原发性痛经患者耳穴贴压方案的构建

黄晶晶; 叶然; 陈昊; 王秋琴; 葛莹莹; 程燕飞

doi:10.16766/j.cnki.issn.1674-4152.002833

原发性痛经患者耳穴贴压方案的构建

doi: 10.16766/j.cnki.issn.1674-4152.002833

1.
南京中医药大学护理学院，江苏南京 210023
2.
南京中医药大学针灸推拿学院·养生康复学院，江苏南京 210023

基金项目:

2021年江苏省研究生培养创新工程研究生科研与实践创新计划项目 SJCX21_0661

江苏高校"青蓝工程"护理学专业创新实践教学团队开放课题 NZYHLXPPQL2019-30

详细信息

通讯作者:
叶然，E-mail: Yeran01@njucm.edu.cn

中图分类号: R711.51 R245.9
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- 文章访问数: 363
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- PDF下载量: 4
- 被引次数: 0
出版历程
- 收稿日期: 2022-02-25
- 网络出版日期: 2023-04-07

Construction of auricular point sticking program for patients with primary dysmenorrhea

1.
School of Nursing, Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210023, China

摘要

摘要: 目的构建原发性痛经耳穴贴压方案，为原发性痛经患者的护理提供参考。方法基于循证研究的理念和方法，将临床随机对照试验、指南及教科书作为证据来源，初步拟定方案。召开专家小组会议，确定函询问卷。2021年7—9月，通过现场发放及电子邮件的方式向13名专家发放问卷。经过两轮专家函询，构建了原发性痛经患者耳穴贴压方案。结果两轮函询的专家积极系数分别为86.67%、100.00%；权威系数分别为0.85、0.81。第1轮函询中，耳穴组方部分肯德尔协调系数为0.386，操作方法部分为0.555(均P＜0.001)；第2轮函询中，耳穴组方部分肯德尔协调系数为0.398，操作方法部分为0.709(均P＜0.001)。最终构建的方案包括耳穴组方、操作方法2个部分，分为主穴、配穴、按压次数、按压频率、干预时间、干预疗程、选取何侧耳穴、耳穴贴更换频率8个维度。其中主穴包括内生殖器、内分泌、神门、交感、盆腔、卵巢6个穴位。在配穴方面，寒凝血瘀证配肾，气滞血瘀证配肝，肝肾亏损证配肝、肾，气血亏虚证配脾、肺、肝，湿热瘀阻证配耳尖、脾、三焦。结论本研究构建的方案完善了主穴，增加了辨证配穴，规范了操作方法，可为临床耳穴贴压护理提供指导。
- 原发性痛经 /
- 耳穴贴压 /
- 辨证选穴 /
- 德尔菲法
Abstract: Objective To develop auricular point sticking program for patients with primary dysmenorrhea, and to provide reference for the nursing of patients with primary dysmenorrhea. Methods Based on the concept and method of evidence-based research, randomised controlled trials, guidelines and textbooks were used as evidence sources to formulate the program. An expert group meeting was held to develop the questionnaire. Questionnaires were sent to 13 experts on site and via e-mail from July 2021 to September 2021. After two rounds of consultation, the auricular point sticking program for patients with primary dysmenorrhea was constructed. Results In the two rounds of consultation, the positive coefficients of experts were 86.67% and 100.00%, and the authority coefficients were 0.85 and 0.81. In the first round of consultation, Kendall ' s concordance coefficient of auricular acupoint prescription was 0.386, and that of the operation method part was 0.555 (all P < 0.001). In the second round of consultation, Kendall ' s concordance coefficient of auricular acupoint prescription was 0.398, and that of the operation method part was 0.709 (all P < 0.001). The final program was divided into two parts, the auricular acupoint prescription and operation method, and included 8 dimensions, such as main acupoints, matching acupoints, pressing time, pressing frequency, intervention time, intervention course, selection of the side of the ear and replacement frequency. The main acupoints were internal genitalia, endocrine, shenmen, sympathetic, pelvic cavity and ovary. In point matching, cold blood stasis syndrome matched kidney, Qi stagnation with blood stasis syndrome matched liver, liver and kidney deficiency syndrome matched liver and kidney, Qi and blood deficiency matched spleen, lung and liver, and damp heat stasis syndrome matched ear tip, spleen and triple energizer. Conclusion The constructed program improves the main acupoints, adds matching acupoints and standardises the operation methods and thus can provide guidance for clinical care.
- Primary dysmenorrhea /
- Auricular point sticking /
- Point selection based on syndrome differentiation /
- Delphi method

HTML全文

表 1 原发性痛经患者耳穴贴压方案

Table 1. Auricular point sticking scheme for patients with primary dysmenorrhea

维度	类别	条目	重要性赋值 (x±s，分)	变异系数
耳穴组方	主穴	内生殖器	2.85±0.38	0.13
		内分泌	2.85±0.56	0.19
		神门	2.77±0.60	0.22
		交感	2.69±0.48	0.18
		盆腔	2.62±0.51	0.19
		卵巢	2.69±0.48	0.18
	配穴	寒凝血瘀：肾	2.92±0.28	0.09
		气滞血瘀：肝	2.85±0.38	0.13
		肝肾亏损：肝	2.85±0.38	0.13
		肾	2.85±0.38	0.13
		气血亏虚：脾	3.00±0.00	0.00
		肺	2.69±0.48	0.18
		肝	2.69±0.63	0.23
		湿热瘀阻：耳尖	2.54±0.52	0.20
		脾	2.92±0.28	0.09
		三焦	2.69±0.48	0.18
操作方法	按压次数	每天按压3~5次，疼痛较重者以能耐受为度，适当增加按压次数	3.00±0.00	0.00
	按压频率	每次每穴按压1~2 min，疼痛较重者以能耐受为度，适当增加按压频率	2.77±0.44	0.16
	选取何侧耳穴	每次选取单侧耳穴，疼痛较重者以能耐受为度，同时贴压双侧耳穴	2.69±0.48	0.18
	干预时间	月经前7 d至月经结束当日	2.77±0.44	0.16
	干预疗程	连续3个月经周期	3.00±0.00	0.00
	耳穴贴更换频率	春夏季每3 d更换1次，秋冬季每5 d更换1次	2.69±0.48	0.18

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