Kim M S, Cho K S, Woo H, Kim J H
Department of Ophthalmology, Kangnam St. Mary's Hospital, Medical College, The Catholic University of Korea, Seoul, South Korea.
J Cataract Refract Surg. 2001 Jun;27(6):884-90. doi: 10.1016/s0886-3350(00)00730-6.
To evaluate the effects of hand massage on patient anxiety during cataract surgery.
Kangnam St. Mary's Hospital, Seoul, Korea.
This study comprised 59 patients having cataract surgery from December 11, 1996, to February 12, 1997. The patients were divided into those having a hand massage 5 minutes before surgery (experimental group, n = 29) and those not receiving a hand massage (control group, n = 30). Patients' anxiety levels were measured using the Visual Analog Scale and by assessing the systolic blood pressure, diastolic blood pressure, and pulse rate before and after the hand massage and 5 minutes before the end of surgery. Epinephrine, norepinephrine, cortisol, blood sugar levels, neutrophil, and lymphocyte percentages in white blood cells were also measured.
After the hand massage, the psychological anxiety levels, systolic and diastolic blood pressures, and pulse rate were significantly lower than before the massage. The hand massage significantly decreased epinephrine and norepinephrine levels in the experimental group. Epinephrine, norepinephrine, and cortisol levels increased in the control group. The differences between groups were significant. There were no significant between-group differences in blood sugar levels or neutrophil and lymphocyte percentages in white blood cells.
The findings indicate that hand massage decreases the psychological and physiological anxiety levels in patients having cataract surgery under local anesthesia.
评估手部按摩对白内障手术患者焦虑情绪的影响。
韩国首尔江南圣母医院。
本研究纳入了1996年12月11日至1997年2月12日期间接受白内障手术的59例患者。将患者分为术前5分钟接受手部按摩的患者（实验组，n = 29）和未接受手部按摩的患者（对照组，n = 30）。使用视觉模拟量表，并通过评估手部按摩前后及手术结束前5分钟的收缩压、舒张压和脉搏率来测量患者的焦虑水平。还测量了肾上腺素、去甲肾上腺素、皮质醇、血糖水平、中性粒细胞以及白细胞中淋巴细胞的百分比。
手部按摩后，心理焦虑水平、收缩压和舒张压以及脉搏率均显著低于按摩前。手部按摩使实验组的肾上腺素和去甲肾上腺素水平显著降低。对照组的肾上腺素、去甲肾上腺素和皮质醇水平升高。两组之间的差异具有显著性。血糖水平以及白细胞中中性粒细胞和淋巴细胞的百分比在组间无显著差异。
研究结果表明，手部按摩可降低局部麻醉下接受白内障手术患者的心理和生理焦虑水平。
