穴位指壓按摩於慢性呼吸困難病患之應用

Application of Acupressure in Patients with Chronic Dyspnea

呼吸固難是一種不舒服的感覺，如同疼病般痛苦，慢性呼吸困難病患大多數日常生活均為呼吸困難所苦，處於基本的生存需求無法滿足之中，且身體功能、活動耐受力等亦受限制。近幾年按摩療法逐漸被重視及廣泛運用，在國外已有許多單位之護理人員將此技術用於每日例行性護理照顧中。而穴位指壓是按摩療法中之一種，其結合按摩的知識及中國傳統醫學的針灸學原理，有促進放鬆、解除呼吸固難、增加免疫力等之效果，而且經濟、安全可靠、隨時隨地均可使用，適合發展為臨床減輕呼吸困難的護理措施，故文中將介紹穴位指壓按摩概念、手法、療時及力道控制、與慢性呼吸固難有關之穴位，以作為臨床護理人員研擬減輕呼吸困難穴位指壓方案時之參考，其望透過研究實證後，能確實應用此獨立性護理措施解決病患呼吸困難之問題。

Dyspnea is as uncomfortable as pain. In daily living, most patients with chronic obstructive pulmonary disease suffer from dyspnea. Their physical function and activity tolerance are limited. In recent years massage therapy has generally received greater attention and wider application. In many foreign nursing units, staff are currently being trained to apply massage in their daily nursing care as a treatment which is complementary to conventional nursing. Acupressure, which combines the knowledge of massage and acupuncture principles of Chinese Medicine, is a kind of massage. It has the effect of promoting relaxation, relieving dyspnea, and enhancing immunity, and the characteristics of being economic, safe, and freely useasce. Acupressure is suitable for development as a clinical intervention to relieve dyspnea. Therefore, acupressure concepts, manipulation, therapeutic time, force control, and the acupoints related to chronic obstructive pulmonary disease are introduced in the article, for the infermation of clinical nurses for programming acupressure protocol for relief of dyspnea. It is hoped that this independent intervention to resolve patients' dyspnea problems can be truly applied if conformed by research.