Effect of Acupoint Application and Massage on the Comfort Degree and Stress State of Patients Undergoing Noninvasive Mechanical Ventilation due to Acute Chronic Obstructive Pulmonary Exacerbation in Dali, China.

Abstract

Background: Noninvasive mechanical ventilation (NIPPV) can improve oxygenation and ventilation in patients with acute exacerbation chronic obstructive pulmonary disease (AECOPD), but some patients may struggle to acclimate to it, ultimately leading to treatment failure.

Aim: To determine the impact of acupoint application and massage on the comfort degree and stress state of patients with AECOPD undergoing NIPPV.

Methods: A total of160 AECOPD patients were endeavored to study with a retrospective study. The 160 participants were randomly divided into NIPPV group and acupoint application and massage accompany with NIPPV groups with 80 cases each. Changes in the comfort degree, anxiety index, stress indicators, satisfaction degree, hospitalization time, stop using NIPPV time, blood gas indicators before and after NIPPV treatment, and the treatment effect were detected for the two groups.

Results: In contrast to NIPPV as a solitary treatment, the integration of acupoint therapy and massage with NIPPV markedly enhanced patient comfort and eased their stress levels; it substantially diminished the anxiety index, alleviated frontal sinus pain and abdominal bloating, reduced the duration of offline periods and hospital stays, and significantly betters the eating and sleeping quality of patients (P < 0.05).

Conclusion: Acupoint application and massage can improve the comfort degree, stress state, and anxiety; shorten the NIPPV time and hospital stay; reduce the intubation rate; and improve the treatment effect of patients with AECOPD undergoing NIPPV.