Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Clinics (Sao Paulo). 2010;65(11):1105-10. doi: 10.1590/s1807-59322010001100008.
Having poor sleep quality is common among patients following cardiopulmonary artery bypass graft surgery. Pain, stress, anxiety and poor sleep quality may be improved by massage therapy.
This study evaluated whether massage therapy is an effective technique for improving sleep quality in patients following cardiopulmonary artery bypass graft surgery.
Participants included cardiopulmonary artery bypass graft surgery patients who were randomized into a control group and a massage therapy group following discharge from the intensive care unit (Day 0), during the postoperative period. The control group and the massage therapy group comprised participants who were subjected to three nights without massage and three nights with massage therapy, respectively. The patients were evaluated on the following mornings (i.e., Day 1 to Day 3) using a visual analogue scale for pain in the chest, back and shoulders, in addition to fatigue and sleep. Participants kept a sleep diary during the study period.
Fifty-seven cardiopulmonary artery bypass graft surgery patients were enrolled in the study during the preoperative period, 17 of whom were excluded due to postoperative complications. The remaining 40 participants (male: 67.5%, age: 61.9 years ± 8.9 years, body mass index: 27.2 kg/m² ± 3.7 kg/m²) were randomized into control (n = 20) and massage therapy (n = 20) groups. Pain in the chest, shoulders, and back decreased significantly in both groups from Day 1 to Day 3. The participants in the massage therapy group had fewer complaints of fatigue on Day 1 (p=0.006) and Day 2 (p=0.028) in addition, they reported a more effective sleep during all three days (p=0.019) when compared with the participants in the control group.
Massage therapy is an effective technique for improving patient recovery from cardiopulmonary artery bypass graft surgery because it reduces fatigue and improves sleep.
心肺旁路移植手术后的患者普遍睡眠质量较差。按摩疗法可以改善疼痛、压力、焦虑和睡眠质量。
本研究评估了按摩疗法是否是改善心肺旁路移植手术后患者睡眠质量的有效技术。
参与者包括心肺旁路移植手术后从重症监护病房出院后的患者（第 0 天），随机分为对照组和按摩治疗组。对照组和按摩治疗组分别接受了三个晚上没有按摩和三个晚上的按摩治疗。患者在接下来的早晨（即第 1 天至第 3 天）使用视觉模拟量表评估胸部、背部和肩部的疼痛、疲劳和睡眠情况。研究期间，患者记录睡眠日记。
在术前期间，有 57 名心肺旁路移植手术患者参加了这项研究，其中 17 名因术后并发症而被排除。其余 40 名参与者（男性：67.5%，年龄：61.9 岁±8.9 岁，体重指数：27.2kg/m²±3.7kg/m²）被随机分为对照组（n=20）和按摩治疗组（n=20）。两组患者从第 1 天到第 3 天胸部、肩部和背部疼痛均明显减轻。按摩治疗组患者在第 1 天（p=0.006）和第 2 天（p=0.028）疲劳感明显减少，此外，与对照组相比，他们在所有三天的睡眠质量都有明显提高（p=0.019）。
按摩疗法是改善心肺旁路移植手术患者康复的有效技术，因为它可以减轻疲劳并改善睡眠。
