對剖腹產術後疼痛、焦慮和血液動力學參數的影響:隨機對照臨床試驗

Effects of Reiki on Post-cesarean Delivery Pain, Anxiety, and Hemodynamic Parameters: A Randomized, Controlled Clinical Trial. Reiki 
對剖腹產術後疼痛、焦慮和血液動力學參數的影響:隨機對照臨床試驗 

Abstract The aim of this study was to investigate the effect of Reiki on pain, anxiety, and hemodynamic parameters on postoperative days 1 and 2 in patients who had undergone cesarean delivery. The design of this study was a randomized, controlled clinical trial. The study took place between February and July 2011 in the Obstetrical Unit at Odemis Public Hospital in Izmir, Turkey. Ninety patients equalized by age and number of births were randomly assigned to either a Reiki group or a control group (a rest without treatment). Treatment applied to both groups in the first 24 and 48 hours after delivery for a total of 30 minutes to 10 identified regions of the body for 3 minutes each. Reiki was applied for 2 days once a day (in the first 24 and 48 hours) within 4-8 hours of the administration of standard analgesic, which was administered intravenously by a nurse. A visual analog scale and the State Anxiety Inventory were used to measure pain and anxiety. Hemodynamic parameters, including blood pressure (systolic and diastolic), pulse and breathing rates, and analgesic requirements also were recorded. Statistically significant differences in pain intensity (p = .000), anxiety value (p = .000), and breathing rate (p = .000) measured over time were found between the two groups. There was a statistically significant difference between the two groups in the time (p = .000) and number (p = .000) of analgesics needed after Reiki application and a rest without treatment. Results showed that Reiki application reduced the intensity of pain, the value of anxiety, and the breathing rate, as well as the need for and number of analgesics. However, it did not affect blood pressure or pulse rate. Reiki application as a nursing intervention is recommended as a pain and anxiety-relieving method in women after cesarean delivery. 

Reiki 對剖腹產術後疼痛、焦慮和血液動力學參數的影響:隨機對照臨床試驗 摘要 本研究的目的是調查靈氣對術後第 1 天和第 2 天剖腹產術後疼痛、焦慮和血流動力學參數的影響。 這項研究的設計是一項隨機對照臨床試驗。該研究於 2011 年 2 月至 7 月在土耳其伊茲密爾 Odemis 公立醫院產科進行。90 名按年齡和出生次數平均的患者被隨機分配到靈氣組或對照組(未經治療 的休息)。在分娩後的前 24 和 48 小時內對兩組施加總共 30 分鐘的治療,對身體的 10 個識別區域 分別處理 3 分鐘。在給予標準止痛藥 4-8 小時內,一天一次(前 24 小時和 48 小時)應用靈氣 2 天, 由護士靜脈給藥。使用視覺模擬量表和狀態焦慮量表來測量疼痛和焦慮。也記錄血液動力學參數, 包括血壓(收縮壓和舒張壓),脈搏和呼吸頻率以及鎮痛需求。兩組患者的疼痛強度(p = .000), 焦慮值(p = .000)和呼吸頻率(p = .000)的統計學差異顯著。在應用靈氣和沒有治療的休息時, 兩組之間的止痛藥的時間(p = .000)和數量(p = .000)有統計學差異。結果表明,靈氣應用減少 疼痛的強度、焦慮的價值、呼吸率,以及需要和數量的止痛藥。但是,這並不影響血壓或脈率。作 為護理調理的靈氣應用被推薦為剖腹產術後婦女的疼痛和焦慮緩解方法。

陳慧潔
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