穴位按壓與實證護理

Acupressure and Evidence-Based Nursing

穴位按壓為傳統中醫防治疾病的方法，護理人員可以獨立操作。因此，穴位按壓措施應用於臨床護理實務及其研究逐漸增加。近年來，臨床護理實務積極推動實證護理，鼓勵運用實證資料照護個案，以提升護理品質。所謂實證護理是應用最佳證據等級資料於臨床實務的方法與過程，而建立最佳證據等級的資料需透過護理實證研究。故本文從兩個層面論述穴位按壓與實證護理。首先介紹穴位按壓實證研究現況，並提供實證研究常用配穴之穴位圖，可指引臨床護理人員執行實證研究及應用穴位按壓措施於實務中。接著，介紹應用穴位按壓實證資料於臨床護理實務的步驟，並提出相關問題與建議，可幫助護理人員正確決策穴位按壓的應用，以提升穴位按壓應用於護理實務之安全及有效性。

Acupressure is a traditional Chinese medicine approach to disease prevention and treatment that may be operated by nurses independently. Therefore, acupressure is being increasingly applied in clinical nursing practice and research. Recently, the implementation of evidence-based nursing (EBN) in clinical practice has been encouraged to promote nursing quality. Evidence-based nursing is a methodology and process of implementation that applies the best-available evidence to clinical practice, which is acquired through the use of empirical nursing research. Therefore, in this paper, we address the topic of acupressure within the context of empirical nursing practice. We first introduce the current status of acupressure research and provide the locations of common acupoints in order to guide future empirical nursing research and to help nurses use these acupoints in clinical practice. Finally, we describe the steps that are necessary to apply the current empirical information on acupressure as well as provide suggestions to promote safety and efficacy in order to guide nurses in the accurate application of acupressure in nursing practice.