Kolcaba Katharine, Schirm Victoria, Steiner Richard
College of Nursing, University of Akron, Akron, Ohio, USA.
Geriatr Nurs. 2006 Mar-Apr;27(2):85-91. doi: 10.1016/j.gerinurse.2006.02.006.
Patient comfort is a goal of therapeutic nursing practice and a primary nursing function. Residents in nursing homes have many comfort needs including physical, psychospiritual, sociocultural, and environmental. These comfort needs are addressed by various caregivers including nurses, nursing assistants, and family members. Hand massage is a simple comfort intervention that can be incorporated readily into routine nursing care activities and conveys caring through touch, individual attention, and presence. As an intervention, hand massage promotes comfort and facilitates communication between care recipients and caregivers. The purpose of this study was to test the effectiveness of hand massage as an intervention that affects nursing home residents' comfort and satisfaction. Results are presented for 35 participants who received hand massage and 25 participants in a comparison group. Findings showed no significant differences in comfort levels or satisfaction with care over time. Significant group differences, however, were found for comfort and satisfaction when measured at specific time periods. The discussion highlights these mixed findings and presents implications for further development of hand massage as part of nursing home residents' care.
患者舒适度是治疗性护理实践的目标和主要护理功能。养老院的居民有许多舒适需求，包括身体、心理精神、社会文化和环境方面的需求。这些舒适需求由包括护士、护理助理和家庭成员在内的各种护理人员来满足。手部按摩是一种简单的舒适干预措施，可以很容易地纳入日常护理活动中，并通过触摸、个别关注和陪伴来传递关怀。作为一种干预措施，手部按摩可促进舒适度，并促进护理接受者与护理人员之间的沟通。本研究的目的是测试手部按摩作为一种影响养老院居民舒适度和满意度的干预措施的有效性。本文呈现了35名接受手部按摩的参与者和25名对照组参与者的结果。研究结果显示，随着时间的推移，舒适度水平或对护理的满意度没有显著差异。然而，在特定时间段进行测量时，发现两组在舒适度和满意度方面存在显著差异。讨论突出了这些混合结果，并提出了将手部按摩作为养老院居民护理一部分进一步发展的意义。
