治疗性触摸应用于肝癌经导管动脉化疗栓塞术后疼痛控制的研究

The application of therapeutic touch on pain control for patients with liver cancer undergoing transcatheter arterial chemoembolization

目的评价治疗性触摸在肝癌经导管动脉化疗栓塞(TACE)术后疼痛控制中的作用。方法根据手术日期,将71例肝癌行TACE术且主诉术后疼痛≥4分的患者分为实验组和对照组,对照组采用常规镇痛方法(曲马多加健康教育),实验组采用治疗性触摸,无效时加用曲马多。比较两组患者镇痛前后的疼痛评分、血压、脉率变化,术后3d内曲马多使用次数和量,并调查实验组患者对治疗性触摸的主观感受及评价。结果实验组疼痛明显减轻(P<0.01),血压、脉率下降,术后3d内曲马多使用次数和量均较对照组明显减少(P<0.01);自制问卷调查显示,实验组对治疗性触摸的正性评价率为94.44%。结论治疗性触摸有助于肝癌TACE术后的疼痛控制,可明显减少镇痛剂的使用量。

Objective To evaluate the effect of therapeutic touch on pain control for patients with liver cancer undergoing transcatheter arterial chemoembolization （TACE）. Methods Seventy one patients with liver cnaeer undergoing TACE were randomly divided into control group and experimental group,which 0～10 Visual Analogue Scale （VAS） were no less than 4. Tramadol hydrochoride tablet and health education were used in control group, therapeutic touch was used in experimental group, Tramadol hydrochoride tablet was added if above methods had no effect. Recorded the pain level, blood pressure, pulse dosage of the medicine within 3 days after operation,the subjective feelings of therapeutic touch were also investigated. Results The pain level, blood pressure and pulse were significantly reduced after therapeutic touch （P〈0.01） in experimental group, and the dosage of the medicine was also significantly deereased （P〈0.01）. The questionnaire showed that the positive evaluation rate was 94.44% after receiving therapeutic touch in experimental group. Conclusions Therapeutic touch is helpful for the pain control of patients with liver cancer receiving TACE, and it can significantly reduce the dosage of the medicine.