Background and Purpose

This study examined the effects of foot reflexology on agitation and extubation time of male patients following coronary artery bypass graft surgery.

Materials and methods

In this randomized three-arm controlled clinical trial, participants (n = 120) were randomly assigned to the intervention, placebo, or control groups. The intervention group received foot reflexology massage for 15 min. Agitation was assessed using the Richmond Agitation- Sedation Scale before the intervention (Time 1) and immediately (Time 2) and 10 min after the intervention (Time 3). Extubation time was measured as the time from gaining full consciousness to endotracheal extubation.

Results

Agitation reduced in all groups from Time 1 to Time 3 (p < 0.05); however, the intervention group showed a significantly higher reduction at Time 2 (p < 0.001) and Time 3 (p < 0.001). Also, extubation time was significantly shorter in the intervention group (p < 0.01).

Conclusion

Foot reflexology may be introduced as a nursing intervention to facilitate the weaning process in the cardiac ICUs.

中文翻译：

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男性男性患者冠状动脉搭桥手术后足底反射疗法对躁动和拔管时间的影响：一项随机对照临床试验。

背景和目的

这项研究检查了脚底按摩对男性冠状动脉搭桥手术后患者躁动和拔管时间的影响。

材料和方法

在这项随机的三臂对照临床试验中，将参与者（n = 120）随机分配到干预组，安慰剂或对照组。干预组接受足底按摩按摩15分钟。干预前（时间1），干预后立即（时间2）和干预后10分钟（时间3）使用里士满躁动镇静量表评估躁动。拔管时间测量为从完全意识到气管内拔管的时间。

结果

从时间1到时间3，所有组的躁动减少（p <0.05）；但是，干预组在时间2（p <0.001）和时间3（p <0.001）表现出明显更高的减少率。另外，干预组拔管时间明显缩短（p <0.01）。

结论

可以引入足反射疗法作为护理干预措施，以促进心脏ICU的断奶过程。