按摩疗法对心脏外科手术患者疼痛、焦虑和紧张的影响:一项初步研究。
Effect of massage therapy on pain, anxiety, and tension in cardiac surgical patients: a pilot study.
机构信息
Department of Surgery, Mayo Clinic, Rochester, Minnesota, United States.
出版信息
Complement Ther Clin Pract. 2010 May;16(2):92-5. doi: 10.1016/j.ctcp.2009.10.006. Epub 2009 Nov 14.
OBJECTIVES
To assess the role of massage therapy in the cardiac surgery postoperative period. Specific aims included determining the difference in pain, anxiety, tension, and satisfaction scores of patients before and after massage compared with patients who received standard care.
DESIGN
A randomized controlled trial comparing outcomes before and after intervention in and across groups.
SETTING
Saint Marys Hospital, Mayo Clinic, Rochester, Minnesota.
SUBJECTS
Patients undergoing cardiovascular surgical procedures (coronary artery bypass grafting and/or valvular repair or replacement) (N=58).
INTERVENTIONS
Patients in the intervention group received a 20-minute session of massage therapy intervention between postoperative days 2 and 5. Patients in the control group received standard care and a 20-minute quiet time between postoperative days 2 and 5.
OUTCOME MEASURES
Linear Analogue Self-assessment scores for pain, anxiety, tension, and satisfaction.
RESULTS
Statistically and clinically significant decreases in pain, anxiety, and tension scores were observed for patients who received a 20-minute massage compared with those who received standard care. Patient feedback was markedly positive.
CONCLUSIONS
This pilot study showed that massage can be successfully incorporated into a busy cardiac surgical practice. These results suggest that massage may be an important therapy to consider for inclusion in the management of postoperative recovery of cardiovascular surgical patients.
目的
评估按摩疗法在心脏手术后的作用。具体目标包括与接受标准护理的患者相比,确定接受按摩的患者在按摩前后疼痛、焦虑、紧张和满意度评分的差异。
设计
一项随机对照试验,比较干预前后和跨组的结果。
地点
明尼苏达州罗切斯特市梅奥诊所圣玛丽医院。
受试者
接受心血管外科手术(冠状动脉旁路移植术和/或瓣膜修复或置换)的患者(N=58)。
干预措施
干预组的患者在术后第 2 天至第 5 天之间接受 20 分钟的按摩治疗干预。对照组的患者在术后第 2 天至第 5 天之间接受标准护理和 20 分钟的安静时间。
测量结果
线性模拟自我评估疼痛、焦虑、紧张和满意度评分。
结果
与接受标准护理的患者相比,接受 20 分钟按摩的患者的疼痛、焦虑和紧张评分明显下降,且具有统计学和临床意义。患者的反馈非常积极。
结论
这项初步研究表明,按摩可以成功地纳入繁忙的心脏外科实践中。这些结果表明,按摩可能是一种重要的治疗方法,可以考虑纳入心血管外科患者术后康复的管理中。