[[alternative]]The Effect of Auricular Acupressure through Interactive Internet on Adolescent with Dysmenorrhea

[[abstract]]本研究目的在探討耳穴貼壓結合互動式網站對緩解痛經之成效。本研究採類實驗性單盲設計，樣本以北部某所高中女學生，經由非隨機分配至實驗組A、實驗組B、與控制組三組，每組各50名個案。實驗組A採用耳穴貼壓結合互動式網站做自我照顧行為能力之學習，實驗組B則只進行耳穴貼壓，控制組則予以耳穴貼壓於無相關作用之耳穴，皆進行單次護理介入措施。測量工具採用短格式麥基爾疼痛量表、痛經評分表和疼痛視覺類比量表與經期不適量表及青少女痛經自我照顧行為量表，且評估經血中活性氧的變化。研究資料以SPSS12.0視窗版軟體進行資料分析，描述性統計以次數分佈、百分率、平均值、標準差等呈現。推論統計以Pair-T test、Chi-Square、ANOVA等來進行。本研究之主要結果： 一、提供護理措施後，實驗組A、B與控制組在減緩痛經程度中的「疼痛感覺」、「疼痛強度」、「疼痛分數」、「經期不適症狀」有顯著成效，而三組再發生經期不適症狀情形，以實驗組A、B的減輕效果最佳（P<.05）。 二、提供護理措施後，實驗組A在增加「青少女痛經自我照顧行為」有顯著成效（P<.05）。 三、提供護理措施後，實驗組A、B與控制組的經血中活性氧有改變，其中以實驗組B改變最大。 本研究結果可提供護理人員作為處理痛經問題的即時解決方法，及對痛經者提供自我照顧知能以達到健康促進之目標，進而提昇護理人員獨立照護角色與功能。並在此過程中發展適用的「結合中西醫護理之痛經互動式網站」，可具體提供痛經者運用相關的健康資訊，緩解痛經之不適，從而建立有效的自我健康照顧管理。建議未來研究者可針對不同課業成就水準等其他層級學校及不同年齡之青少女進行研究，以探討其適用範圍和成效。[[abstract]]The purpose of this study was to evaluate the effect of the auricular accupressure combined with interactive Internet on menstrual pain. A single-blind quasi-experimental design was used. There 150 senior high students were unrandomly, equally seperated as group A, offered auricular accupressure combined with Interactive Internet, group B, offered auricular accupressure only, and sham auricular accupressure control group. The improvement was measured by Short-Form McGill Pain Questonnaire, Verbal Multidimensional Scoring System, Visual Analog Scale for Pain, Menstrual Distress Questionnaire, and Adolescent Dysmenorrhea Self-Care Scale. The change of Reactive Oxygien Species was also evaluated. The data was analysed by descriptive statistics, paired t-test, chi-square, and ANOVA through the SPSS 12.0 window version. Nursing intervention lowered the intensity of pain and menstrual distress significantly（p<.05）. The reoccurance of dysmenorrhea and menstrual distress was lowered more in the groups A and B as compared to the control group. Self-care ability in the group A was improved significantly. Nursing intervention changed ROS of all subjects. However, ROS in group B changed the most. The results of this study provide a rapid, effective way to solve dysmenorrhea and improve subjects’ self-care ability in health promotion.Through Interactive Internet provided subjects could increse knowledge and manage self-care about primary dysmenorrhea. Further research may study on dysmenorrheal females in different ages and different educational levels