关键词: 手术前护理, 焦虑, 骨科, 穴位刺激调控法

Abstract:

Objective To evaluate the effect of acupoint stimulation among patients with anxiety before elective surgery in Department of Orthopedics.Methods We used the Hamilton anxiety scale（HAMA） to evaluate the anxiety level of patients undergoing elective surgery in Department of Orthopedics and screen patients with preoperative anxiety,and 82 patients were identified. We randomly divided the patients into the experimental group and the control group,with 41 patients in each group. The experimental group received acupoint stimulation as well as the routine nursing. The intervention time was from admission day to 1 day before surgery. The number of intervention times per day was less than 1,and the total intervention frequency was more than 3.The control group received routine nursing. The evaluation indicators included patients’ anxiety level,sleep status,blood pressure and pulse rate. The HAMA was used to evaluate the level of anxiety and the St.Mary Hospital Sleep Questionnaire（SMH） was used to evaluate the sleep status. Indicators were evaluated at the time of admission and in the morning of the day for surgery.Results There were no significant differences in the HAMA,SMH score,blood pressure and pulse rate between two groups before intervention（P>0.05）. After intervention,there were significant differences in the HAMA,SMH scores and pulse rate between two groups（P<0.05）. But there was no significant difference in blood pressure（P>0.05）.Conclusion Acupoint stimulation can reduce preoperative anxiety level,improve the sleep status of patients and slow down pulse rate caused by anxiety. But further research is needed to confirm the effect of acupoint stimulation on blood pressure.

Key words: Preoperative Care, Anxiety, Orthopaedics, Acupoint stimulation