煩請協助英文翻譯

重複測量線性混合模式分析結果,顯示在調整干擾因素下,實驗組按壓前後在不同測量時間點的收縮壓變化與對照組顯著不同。而舒張壓變化除實驗組按壓前後在不同測量時間點的變化與對照組顯著不同外,性別及年齡因素也會影響到個案舒張壓之變化(Martins, Nelson, Pan, Tareen, & Norris, 2001; Zanchetti et al., 2005)。過去研究發現男性在面對壓力事件時,其收縮壓平均值高於女性(Martins, Nelson, Pan, Tareen, & Norris,... 顯示更多
重複測量線性混合模式分析結果,顯示在調整干擾因素下,實驗組按壓前後在不同測量時間點的收縮壓變化與對照組顯著不同。而舒張壓變化除實驗組按壓前後在不同測量時間點的變化與對照組顯著不同外,性別及年齡因素也會影響到個案舒張壓之變化(Martins, Nelson, Pan, Tareen, & Norris, 2001; Zanchetti et al., 2005)。過去研究發現男性在面對壓力事件時,其收縮壓平均值高於女性(Martins, Nelson, Pan, Tareen, & Norris, 2001)。但本研究發現性別只影響穴位按壓前後之舒張壓變化,與收縮壓變化無關。另外研究指出血壓值與年齡成正相關(國民健康局,2007;Zanchetti et al., 2005; Kotsis et al., 2006; Ji et al., 2010),而本研究結果年齡與舒張壓變化有關,但與收縮壓變化無關,由於缺乏相關文獻可以佐證,值得進一步探討。
本研究收案及執行過程皆由研究者獨立完成,只能達到單盲設計,因此,研究者對個案資料收集的影響仍無法完全避免,但本研究在資料收集過程採下列措施,以降低研究者對個案的干擾,提高研究的嚴謹度,包括在收案前製訂統一的收案流程及說明內容,並告知個案,過程中除研究相關問題外,其餘問題將於收案結束後統一回覆;所有個案血壓測量使用同一台電子血壓計,以減少測量工具之誤差,並避免人為操作之誤差。另外,本研究結果只能推論到40-75歲高血壓個案,無法推論到40歲以下及75歲以上的高血壓患者。
  依據本研究結果提出下列建議(1)將太衝穴位按壓應用於病患照護措施中,或列入患者衛教中,教導病患或家屬執行穴位按壓部位及方法,提升高血壓患者自我控制血壓的能力,使患者的血壓能夠得到更好的控制。(2)將太衝穴位按壓操作方法納入學校護理技術課程及臨床護理人員在職教育訓練課程中,以增加護生及護理人員獨立性照顧高血壓患者的知能,進而提升高血壓病患的照護品質。(3)高血壓患者在各個年齡層都會發生,因此未來可擴展研究對象至所有年齡層的高血壓患者,使研究結果應用更廣泛。(4)本研究評估成效的測量時間只到介入後三十分鐘,無法得知30分鐘後血壓降低的持續效果,因此未來的研究可繼續探討穴位按壓後血壓降低的持續效果。
更新: Linear mixed model repeated measures analysis results are displayed in the adjustment of confounding factors, the experimental group before and after pressing at different time points to measure changes in systolic blood pressure significantly different from the control group.
更新 2: In addition to changes in diastolic blood pressure changes at different time points to measure and control groups before and after the experimental group significantly different presses, the sex and age factors also influence the changes in diastolic blood pressure of the cases.
更新 3: Previous studies have found that men in the face of stressful events, the mean systolic blood pressure than women. However, this study found that gender affects only the diastolic blood pressure before and after acupressure change, regardless of the systolic blood pressure changes.
更新 4: Further research indicates that blood pressure was positively correlated with age,and the results of this study and diastolic blood pressure changes related to age, but nothing to do with systolic blood pressure changes due to the lack of relevant literature can be corroborated, it is worth further
更新 5: exploration.In this study, the implementation process to close the case and independently chosen by the researchers, only achieve single-blind design, therefore, affect the researchers collected data on cases still can not be completely avoided, but this study used data collected in the course of
更新 6: the following measures to reduce research by the interference of the case, to improve the rigor of the research, including the development of a unified case before the closing process and help content to close the case and inform the cases, in addition to study issues related to the process,
更新 7: the remaining issues will be unified replies received after the end of the case; All cases of blood pressure measurement using the same electronic device, in order to reduce the error measurement tools, and to avoid errors of manual operation. In addition, the results of this study can be generalize
更新 8: to 40 years of age and hypertensive patients 75 years or older.
Makes the following recommendations based on the results of this study (1) the taichong acupressure applied to patient care measures, or the inclusion of patients in health education, teach patients or their families to perform
更新 9: to the case of hypertension 40-75 years old, can not be generalized to 40 years of age and hypertensive patients 75 years or older. Makes the following recommendations based on the results of this study (1) the taichong acupressure applied to patient care measures, or the inclusion of patients in
更新 10: health education, teach patients or their families to perform acupressure parts and methods to enhance self-control blood pressure in hypertensive patients the ability to make the patient's blood pressure can be better controlled.
更新 11: (2) The method of operation taichong acupressure care technology into the school curriculum and clinical nursing continuing education courses in order to increase the independence of nursing students and nursing care for patients with hypertension knowledge and skills, thereby enhancing the quality
更新 12: of care of patients with hypertension . (3) patients with hypertension occurs in all ages, so the future can extend the study to hypertensive patients of all ages, so that research results more widely. (4) This study assessed the effectiveness of the measurement time is only thirty minutes after
更新 13: the intervention, not known to reduce blood pressure after 30 minutes of sustained effect, and therefore may continue to be explored in the future studies after continuous acupressure effect of lowering blood pressure.
更新 14: the intervention, not known to reduce blood pressure after 30 minutes of sustained effect, and therefore may continue to be explored in the future studies after continuous acupressure effect of lowering blood pressure.
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