Post-White Janice, Kinney Mary Ellen, Savik Kay, Gau Joanna Berntsen, Wilcox Carol, Lerner Irving
University of Minneapolis, Minnesota, USA.
Integr Cancer Ther. 2003 Dec;2(4):332-44. doi: 10.1177/1534735403259064.
Complementary therapies are increasingly used to reduce side effects of cancer treatment, without evidence for their effectiveness. In a randomized, prospective, 2-period, crossover intervention study, the authors tested the effects of therapeutic massage (MT) and healing touch (HT), in comparison to presence alone or standard care, in inducing relaxation and reducing symptoms in 230 subjects. MT and HT lowered blood pressure, respiratory rate (RR), and heart rate (HR). MT lowered anxiety and HT lowered fatigue, and both lowered total mood disturbance. Pain ratings were lower after MT and HT, with 4-week nonsteroidal antiinflammatory drug use less during MT. There were no effects on nausea. Presence reduced RR and HR but did not differ from standard care on any measure of pain, nausea, mood states, anxiety, or fatigue. MT and HT are more effective than presence alone or standard care in reducing pain, mood disturbance, and fatigue in patients receiving cancer chemotherapy.
辅助疗法越来越多地被用于减轻癌症治疗的副作用,但尚无证据证明其有效性。在一项随机、前瞻性、两阶段、交叉干预研究中,作者比较了治疗性按摩(MT)和治疗性触摸(HT)与仅有人陪伴或标准护理相比,对230名受试者诱导放松和减轻症状的效果。MT和HT降低了血压、呼吸频率(RR)和心率(HR)。MT降低了焦虑,HT降低了疲劳,两者都降低了总体情绪紊乱。MT和HT后疼痛评分较低,MT期间使用非甾体抗炎药的时间减少了4周。对恶心没有影响。有人陪伴降低了RR和HR,但在疼痛、恶心、情绪状态、焦虑或疲劳的任何测量指标上与标准护理没有差异。在减轻接受癌症化疗患者的疼痛、情绪紊乱和疲劳方面,MT和HT比仅有人陪伴或标准护理更有效。