CAJ | 학술논문

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±5．81），（53．33±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±4．32），（50．23±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。
목적：탐토채용혈위안마배합족욕요법대개선위장공능문란환자초필적림상효응。방법장86례환자안조수궤수자표법분위대조조화관찰조，각43례。대조조채용전통적심리호리방법，관찰조재대조조적기출상채용혈위안마배합족욕요법진행치료화호리，관찰량조환자림상증상적개선정황，병용초필자평량표（ SAS）대량조환자입원시화출원전초필정황진행평고。결과관찰조환자림상유효솔위95．35％，명현우우대조조적74．42％，차이유통계학의의（χ2＝7．34，P＜0．05）；관찰조화대조조환자입원시적SAS평분분별위（53．42±5．81），（53．33±5．73）분，차이무통계학의의（t＝0．07，P＞0．05），출원전분별위（40．37±4．32），（50．23±5．62）분，관찰조환자적SAS초필개선정황명현우우대조조，차이유통계학의의（t＝9．12，P＜0．01）。결론혈위안마배합족욕요법유조우소제환자적초필정서，간단역행，환자통고소，가제고환자배합치료적적겁성，촉진환자조일강복。
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<0.05).When patients first admitted to hospital, the scores of SAS were (53.42 ±5.81) in observation group and (53.33 ±5.73) in control group, respectively (t=0.07, P>0.05).Before discharge, the scores of SAS were (40.37 ±4.32) in observation group and (50.23 ±5.62) in control group, which showed a significant reducing sign of anxiety in observation group (t=9.12, P<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 .