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Войти в исследования Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · 2024
Effect of Wrist-Ankle Acupuncture Point Stimulation on Preventing Postoperative Nausea and Vomiting in Female Patients Undergoing Orthopedic Surgery.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Zhang Zhenzhen, Liu Qingge, Chen Rui, Tian Yamin, Wang Chaoping, Zhang Di, Wu Songmei
Аннотация
PURPOSE: To observe the clinical effects of a preventive nursing intervention involving wrist-ankle acupuncture point stimulation on postoperative nausea and vomiting among female patients who underwent orthopedic surgery.
DESIGN: Randomized control trial.
METHODS: Female patients who underwent lumbar open reduction, bone graft fusion, or internal fixation surgery in the operating room of a tertiary first-class hospital in Henan Province from October 2022 to June 2023 were selected as the research subjects. The patients were randomly divided into an experimental group and a control group via the random number table method. The experimental group (n = 38) received a wrist and ankle acupuncture point stimulation nursing intervention, whereas the control group (n = 38) received routine perioperative care. The serum concentrations of 5-hydroxytryptamine (5-HT) and gastrin, opioid usage, postoperative complications, and patient satisfaction were compared between the two groups.
FINDINGS: No statistically significant difference (P > .05) was found between the two groups in terms of general information, such as age, weight, surgical time, opioid use, or preintervention gastrointestinal hormone levels. The serum concentrations of 5-HT and gastrin at T1 (before skin incision), T2 (after surgery), and T3 (24 hours after surgery) were significantly lower in the experimental group than in the control group (P < .05). The satisfaction of patients in the experimental group was significantly higher than that in the control group (P < .05).
CONCLUSIONS: Wrist-ankle acupuncture point stimulation can reduce the incidence of postoperative nausea and vomiting in female patients undergoing orthopedic surgery, reduce the serum concentrations of 5-HT and gastrin, reduce complications, and improve patient satisfaction while not impacting analgesic effects.
DESIGN: Randomized control trial.
METHODS: Female patients who underwent lumbar open reduction, bone graft fusion, or internal fixation surgery in the operating room of a tertiary first-class hospital in Henan Province from October 2022 to June 2023 were selected as the research subjects. The patients were randomly divided into an experimental group and a control group via the random number table method. The experimental group (n = 38) received a wrist and ankle acupuncture point stimulation nursing intervention, whereas the control group (n = 38) received routine perioperative care. The serum concentrations of 5-hydroxytryptamine (5-HT) and gastrin, opioid usage, postoperative complications, and patient satisfaction were compared between the two groups.
FINDINGS: No statistically significant difference (P > .05) was found between the two groups in terms of general information, such as age, weight, surgical time, opioid use, or preintervention gastrointestinal hormone levels. The serum concentrations of 5-HT and gastrin at T1 (before skin incision), T2 (after surgery), and T3 (24 hours after surgery) were significantly lower in the experimental group than in the control group (P < .05). The satisfaction of patients in the experimental group was significantly higher than that in the control group (P < .05).
CONCLUSIONS: Wrist-ankle acupuncture point stimulation can reduce the incidence of postoperative nausea and vomiting in female patients undergoing orthopedic surgery, reduce the serum concentrations of 5-HT and gastrin, reduce complications, and improve patient satisfaction while not impacting analgesic effects.