抚触联合穴位按摩对缓解口腔种植手术中患者焦虑情绪及疼痛的效果观察

Effect of touch combined with acupoint massage on relieving anxiety and pain in patients during oral implant surgery

目的探讨抚触联合穴位按摩对缓解口腔种植手术中患者焦虑情绪及疼痛的效果。方法将72例符合纳入标准的种植手术患者利用信封法随机分成治疗组与对照组各36例。对照组进行常规护理,治疗组在常规护理的基础上实施抚触联合穴位按摩,持续20 min。用状态/特质焦虑问卷中的状态焦虑分量表(SAI)测量2组患者术中焦虑状态;用口述描绘评分法测量2组患者术中疼痛程度。结果治疗组患者与对照组患者种植术中SAI得分均值分别为(36.5 ± 7.6)和(46.6 ± 12.1)分,差异有统计学意义(t=4.219,P<0.05);治疗组患者与对照组患者相比,术中疼痛程度明显降低(Z=-2.009,P<0.05)。结论对口腔种植手术患者术中实施抚触联合穴位按摩能有效地缓解口腔种植手术中患者的焦虑情绪和疼痛程度,增强患者术中舒适感,为手术的安全、顺利进行提供多一份保障。

Objective To investigate the effect of touch combined with acupoint massage on relieving anxiety and pain in patients undergoing oral implant surgery. Methods Seventy-two patients undergoing implant surgery who were eligible for inclusion were randomized into a treatment group and a control group using the envelope method, 36 in each one. The control group was given routine care, and the treatment group was treated with touch combined with acupoint massage on the basis of routine care for 20 minutes. State Anxiety Inventory (SAI) in the State-Trait Anxiety Inventory (STAI) was used to measure the intraoperative anxiety status of patients in the two groups. The degree of intraoperative pain was measured by verbal rating scales in both groups. Results The mean SAI score of the patients in the treatment group and the control group was 36.5±7.6 and 46.6±12.1, respectively, and the difference was statistically significant (t=4.219, P<0.05). In addition, the pain levels in the treatment group were significantly lower than those in control group (Z=-2.009, P<0.05). Conclusion The combination of touch and acupoint massage can effectively alleviate the anxiety and pain of patients and enhance the comfort of patients during oral implant surgery, which further ensure the safe and smooth operation.