探討耳穴暨體穴按壓對腰椎病患術後之疼痛與睡眠品質成效：隨機對照研究

Effects of auricular acupressure combined with body acupoints acupressure on pain and sleep quality in patients after lumbar spine surgery: A randomized, controlled study

沈桂鳳(Kuei-Feng Shen) ； 陳靜修(Ching- Hsiu Chen) ； 吳炫璋(Hsien-Chang Wu) ； 趙嘉玲(Chia-Ling Chao) ； 張曉雲(Hsiao Yun Chang)

《中醫藥雜誌》 33卷1期 (2022/06) Pp. 74-85

https://doi.org/10.6940/JCM.202206_33(1).05

摘要

背景：急性疼痛是腰椎手術後病患最常見的護理問題，若未被妥善處置，進而干擾睡眠品質，影響術後復原。目的：探討耳穴貼壓暨體位穴道按壓對腰椎病患術後短期之疼痛、止痛藥物使用與睡眠品質之影響。方法：本研究採隨機對照研究進行。實驗組於術後接受常規照護併為期三天的耳穴貼壓暨體位穴道按壓，對照組維持常規照護。兩組分別在介入後第24,48以及72小時進行資料收集與生理測量。結果：兩組在疼痛程度、止痛藥物使用、睡眠品質於介入後第24小時、48小時及72小時皆達統計顯著差異（p＜.001）。結論：本研究發現耳穴貼壓暨體位穴道按壓能減輕腰椎術後病患之疼痛程度及止痛藥物之使用需求，並提升睡眠品質，此可作為未來醫護人員輔助臨床照護實務之參考。

關鍵字

耳穴貼壓 ； 體位穴道按壓 ； 急性疼痛 ； 睡眠品質

並列摘要

Background: Acute pain is the most common complaint of patients after lumbar spine surgery. If such pain is not properly managed, it affects sleep quality and postoperative recovery. Purpose: This study explored the effects of auricular acupressure combined with body acupoints acupressure on short-term postoperative pain, the usage of analgesic drugs, and sleep quality in patients after lumbar spine surgery. Methods: The study was conducted through a randomized controlled trial. The experimental group received routine care and 3-day auricular acupressure combined with body acupoints acupressure after surgery. The control group received routine care. Data and physiological measurements were collected 24, 48 and 72 hours after intervention for both groups. Results: Significant differences were noted between groups in terms of postoperative pain severity, the usage of analgesic drugs, and sleep quality 24, 48, and 72 hours after the intervention (p＜.001). Conclusion: This study revealed that auricular acupressure combined with body acupoints acupressure can reduce patient's pain and demand for analgesic drugs after lumbar spine surgery as well as improve their sleep quality. The findings can serve as reference for healthcare professionals.

並列關鍵字

Auricular acupressure ； body acupoints acupressure ； acute pain ； quality of sleep

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