穴位按摩在终末期肾病患者颈内静脉穿刺置管过程中的应用研究  

Application Study of Acupoint Massage during Process of Internal Jugular Vein Puncture and Catheterization of Patients with End-Stage Renal Disease

作　　者：李珊珊[1] LI Shanshan(Organ Transplantation Department,Shandong University Qilu Hospital,Jinan,Shandong 250012)

机构地区：[1]山东大学齐鲁医院器官移植科,山东济南250012

出　　处：《智慧健康》2024年第22期159-163,共5页Smart Healthcare

摘　　要：目的探讨穴位刺激对缓解终末期肾病患者颈内静脉穿刺置管过程中负性情绪及疼痛的效果。方法采用便利抽样法选取2022年5—10月在山东大学齐鲁医院拟行颈内静脉穿刺置管的终末期肾病患者82例为研究对象,按照随机数字表法分为对照组(n=42)和干预组(n=40)。对照组患者行常规置管护理,观察组患者在常规置管护理基础上予以中医穴位按摩,持续20min。通过状态-特质焦虑中的状态焦虑分问卷(SAI)来比较两组患者置管过程中的焦虑评分;用疼痛数字表法(NRS)测量两组患者置管过程中的疼痛程度;通过心电监护仪收集两组患者置管过程中的生理应激反应[收缩压(SBP)、舒张压(DBP)、心率(HR)];记录两组患者一次性穿刺成功率、置管时长和满意度。结果干预组患者焦虑程度显著低于对照组(Z=-2.237,P=0.025);与对照组相比,干预组置管过程中疼痛评分显著降低(P<0.05);置管后,两组SBP、DBP和HR均升高,但干预组低于对照组(P<0.05);干预组患者满意度显著高于对照组(P=0.030)。两组患者均一次穿刺成功。结论穴位按摩有利于改善终末期肾病患者颈内静脉穿刺置管过程中的负性情绪,恢复患者生理健康,缓解置管引起的疼痛并可稳定置管过程中的生理应激反应,提高患者满意度,值得临床应用推广。Objective To explore effect of acupoint stimulation on alleviating negative emotions and pain during process of internal jugular vein puncture and catheterization of patients with endstage renal disease,provide basis for alleviating negative emotions of tension and anxiety of clinical patients,and seek simple and safe analgesic nursing measures.Methods The paper chose 82 end-stage renal disease patients with jugular vein puncture and catheterization in Qilu Hospital of Shandong University from May to October 2022 by convenience sampling method as study subjects.Control group was treated with routine catheterization nursing,while observation group with traditional Chinese medicine acupoint massage for 20 minutes on the basis of routine catheterization nursing.Anxiety scores during catheterization were compared between two groups with the State Anxiety Inventory(SAI)for State Trait Anxiety.Pain degree during catheterization was measured between two groups with pain numeric rating scale(NRS).Physiological stress response systolic blood pressure(SBP),diastolic blood pressure(DBP)and heart rate(HR)was collected between two groups during catheterization with an electrocardiogram monitor.Success rate of one-time puncture,duration of catheterization,and satisfaction degree was recorded between two groups.Results Anxiety level of observation group was significantly lower than control group,with statistically significant difference(Z=-2.237,P=0.025).Pain scores of observation group during catheterization process were significantly lower than control group,(P<0.05).After catheterization,SBP,DBP,and HR increased in both groups,but those of observation group were lower than control group(P<0.05).Satisfaction degree in observation group(95.00%)was significantly higher than control group(78.57%),difference was statistically significant(P=0.030).Both groups were successfully punctured for one time.Conclusion Acupoint massage can help improve negative emotions during process of internal jugular vein puncture and catheterization o

关 键 词：颈内静脉穿刺置管 负性情绪 穴位按摩 疼痛 中医护理 

分 类 号：R248.1[医药卫生—中医临床基础]