Post-White Janice, Fitzgerald Maura, Savik Kay, Hooke Mary C, Hannahan Anne B, Sencer Susan F
University of Minnesota School of Nursing, 707 Kenwood Parkway, Minneapolis, MN 55403, USA.
J Pediatr Oncol Nurs. 2009 Jan-Feb;26(1):16-28. doi: 10.1177/1043454208323295. Epub 2008 Dec 11.
This pilot study aimed to determine the feasibility of providing massage to children with cancer to reduce symptoms in children and anxiety in parents. Twenty-three children/parent dyads were enrolled; 17 completed all data points. Children with cancer, ages 1 to 18 years, received at least 2 identical cycles of chemotherapy, and one parent, participated in the 2-period crossover design in which 4 weekly massage sessions alternated with 4 weekly quiet-time control sessions. Changes in relaxation (heart and respiratory rates, blood pressure, and salivary cortisol level) and symptoms (pain, nausea, anxiety, and fatigue) were assessed in children; anxiety and fatigue were measured in parents. Massage was more effective than quiet time at reducing heart rate in children, anxiety in children less than age 14 years, and parent anxiety. There were no significant changes in blood pressure, cortisol, pain, nausea, or fatigue. Children reported that massage helped them feel better, lessened their anxiety and worries, and had longer lasting effects than quiet time. Massage in children with cancer is feasible and appears to decrease anxiety in parents and younger children.
这项试点研究旨在确定为癌症患儿提供按摩以减轻患儿症状及家长焦虑的可行性。招募了23对儿童/家长组合；17对完成了所有数据点的收集。年龄在1至18岁的癌症患儿接受了至少2个相同疗程的化疗，一名家长参与了两阶段交叉设计，其中4次每周的按摩疗程与4次每周的安静时间对照疗程交替进行。评估了患儿的放松情况（心率、呼吸频率、血压和唾液皮质醇水平）和症状（疼痛、恶心、焦虑和疲劳）；测量了家长的焦虑和疲劳程度。在降低患儿心率、14岁以下患儿的焦虑以及家长焦虑方面，按摩比安静时间更有效。血压、皮质醇、疼痛、恶心或疲劳方面没有显著变化。患儿报告称，按摩帮助他们感觉更好，减轻了焦虑和担忧，且效果比安静时间更持久。对癌症患儿进行按摩是可行的，且似乎能减轻家长和年幼患儿的焦虑。
