穴位點壓法對於慢性阻塞性肺疾病人的成效

Acupressure for COPD Patients

馬素華(S. H. Maa)

《長庚護理》 8卷4期 (1997/12) Pp. 13-25

摘要

研究對象是美國人，31位初次參與爲時十二週肺復健班的COPD病人。本研究係單盲，前後測、交叉臨床實驗法(cross-over design)，隨機分派研究對象至兩組。第一組研究對象點壓對稱的七個穴位，每日一次，共點壓六週，然後再點壓假的穴位六週。第二組研究對象則相反，先作假的，再作真的穴位點壓各六週。研究者於第一、六、十二週時，使用六個工具評估病人的呼吸困難程度、其他症狀、活動耐受度、肺功能、與功能吐能力。研究結果顯示在緩解呼吸困難程度，用視覺類比量表測得的分數，真的穴位點壓後比假的穴位點壓後改善8.54個單位。將此結果與前測的平均值（58.48單位）比較。表示改善14.6%。在其他變項上，真假穴位點壓後的差異很小或者未達統計上顯著意義。穴位點壓可以作爲COPD病人在肺復健班的補充治療，以緩解呼吸困難程度。某些對於傳統中醫學不熟悉的病人能夠學會穴位點壓、並且實施自我穴位點壓照顧白己。

關鍵字

穴位點壓 ； 慢性阻塞性肺疾 ； 肺復健班 ； 呼吸困難

並列摘要

Subject were Americans, 31 new COPD patients beginning a 12-week pulmonary rehabilitation program. A single-blind pretest-posttest, cross-over design was used, with each subject randomly assigned to one of two groups. Subjects in Group 1 practiced acupressure at seven bilateral acupoints daily for six weeks, followed by six weeks of sham acupressure (a placebo, in which non-acupoints were used). For Group 2, the order of interventions was reversed. During weeks 1, 6, and 12, six instruments were administered to assess subject dyspnea, other symptoms, activity tolerance, lung function, and functional exercise capacity.
The score after real acupressure was 8.54 units (95% confidence interval=1.60, 15.48) better than the score after sham acupressure for reducing dyspnea as measured by a visual analog scale (P=.009, one-tailed) This represents a 14.65% improvement in outcome, when compared with a mean baseline score of 58.48 units, Differences in effect of real and sham acupressure for other variables were either minimal or not statistically significant.
Acupressure appears to be useful to COPD patients as an adjunct to their pulmonary rehabilitation program for relief of dyspnea, Some persons who are not initially familiar with traditional Chinese medicine can learn and will accept self-administered acupressure as part of their self-care.

並列關鍵字

acupressure ； pulmonary rehabilitation program ； chronic obstructive pulmonary disease ； dyspnea