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        Effect of Acupressure on Preoperative Cesarean Section Anxiety

        Faezeh Abadi,Faezeh Abadi,Zhila Fereidouni,Mehdi Amirkhani,Shahnaz Karimi,Majid Najafi Kalyani 사단법인약침학회 2018 Journal of Acupuncture & Meridian Studies Vol.11 No.6

        Anxiety is a common preoperative problem in cesarean section candidates. Nonpharmacologic anxiety control has been demonstrated to be more suitable in pregnant women. The current study was a randomized, single-blind clinical trial which evaluated the effect of acupressure on preoperative C-section anxiety. In this study, 60 patients facing surgery were randomly divided into two groups of 30 patients each. Those patients in the intervention group received simultaneous acupressure at the Yintang and HE-7 acupoints for 5 minutes before surgery, and patients in the control group received intervention at a sham acupoint. The anxiety level of patients was preoperatively assessed twice using the Spielberger’s State-Trait Anxiety Inventory. The mean anxiety scores of the two groups were shown to be insignificantly different before the intervention (p Z 0.859), whereas a significant difference between the mean anxiety scores of the two groups was observed after the intervention (p Z 0.001), suggesting that acupressure reduced the anxiety of patients before surgery.

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        Effect of Acupressure on Symptoms of Postoperative Ileus After Cesarean Section

        Faezeh Abadi,Maryam Shahabinejad,Foziyeh Abadi,Majid Kazemi 사단법인약침학회 2017 Journal of Acupuncture & Meridian Studies Vol.10 No.2

        Postoperative ileus (POI) is a common complication after most abdominal surgeries including cesarean section. It is associated with longer hospitalization and increased medical costs. This study is a randomized controlled trial investigating the effect of acupressure, and low-cost noninvasive traditional treatment, on POI symptoms after cesarean section. A total of 120 patients were randomly divided into two groups; the treatment group received two sessions of acupressure (an hour after attending the women’s division; and 3 hours after the first session), each lasting 20 minutes. The time of flatus and defecation, time to presence of bowel sounds, and duration of postoperative bed rest were monitored. Patients in the treatment group had a shorter time to presence of bowel sounds compared with those in the control group (p < 0.001), as well as shorter time to first passage of flatus (p < 0.001) and shorter postoperative bed rest (pZ 0.005). However, the time to first defecation was not statistically significant (pZ 0.311). Acupressure has potential positive impacts on attenuating POI symptoms after cesarean section, and can be used as a low-cost noninvasive nursing care to reduce POI incidence and intensity after cesarean section.

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