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按摩疗法可减轻等待侵入性心血管手术患者的紧张、焦虑和疼痛。

Massage therapy reduces tension, anxiety, and pain in patients awaiting invasive cardiovascular procedures.

作者信息

Wentworth Laura J, Briese Lora J, Timimi Farris K, Sanvick Carrie L, Bartel David C, Cutshall Susanne M, Tilbury R Thomas, Lennon Ryan, Bauer Brent A

机构信息

Department of Nursing Administration, Mayo Clinic, Rochester, MN 55905, USA.

出版信息

Prog Cardiovasc Nurs. 2009 Dec;24(4):155-61. doi: 10.1111/j.1751-7117.2009.00054.x.

Abstract

(1) To assess the efficacy of a 20 minute massage therapy session on pain, anxiety, and tension in patients before an invasive cardiovascular procedure. (2) To assess overall patient satisfaction with the massage therapy. (3) To evaluate the feasibility of integrating massage therapy into preprocedural practices. Experimental pretest-posttest design using random assignment. Medical cardiology progressive care units at a Midwestern Academic Medical Center. Patients (N=130) undergoing invasive cardiovascular procedures. The intervention group received 20 minutes of hands on massage at least 30 minutes before an invasive cardiovascular procedure. Control group patients received standard preprocedural care. Visual analogue scales were used to collect verbal numeric responses measuring pain, anxiety, and tension pre- and postprocedure. The differences between pre- and postprocedure scores were compared between the massage and standard therapy groups using the Mann-Whitney Wilcoxon's test. Scores for pain, anxiety, and tension scores were identified along with an increase in satisfaction for patients who received a 20-minute massage before procedure compared with those receiving standard care. This pilot study showed that massage can be incorporated into medical cardiovascular units' preprocedural practice and adds validity to prior massage studies.

摘要

(1) 评估在侵入性心血管手术前,20分钟的按摩疗法对患者疼痛、焦虑和紧张情绪的疗效。(2) 评估患者对按摩疗法的总体满意度。(3) 评估将按摩疗法纳入术前操作的可行性。采用随机分配的实验性前测-后测设计。美国中西部一所学术医疗中心的心脏病医学进阶护理病房。130名接受侵入性心血管手术的患者。干预组在侵入性心血管手术前至少30分钟接受20分钟的手法按摩。对照组患者接受标准的术前护理。使用视觉模拟量表收集术前和术后测量疼痛、焦虑和紧张程度的语言数字反应。使用曼-惠特尼-威尔科克森检验比较按摩组和标准治疗组术前和术后得分的差异。确定了疼痛、焦虑和紧张程度的得分,以及与接受标准护理的患者相比,术前接受20分钟按摩的患者满意度的提高情况。这项初步研究表明,按摩可以纳入医疗心血管病房的术前操作中,并为之前的按摩研究增添了有效性。

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