https://doi.org/10.6537/TJHPC.2016.21(2).1
蘇輕感、鍾玉珠、曾秋蘭、汪志雄（2006）。The Recognition, Analgesic Efficacy and Satisfaction of Patient-controlled Analgesia in Postoperative Patients。台灣醫學，10(5)，557-565。https://doi.org/10.6320/FJM.2006.10(5).01
Chen, H., Modur, P. N., Barot, N., Ness, P. C. V., Agostini, M. A., Ding, K., Gupta, P., Hays, R., & Mickey, B. (2016). Predictors of Postoperative Seizure Recurrence: A Longitudinal Study of Temporal and Extratemporal Resections. Epilepsy Research and Treatment, 2016(), 72-78. https://doi.org/10.1155/2016/7982494

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穴位按壓對植物人便秘之成效初探：隨機分派研究

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