面對心臟衰竭病患,提供有效的護理措施可使病人感到舒適,並且使症狀得到有效的控制。護理理論家Rogers認為,人和環境都是能量場,且兩者之間一直在持續的互動,經由能量的交流產生波形的改造。國外許多研究也都支持按摩可以降低生理症狀。然而國內罕見有關此類介入措施的探討,因此,本研究目的在於應用Rogers理論以探討施行背部按摩對心臟衰竭病患焦慮、舒適及相關生理指標的成效。採用類實驗法單組前後測設計,於南部某醫學中心心臟內科病房收案,研究對象於入院後72小時,施予每天一次,每次十分鐘共三天的背部按摩,收案人數68人,研究工具包括情境焦慮量表、舒適視覺類比量表、電子血壓計、聽診器以及血氧飽和度測定裝置等生理指標測試工具。經由配對t檢定分析結果,顯示心臟衰竭個案在接受背部按摩後,其焦慮、舒適以及血壓、心跳次數、呼吸次數、血氧飽和濃度等生理指標均有顯著的成效。此外本研究也發現病患在接受背部按摩之後,可促進其睡眠狀態。因此,背部按摩護理措施,應該在臨床上加以推廣,以促進心臟衰竭病患的身心舒適。
For congestive heart failure patients, effective nursing intervention can help patients feel comfortable and control their symptoms. According to nursing theorist Rogers, human beings and the environments are energy fields, and always interact continuously by energy exchange and produce the wavelike transform. Research has shown that massage can decrease physiological symptoms in other countries. However, research in this area is scant in Taiwan. Therefore, the purpose of this study was to apply Rogers’ theory on the effect of back massage on anxiety, comfort and physiological indicators for congestive heart failure patients. The study design was a quasi- experimental study with one group pretest-posttest design. The sample was selected from a medical center in the southern Taiwan. Three days after the patient’s admission, each participant received 10 minutes back massage everyday for 3days. A total of 68 participants were in this study. The research tools contain the State- Trait Anxiety Inventory、the Visual Analogue Scale、the electric blood pressure monitor、a stethoscope and a pulse oximeter. Pair t-test showed significantly difference in anxiety, comfort and physiological indicators for congestive heart failure patients. This study also found that back massage improve sleep status for the participants. Therefore, back massage should be useful in clinical practice to enhance comforts in physical and psychological aspects for the congestive heart failure patients.
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