The effects of auricular acupressure on pain, anxiety and passive shoulder joint motion angle for patients after shoulder arthroscopic surgery

• Main Authors: Jhih-Yu Lin, 林芷伃
• Other Authors: Chi-Feng Liu
• Format: Others
• Language: zh-TW
• Published: 2015
• Online Access: http://ndltd.ncl.edu.tw/handle/79625034243032085052

碩士 === 國立臺北護理健康大學 === 中西醫結合護理研究所 === 103 === Background: The shoulder joint is the most active joint and is related to everyday life of human. Using arthroscopy to treat the pathologic changes of shoulder joint in orthopedics is a worldwide trend. The efficient pain control after surgery could increase the willingness of patients for rehabilitation. Few literature have discussed non-drug pain relief after shoulder arthroscopic surgery by auricular acupressure to assist patients. Purpose: The major aim in this study is to discuss the effectiveness and correlation between pain, anxiety, the degrees of shoulder passive moving angle, and blood pressure of patients after shoulder arthroscopic surgery with or without auricular acupressure. Methods: This study is conducted in orthopedic wards of a northern Taiwan local hospital. The study enrolls 86 patients those who are separated randomly into experimental and control groups with each containing the same 43 patients. The experimental group patients after shoulder arthroscopy surgery would receive auricular acupressure at three sites, Shenmen (TF4)、shoulder(SF4 )、shoulder joint(SF5 ), the other control group would receive placebo paste at three sham points. The point pastes would be massaged 3 times every day, and for 2 minutes each pressing, for 3 days duration. The patients would be assessed the quantity of pain, of anxiety, and the degrees of passive shoulder moving angles and blood pressure before the acupressure pastes after return from the surgical room, then the record would also be carry out at 24, 48 hours after surgery, and at discharge day. The pain visual analogue scale (VAS-pain) and hospital anxiety scale (VAS-anx and HAS) will be use to assess the quantity of pain and anxiety, while the degree of passive shoulder moving angles and blood pressure were also measured. The collected data will be statistically analyzed by the Chi-square test, independent t-test, and by Pearson’s correlation test using Generalized Estimating Equation, GEE, in SPSS20.0 software. Results: In moderate pain scale of VAS-pain table, there is no significant difference between experimental and control group, but the pain grade is decreased along with time. The use of pain-relief drugs in control group is higher (25.6%) than experimental group (4.7%) with statistical significance (p<0.05). In mild and normal anxiety grade, there is no significant difference between experimental and control group, but the anxiety level is decreased along with time. The degree of shoulder passive moving angle is also no significant difference between experimental and control groups, but the angle degree level is increased along with time. The diastolic blood pressure in T3 (48 hrs) is lower 5.14 mmHg in experimental group than control. The correlation test is significant of blood pressure in experimental group (the B value = -5.14, and p value = 0.044), which reveals that the blood pressure improvement is correlated with auricular acupressure in experimental group. Conclusion: Using auricular acupressure after shoulder arthroscopy surgery could decrease the requirement of pain-relief drugs, the acupressure is also decrease of pain and anxiety grade along with time and the diastolic blood pressure is more improved at 48 hours in experimental group. Keywords: Shoulder arthroscopy, Auricular acupressure, Pain, Anxiety, Passive shoulder joint motion angle, Blood pressure