- 期刊
穴位按壓對大腸直腸癌病人手術後腸蠕動之成效
The Effectiveness of Acupressure on Postoperative Bowel Movement in Patients with Colorectal Cancer
摘要
大腸直腸癌治療方式以手術為主，因麻醉、疼痛、延遲下床會造成手術後腸蠕動不佳、腹脹，影響病人進食及傷口復原，導致住院天數延長，增加醫療照護成本。本研究目的在探討穴位按壓對大腸直腸癌病人手術後腸蠕動之成效，採類實驗法研究設計，以時間區隔方式將病人分配至實驗組（n = 36）及對照組（n = 37）。對照組採常規護理，實驗組由研究護理師於術後第一天至第五天，每日一次予雙下肢足三里（ST36）、上巨虛（ST37）及下巨虛（ST39）共六個穴位各按壓2分鐘，共12分鐘，以探討穴位按壓對腸蠕動恢復、手術後首次排氣時間及腹脹程度之成效。研究結果顯示大腸直腸癌病人手術後接受穴位按壓者，在手術後首次排氣時間較未接受穴位按壓者短（p = .046）、自覺腹脹程度也顯著減輕（p = .034）。建議將穴位按壓納入大腸直腸癌病人手術後照護措施，並給予大腸直腸癌病人手術後護理指導單張，讓病人在住院期間可以運用穴位按壓促進腸蠕動恢復，出院返家後也能自行按壓穴位，以預防手術後腸阻塞的併發症。
並列摘要
Surgical intervention is the main treatment method for colorectal cancer. The anesthesia, surgical pain, and the delayed ambulation cause poor bowel movements and abdominal distension after surgery, which affect the patient's diet and wound healing, prolong the length of hospital stay and increase the cost of medical care. The purpose of this study is to investigate the effect of post-op acupressure on bowel peristalsis in patients with colorectal cancer. This study was designed using a quasi-experimental method, and the patients were allocated to the experimental group (n = 36) and the control group (n = 37) in a time-segmented manner. The control group received routine nursing care, while the experimental group received the acupressure therapy from the research nurse on the six acupoints of Zusanli (ST36), Shangjuxu (ST37), and Xiajuxu (ST39) on both the lower extremities, one acupoint for 2 minutes each for a total of 12 minutes for once a day from the first day to the fifth day after the operation. This is to explore the effect of acupressure on the recovery of bowel movement, the time of the first flatus after surgery, and the degree of abdominal distension. The results of the study showed significant differences in reducing the time of the first flatus after surgery (p = .046) and decreasing of patient perceived abdominal distension degree (p = .034) in the patients who received the acupressure after surgery. Based on the results of this study, it is suggested that acupressure therapy should be included in the postoperative care measures for patients with colorectal cancer, such as the post-operative nursing guidance leaflets, so that the patients can use acupressure to improve the recovery of bowel movements during hospitalization. After being discharged from the hospital and returning home, they can also continue to press on the acupoints by themselves to prevent complications of postoperative intestinal obstruction.