穴位按摩配合足浴疗法对改善胃肠功能紊乱患者焦虑的临床研究  

Clinical research on reducing anxiety of patients with functional gastrointestinal disorders by acupoint massage therapy in combination with footbath therapy

作　　者：侯晓慧[1] 黄雪芬[1] 马钱凤[1] 杨春霞[1] 黄珂[1] 

机构地区：[1]广东省深圳市中医院脾胃病科病区,518033

出　　处：《中华现代护理杂志》2014年第4期431-433,共3页Chinese Journal of Modern Nursing

摘　　要：目的：探讨采用穴位按摩配合足浴疗法对改善胃肠功能紊乱患者焦虑的临床效应。方法将86例患者按照随机数字表法分为对照组和观察组，各43例。对照组采用传统的心理护理方法，观察组在对照组的基础上采用穴位按摩配合足浴疗法进行治疗和护理，观察两组患者临床症状的改善情况，并用焦虑自评量表（ SAS）对两组患者入院时和出院前焦虑情况进行评估。结果观察组患者临床有效率为95．35％，明显优于对照组的74．42％，差异有统计学意义（χ2＝7．34，P＜0．05）；观察组和对照组患者入院时的SAS评分分别为（53．42＆#177;5．81），（53．33＆#177;5．73）分，差异无统计学意义（t＝0．07，P＞0．05），出院前分别为（40．37＆#177;4．32），（50．23＆#177;5．62）分，观察组患者的SAS焦虑改善情况明显优于对照组，差异有统计学意义（t＝9．12，P＜0．01）。结论穴位按摩配合足浴疗法有助于消除患者的焦虑情绪，简单易行，患者痛苦小，可提高患者配合治疗的积极性，促进患者早日康复。Objective To explore the effect of reducing anxiety of patients with functional gastrointestinal disorders by acupoint massage therapy in combination with footbath therapy .Methods Eighty-six cases were randomly divided into control group and observation group , 43 cases in each group .The control group was treated with traditional psychological care method .Based on the control group , the observation group was adopted the acupoint massage therapy in combination with footbath therapy .The clinical improvements in each group was compared , and assess the anxiety of patients before and after the therapy using the self -rating anxiety scale （ SAS）.Results The effective percentage of observation group was 95.35%, and it was significantly better than that of 74.42%in control group （χ2 =4.42, P＆lt;0.05）.When patients first admitted to hospital, the scores of SAS were （53.42 ＆#177;5.81） in observation group and （53.33 ＆#177;5.73） in control group, respectively （t=0.07, P＆gt;0.05）.Before discharge, the scores of SAS were （40.37 ＆#177;4.32） in observation group and （50.23 ＆#177;5.62） in control group, which showed a significant reducing sign of anxiety in observation group （t=9.12, P＆lt;0.01）.Conclusions The acupoint massage therapy in combination with footbath therapy helps to eliminate patients ’ anxiety.The method is simple and less painful , which is helpful to obtaining patients’ enthusiasm of cooperation in treatment , and improving early recovery .

关 键 词：焦虑 中医护理学 穴位按压 足浴疗法 胃肠功能紊乱 

分 类 号：R248[医药卫生—中医临床基础]