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運用穴位按壓促進缺血性腦中風患者肢體活動功能及緩和焦慮

The use of acupressure for improving physical mobility and decreasing anxiety in patients with ischemic stroke

摘要


隨著醫療科技進步,中風發生率及死亡率雖逐漸降低,但它在急性發病期及慢性恢復期所留下的後遺症及身體失能情形,對整個社會、病人及家屬仍造成相當大的衝擊與負擔。除了西醫治療外,結合傳統中國療法針灸、推拿、穴位按壓等措施,可能為中風病人帶來更佳的疾病恢復成效,而穴位按壓是以手刺激穴位,此措施不僅護理人員可獨立操作,照顧者若經由學習也能在家中執行,且穴位按壓具有簡易操作和安全性高之特性。故本文闡述運用穴位按壓促進缺血性腦中風患者肢體活動功能及緩和焦慮之相關議題,期能提供臨床照護之參考依據。

並列摘要


With the advance of medical technology, the incidence and mortality of stroke gradually decreased. However, stroke-caused sequelaes and disabilities thought the disease of acute and recovery period which inflict enormous attack and burden on the society and the patients as well as their families. In addition to Western medicine, integrated traditional Chinese therapy such as acupuncture, tuina and acupressure may have better effect on recovery from stroke. However, acupressure involves the stimulation of certain acupoints by pressing with the fingers and could be conducted by nurses or trained caregivers at home. Further, the acupressure is easy to perform and safety. Thus, the purpose of this study is to describe the issues of using acupressure for improving physical mobility and decreasing anxiety in patients with ischemic stroke which could be used as a reference for clinical practice.

參考文獻


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謝榛櫻、陳鳳櫻、林麗味、王守玉、趙玉環:急性缺血性腦中風的藥物治療及預防趨勢,醫院雙月刊 2015;48:24-33。
Burton C, Holmes J, Murray J, et al:Interventions for treating anxiety after stroke. Cochrane Database of Systematic Reviews 2011;12:CD008860.
歐淑玉、江曉菁:運用中西醫結合概念協助一位中風患者之照護經驗,高雄護理雜誌 2014;31:73-84。

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