Out-of-hospital auricular acupressure in elder patients with hip fracture: A randomized double-blinded trial
Out-of-hospital auricular acupressure in elder patients with hip fracture: A randomized double-blinded trial
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DOI：
10.1197/j.aem.2005.07.014
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发表时间：
2006-01-01
影响因子：
4.4
通讯作者：
Wang, SM
中科院分区：
文献类型：
--
作者：
Barker, R;Kober, A;Wang, SM
目的：众所周知，耳穴按摩可以降低救护车转运过程中患者的焦虑程度。这项随机、双盲、假对照研究的目的是确定耳穴按摩是否不仅可以降低老年急性髋部骨折患者的焦虑水平，还可以降低疼痛程度。 方法：在维也纳红十字会的协助下，38 名急性髋部骨折患者纳入本研究。患者被随机分为两个研究组：真正的干预组和假对照组。真正干预组的受试者（n = 18）在三个耳穴按摩点接受双侧耳穴按摩以治疗臀部疼痛。假手术组患者 (n = 20) 在假手术点接受双侧耳穴按摩。在进行适当的指压干预之前，获得基线人口统计信息、焦虑水平、疼痛水平、血压和心率。患者到达医院后，对焦虑水平、疼痛水平、血流动力学特征和满意度进行重新评估。 结果：与假对照组患者相比，真正干预组的患者到达医院时疼痛（F = 28，p = 0.0001）和焦虑（F = 4.3，p = 0.018）较少，心率较低（F = 18，p = 0.0001）。结果，真正干预组的患者对在前往医院期间接受的护理表现出更高的满意度。结论：作者鼓励医生、医疗保健提供者和紧急救援人员学习这种简单、无创且廉价的技术，因为它可以减少紧急运输期间的焦虑和疼痛。
Objectives: Auricular acupressure is known to decrease the level of anxiety in patients during ambulance transport. The purpose of this randomized, double-blind, sham control study was to determine whether auricular acupressure can decrease not only the level of anxiety but also the level of pain in a group of elder patients with acute hip fracture.Methods: With the assistance of the Vienna Red Cross, 38 patients with acute hip fracture were enrolled into this study. Patients were randomized into two study groups: the true intervention group and the sham control group. Subjects in the true intervention group (n = 18) received bilateral auricular acupressure at three auricular acupressure points for hip pain. Patients in the sham group (n = 20) received bilateral auricular acupressure at sham points. Baseline demographic information, anxiety level, pain level, blood pressure, and heart rate were obtained before the administration of the appropriate acupressure intervention. The level of anxiety, level of pain, hemodynamic profiles, and level of satisfaction were reassessed once the patients arrived at the hospital.Results: Patients in the true intervention groups had less pain (F = 28, p = 0.0001) and anxiety (F = 4.3, p = 0.018) and lower heart rate (F = 18, p = 0.0001) on arrival at the hospital than did patients in the sham control group. As a result, the patients in the true intervention group reported higher satisfaction in the care they received during the ride to the hospital.Conclusions: The authors encourage physicians, health care providers, and emergency rescuers to learn this easy, noninvasive, and inexpensive technique for its effects in decreasing anxiety and pain during emergency transportation.