ﺗﺄﺛﻴﺮ ﻃﺐ ﻓﺸﺎري ﺑﺮ ﻣﻴﺰان اﺿﻄﺮاب ﺑﻴﻤﺎران ﻗﺒﻞ از اﻧﺠﺎم ﻋﻤﻞ آﻣﭙﻮﺗﺎﺳﻴﻮن” در ﻣﺮﻛﺰ آﻣﻮزﺷﻲ درﻣﺎﻧﻲ ﭘﻮرﺳﻴﻨﺎ رﺷﺖ

Acupressure and Anxity in Patients Before Amputation in Poorsina Hospital - Rasht

ﺯﻣﻴﻨﻪ ﻭ ﻫﺪﻑ: ﮐﻨﺘﺮﻝ ﺍﺿﻄﺮﺍﺏ ﮐﻪ ﺩﺭ ﻭﺍﻗـﻊ ﺷﺎﻳﻊ ﺗﺮﻳﻦ ﭘﺎﺳﺦ ﺭﻭﺍﻥ ﺷﻨﺎﺧﺘﯽ ﺍﺑﻨﺎﯼ ﺑﺸﺮ ﻧﺴﺒﺖ ﺑﻪ ﺗﻨﺶ ﺍﺳﺖ، ﺑﺎ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﺭﻭﺵ ﻫﺎﯼ ﻣﮑﻤـﻞ ﺗﻦ ﺁﺭﺍﻣﯽ، ﻃﺐ ﻓﺸﺎﺭﯼ ﻭ ﻏﻴﺮﻩ( ﺑﻪ ﻋﻨـﻮﺍﻥ ﺭﺍﻫﮑﺎﺭﯼ ﻋﻤﻠﯽ ﻭ ﺑﺪﻭﻥ ﻋﺎﺭﺿﻪ ﻣﯽ ﺗﻮﺍﻧﺪ ﺗﺤﻘﻖ ﻳﺎﺑﺪ. ﻧﻴﺎﺯ ﺑﻪ ﭼﻨﻴﻦ ﺭﺍﻫﮑﺎﺭﯼ ﺑﻪ ﻭﻳﮋﻩ ﺩﺭ ﻣـﻮﺍﻗﻌﯽ ﮐﻪ ﻓـﺮﺩ ﻣﻠﺰﻡ ﺑﻪ ﭘﺬﻳﺮﺵ ﻳﮏ ﺭﻭﺵ ﺩﺭﻣﺎﻧﯽ ﻗﻄﻌﯽ ﻫﻤﺎﻧﻨﺪ ﭘﺬﻳﺮﺵ ﻗﻄﻊ ﺍﻧﺪﺍﻡ ﻳﺎ ﺁﻣﭙﻮﺗﺎﺳﻴﻮﻥ" ﺑﻪ ﻋﻨﻮﺍﻥ ﻳﮏ ﻣﺪﺍﺧﻠﻪ ﺍﺟﺘﻨﺎﺏ ﻧﺎﭘﺬﻳﺮ ﻭ ﻣـﺮﺗﺒﻂ ﺑﺎ ﺳﻼﻣﺘﯽ ﻭ ﺍﺩﺍﻣﻪ ﺣﻴﺎﺗﺶ ﻣﯽ ﮔـﺮﺩﺩ، ﺑﻴﺸﺘـﺮ ﺍﺯ ﻫﺮ ﺯﻣﺎﻥ ﺩﻳﮕﺮ ﺧﻮﺩﻧﻤﺎﺋﯽ ﻣﯽ ﮐﻨﺪ. ﻣﻮﺍﺩ ﻭ ﺭﻭﺵ ﻫﺎ: ﺍﻳﻦ ﻣﻄﺎﻟﻌﻪ ﻳﮏ ﭘﮋﻭﻫﺶ ﺗﺠـﺮﺑﯽ ﺍﺯ ﻧﻮﻉ ﮐﺎﺭﺁﺯﻣﺎﺋﯽ ﺑﺎﻟﻴﻨﯽ ﺍﺳﺖ ﮐﻪ ﻃﯽ ﺁﻥ ﻧﻤﻮﻧﻪ ﮔﻴﺮﯼ ﺩﺭ ﻣﻘﻄﻊ ﺯﻣﺎﻧﯽ ﮔـﺮﺩﺁﻭﺭﯼ ﺩﺍﺩﻩ ﻫﺎ ﺑﻪ ﺻﻮﺭﺕ ﺗﺼﺎﺩﻓﯽ ﺍﻧﺠﺎﻡ ﮔـﺮﻓﺘﻪ ﺍﺳﺖ. ﺗﻌـﺪﺍﺩ ﻧﻤﻮﻧﻪ ﻫﺎ 42 ﻧﻔﺮ ﻭ ﺍﺑﺰﺍﺭ ﮔـﺮﺩﺁﻭﺭﯼ ﺍﻃﻼﻋﺎﺕ ﺷﺎﻣﻞ ﭘﺮﺳﺸﻨﺎﻣﻪ ﺍﯼ ﻣﺸﺘﻤﻞ ﺑﺮ ﺑﺮﺧﯽ ﺍﻃﻼﻋﺎﺕ ﻭ ﺩﻣﻮﮔﺮﺍﻓﻴﮏ، ﭘﺮﺳﺸﻨﺎﻣﻪ ﺍﺿﻄﺮﺍﺏ ﺍﺷﭙﻴﻞ ﺑﺮﮔﺮﻭ ﭼﮏ ﻟﻴﺴﺖ ﺛﺒﺖ ﻋﻼﺋﻢ ﺣﻴﺎﺗﯽ ﺑﻮﺩ. ﺍﺑﺘﺪﺍ ﺍﺿﻄﺮﺍﺏ ﻭ ﻋﻼﻳﻢ ﺣﻴﺎﺗﯽ ﻭﺍﺣـﺪﻫﺎﯼ ﻣـﻮﺭﺩ ﻧﻈﺮ ﺷﺎﻫﺪ ﻭ ﻣﻮﺭﺩ( ﺭﻭﺯ ﻗﺒﻞ ﺍﺯ ﻋﻤﻞ ﺗﻌﻴﻴﻦ ﻭ ﮐﻨﺘﺮﻝ ﻣﯽ ﺷﺪ ﻭ ﺳﭙﺲ ﻋﻤﻞ ﻣﻮﺭﺩ ﻧﻈﺮ ﺑﻪ ﻣـﺪﺩﺟﻮﻳﺎﻥ ﮔﺮﻭﻩ ﻣـﻮﺭﺩ" ﻣﺤﻞ ﻭ ﻧﺤـﻮﻩ ﺍﻋﻤﺎﻝ ﻓﺸﺎﺭ ﺑﺮ ﻧﻘـﻄﻪ ﻣﻮﺭﺩ ﻧﻈﺮ ﻧﻘﻄﻪ P6" ﮐﻪ ﻳﮑﯽ ﺍﺯ ﻧﻘﺎﻁ ﻣﻮﺭﺩ ﺍﺳﺘﻔﺎﺩﻩ ﺩﺭ ﻃﺐ ﻓﺸﺎﺭﯼ ﺑﺮﺍﯼ ﮐﻨﺘـﺮﻝ ﻭ ﮐﺎﻫﺶ ﺍﺿﻄﺮﺍﺏ ﺍﺳﺖ(، ﺁﻣﻮﺯﺵ ﺩﺍﺩﻩ ﻣﯽ ﺷـﺪ ﻭ ﭘﺲ ﺍﺯ ﮔـﺬﺷﺖ ﻳﮏ ﺩﻗﻴﻘﻪ ﮐﻨﺘﺮﻝ ﻋﻼﻳﻢ ﺣﻴﺎﺗﯽ ﻭ ﭘﺮﺳﺸﻨﺎﻣﻪ ﺍﺿﻄﺮﺍﺏ ﺩﺭ ﺍﺧﺘﻴﺎﺭ ﻧﻤـﻮﻧﻪ ﻣـﻮﺭﺩ ﻧﻈﺮ ﻗـﺮﺍﺭ ﻣﯽ ﮔﺮﻓﺖ. ﺗﺠﺰﻳﻪ ﻭ ﺗﺤﻠﻴﻞ ﺍﻃﻼﻋﺎﺕ ﺟﻤـﻊ ﺁﻭﺭﯼ ﺷﺪﻩ ﺑﺎ ﺍﺳﺘﻔـﺎﺩﻩ ﺍﺯ ﻧﺮﻡ ﺍﻓـﺰﺍﺭ SPSS ﺍﻧﺠﺎﻡ ﮔﺮﺩﻳﺪ. ﻳﺎﻓﺘﻪ ﻫﺎ: ﻧﺘﺎﻳﺞ ﺣﺎﺻﻞ ﻧﺸﺎﻥ ﺩﺍﺩ ﮐﻪ ﻧﻪ ﺗﻨﻬﺎ ﻣﻴـﺰﺍﻥ ﺍﺿﻄﺮﺍﺏ ﺁﺷﮑﺎﺭ ﻭ ﻧﻬﺎﻥ ﺩﺭ ﮔﺮﻭﻩ ﻣـﻮﺭﺩ ﻗﺒﻞ ﻭ ﺑﻌﺪ ﺍﺯ ﺍﺳﺘﻔـﺎﺩﻩ ﺍﺯ ﻃﺐ ﻓﺸﺎﺭﯼ ﺗﻔـﺎﻭﺕ ﺩﺍﺭﺩ، ﺑﻠﮑﻪ ﺗﻐﻴﻴـﺮﺍﺕ ﻗﺎﺑﻞ ﺗﻮﺟﻬـﯽ ﻧﻴﺰ ﺩﺭ ﻣﻴـﺰﺍﻥ ﻋﻼﺋﻢ ﺣﻴﺎﺗﯽ ﺁﻧﺎﻥ ﺩﺭ ﻣﻘﻄﻊ ﻗﺒﻞ ﻭ ﺑﻌـﺪ ﺍﺯ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﻃﺐ ﻓﺸﺎﺭﯼ ﺩﻳﺪﻩ ﻣﯽ ﺷﻮﺩ. ﺿﻤﻦ ﺍﻳﻦ ﮐﻪ ﺩﺭ ﻣﻘﺎﻳﺴﻪ ﺩﻭ ﮔـﺮﻭﻩ )ﻣـﻮﺭﺩ ﻭ ﺷﺎﻫﺪ( ﻋﺪﻡ ﺣﻴﺎﺗـﯽ ﻭ ﻣﻴﺰﺍﻥ ﺍﺿﻄﺮﺍﺏ ﺁﺷﮑﺎﺭ ﻭ ﻧﻬﺎﻥ ﺩﺭ ﮔﺮﻭﻩ ﻣﻮﺭﺩ ﺳﻴﺮ ﻧﺰﻭﻟﯽ ﺩﺍﺷﺘﻪ ﺍﺳﺖ. ﻧﺘﻴﺠﻪ ﮔﻴـﺮﻱ: ﺑﺎ ﺗﺄﮐﻴﺪ ﺑﺮ ﺗﻔﺎﻭﺕ ﺑﺎﺭﺯﯼ ﮐﻪ ﺍﺯ ﻣﻘﺎﻳﺴﻪ ﺍﻃﻼﻋﺎﺕ ﺩﻭ ﮔﺮﻭﻩ ﻣﻮﺭﺩ ﻭ ﺷﺎﻫﺪ ﺑﻪ ﺩﺳﺖ ﺁﻣﺪﻩ ﺍﺳﺖ، ﻣﯽ ﺗﻮﺍﻥ ﺍﻇﻬﺎﺭ ﺩﺍﺷﺖ ﮐﻪ ﺑﻪ ﻋﻨﻮﺍﻥ ﻳﮏ ﺭﻭﺵ ﺩﺭﻣﺎﻧﯽ ﻣﺆﺛﺮ ﻭ ﺑﺪﻭﻥ ﻋﺎﺭﺿﻪ ﺩﺭ ﺭﺍﺳﺘﺎﯼ ﮐﺎﻫﺶ ﺍﺿﻄﺮﺍﺏ ﺑﻴﻤﺎﺭﺍﻥ ﺩﺭ ﻣﻘﻄﻊ ﻗﺒﻞ ﺍﺯ ﺟﺮﺍﺣﯽ ﻣﯽ ﺗﻮﺍﻥ ﺍﺯ ﻃﺐ ﻓﺸﺎﺭﯼ ﺍﺳﺘﻔﺎﺩﻩ ﻧﻤﻮﺩ.

Introduction & Objective: Acupressure can be used as a adaptation strategy for stress control. The aim of this research is the assessment of acupressure effects on anxity in patients before amputation. Materials & Methods: The sample of this clinical trial study, was 42 patients, the number of 21 patients in control group and 21 patients in case group. Data collection instrument had 3 parts. Part 1 was related to demographic characteristic; part 2 was eshpilburger anxity questionnaire and part 3 was vital signs checklist. Results: Results showed that acupressure affected on anxity in samples, it has controlled the Blood Pressure and Pulse Rate before operation. The changes in vital signs changes related to anxity. Conclusions: Results of comparison between 2 groups shows that acupressure affected on anxity before amputation, so we suggest the usages of this method for patients’ preparation before operation.