Weze C, Leathard H L, Grange J, Tiplady P, Stevens G
Faculty of Health and Social Care, School of Health, Medical Sciences and Social Work, St Martin's College-Lancaster, Lancaster LA1 3JD, UK.
Public Health. 2005 Jan;119(1):3-10. doi: 10.1016/j.puhe.2004.03.003.
To evaluate the effectiveness and safety of healing by gentle touch in clients attending The Centre for Complementary Care (CCC) in Eskdale, Cumbria.
An evaluation of data collected by questionnaire over 6 years.
All clients attending the CCC between 1995 and 2001 were invited to participate in this study, and data were collected from 300 subjects with a wide range of ailments who received four treatment sessions within 6 weeks. Exclusion criteria were: recent treatment at the CCC; failure to complete four treatment sessions; and age under 16 years. Outcome measures included comparison of pre- and post-treatment levels of physical (pain, disability, immobility, sleep disturbances, reliance upon medication, daily activities) and psychological (stress, panic, fear, anger, relaxation, coping, depression/anxiety) functioning; these were assessed using a questionnaire with visual analogue scales for subjective rating of symptoms and the EuroQoL (EQ-5D), a generic state-of-health measure.
Wilcoxon signed ranks tests showed statistically significant improvements in both psychological and physical functioning, particularly in stress reduction (median stress levels fell by four points), pain relief (median pain ratings fell by two points), increased ability to cope (median improvement of three points) and increased general health ratings (median improvement of 20 points) between study entry and end of treatment (P < 0.0004 for all these symptoms). The most substantial improvements were seen in those with the most severe symptoms at study entry. No adverse effects of treatment were documented.
This audit of treatment outcomes provides evidence consistent with the hypothesis that healing, as provided at the CCC, was associated with improved psychological and physical functioning in the majority of subjects, and is worthy of further evaluation.
评估在坎布里亚郡埃斯克代尔的补充护理中心(CCC)接受轻柔触摸疗法治疗的患者的疗效和安全性。
对6年期间通过问卷调查收集的数据进行评估。
邀请1995年至2001年期间在CCC就诊的所有患者参与本研究,收集了300名患有各种疾病的受试者的数据,这些受试者在6周内接受了4次治疗。排除标准为:近期在CCC接受过治疗;未完成4次治疗;年龄在16岁以下。疗效指标包括治疗前后身体(疼痛、残疾、行动不便、睡眠障碍、药物依赖、日常活动)和心理(压力、恐慌、恐惧、愤怒、放松、应对、抑郁/焦虑)功能水平的比较;使用带有视觉模拟量表的问卷对症状进行主观评分,并使用欧洲生活质量量表(EQ-5D)这一通用健康状况测量工具进行评估。
Wilcoxon符号秩检验显示,在心理和身体功能方面均有统计学意义的改善,尤其是在减轻压力(压力水平中位数下降4分)、缓解疼痛(疼痛评分中位数下降2分)、应对能力增强(中位数提高3分)和总体健康评分提高(中位数提高20分)方面,从研究开始到治疗结束有显著变化(所有这些症状的P<0.0004)。在研究开始时症状最严重的患者中观察到了最显著的改善。未记录到治疗的不良反应。
这项治疗结果审计提供的证据与以下假设一致,即CCC提供的治疗与大多数受试者心理和身体功能的改善相关,值得进一步评估。