Nursing Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA.
Heart Lung. 2009 Nov-Dec;38(6):480-90. doi: 10.1016/j.hrtlng.2009.03.001. Epub 2009 Jun 28.
To determine whether massage therapy improves postoperative mood, pain, anxiety, and physiologic measurements; shortens hospital stay; and decreases occurrence of atrial fibrillation.
Two hundred fifty-two adults undergoing cardiac surgery were randomized to usual postoperative care (n=126) or usual care plus two massages (n=126). Assessments of mood, depression, anxiety, pain, physiologic status, cardiac rhythm, and hospital length of stay were completed. Logistic and linear regressions were performed.
Preoperative pain, mood, and affective state scores were positively associated with postoperative scores; however, there were no postoperative differences between groups for any measures (P=.11 to .93). There were no differences in physiologic variables except lower postoperative blood pressure after massage (P = .01). Postoperative atrial fibrillation occurrence (P = .6) and median postoperative hospital length of stay (P = .4) were similar between groups.
Massage therapy is feasible in cardiac surgical patients; however, it does not yield therapeutic benefit. Nevertheless, it should be a patient-selected and -paid option.
确定按摩疗法是否能改善术后情绪、疼痛、焦虑和生理指标；缩短住院时间；减少心房颤动的发生。
将 252 名接受心脏手术的成年人随机分为常规术后护理组（n=126）或常规护理加两次按摩组（n=126）。评估情绪、抑郁、焦虑、疼痛、生理状态、心律和住院时间。进行逻辑和线性回归。
术前疼痛、情绪和情感状态评分与术后评分呈正相关；然而，两组在任何测量指标上均无术后差异（P 值为.11 到.93）。除按摩后血压较低外（P =.01），生理变量无差异。术后心房颤动的发生（P =.6）和术后住院时间中位数（P =.4）在两组之间相似。
按摩疗法在心脏手术患者中是可行的；然而，它没有带来治疗益处。尽管如此，它应该是患者选择和付费的选择。
