The effect of acupressure on respiratory indices in patients undergoing mechanical ventilation
- PDF  |
- DOI: https://doi.org/10.15562/bmj.v8i1.1141  |
- Published: 2019-04-01
Search for the other articles from the author in:
Google Scholar | PubMed | BMJ Journal
Search for the other articles from the author in:
Google Scholar | PubMed | BMJ Journal
Search for the other articles from the author in:
Google Scholar | PubMed | BMJ Journal
Search for the other articles from the author in:
Google Scholar | PubMed | BMJ Journal
Background and Purpose: Acupressure as an uncomplicated and non-prescriptive approach may improve respiratory performance in patients undergoing mechanical ventilation. The present study aimed to determine the effect of acupressure on respiratory indices in patients undergoing mechanical ventilation.
Materials and Method: This randomized clinical trial study was conducted in three university hospitals in Tehran. 164 patients undergoing hemodynamic stability, GCS ≥ 9 and eligible for mechanical ventilation, were randomly assigned to one of the intervention and control groups. The intervention group received acupressure daily,  twice  a day  for two consecutive days with routine care, but the control group received just routine care. Acupressure intervention was performed in Zongfeng, Taivan, Hugo, Niguang and Zooslanli locations for 20 minutes. In each session, the respiratory indices of the patients were measured at four stages, before, immediately , 30 minutes and one hour after the intervention. Data were analyzed by SPSS software version 18 and inferential statistical tests.
Finding: Statistically significant difference were reported between groups in terms of spontaneous respiratory rate (P = 0.025) and spontaneous minute volume (P = 0.005).  In intra-group comparison, there was a significant improvement in expiratory tidal  volume in the intervention group. The effect of acupressure in each intervention session was immediate and  did not have cumulative effect.
Conclusion: Acupressure could improve respiratory indices in patients with mechanical ventilation. Thus  nurses of the intensive care unit can accelerate the improvement of patients undergoing  mechanical  ventilation by using  this non-pharmacological approach.