患有癌症和血液疾病的儿童从按摩疗法中获得了积极的身体和心理效果。
Children with cancer and blood diseases experience positive physical and psychological effects from massage therapy.
作者信息
Haun Jolie N, Graham-Pole John, Shortley Brendan
机构信息
University of Arizona, College of Medicine, Tucson, AZ, USA.
出版信息
Int J Ther Massage Bodywork. 2009 Jun 29;2(2):7-14. doi: 10.3822/ijtmb.v2i2.12.
BACKGROUND
Previous research has shown positive effects from massage therapy (MT) for premature infants and for children with asthma, arthritis, and other illnesses. Although these effects have been demonstrated, MT research on children with cancer and blood disease is needed.
PURPOSE AND SETTING
The present study, conducted at the Cancer Center, Shands Hospital, at the University of Florida, Gainesville, measured the physical and psychological effects of MT on pediatric oncology and hematology patients. The participants were 30 children with cancer or blood disease, ages 6 months to 17 years.
RESEARCH DESIGN
This randomized, non-blinded prospective study used measures of physical health and mental wellbeing that were completed before, during, and after four MT sessions were implemented. Descriptive statistics, one-way between-subjects analysis of variance, and an independent-samples t-test were used to analyze the data.
INTERVENTION
The treatment group received 20-minute sessions of Swedish MT once daily for approximately 4 days (inpatients), or once weekly for approximately 4 weeks (outpatients); the control group received no MT.
RESULTS
Between-groups analyses indicated significant psychological improvements for the MT group on state anxiety (F(1,58) = 16.79, p < 0.000), trait anxiety (F(1,58) = 3.95, p < 0.000), and emotional state (F(1,238) = 42.39, p < 0.001)]. Between-groups analyses indicated significant physical improvements for the MT group on muscle soreness (F(1,238) = 38.96, p < 0.001), discomfort (F(1,238) = 50.16, p < 0.001), respiratory rate (F(1,237) = 22.47, p < 0.000)], and overall progress (t(28) = 25.55, p < 0.000). No significant differences were found between groups on parent-completed ratings of their child's physical or psychological health, pulse rate, or blood pressure.
CONCLUSIONS
In children with cancer and blood diseases, MT can reduce psychological and physical distress and can have a positive effect on quality of life.
背景
先前的研究表明，按摩疗法（MT）对早产儿以及患有哮喘、关节炎和其他疾病的儿童有积极效果。尽管已经证实了这些效果，但仍需要对患有癌症和血液疾病的儿童进行MT研究。
目的与场所
本研究在佛罗里达大学盖恩斯维尔分校尚德医院癌症中心进行，测量了MT对儿科肿瘤学和血液学患者的生理和心理影响。参与者为30名患有癌症或血液疾病的儿童，年龄在6个月至17岁之间。
研究设计
这项随机、非盲前瞻性研究使用了在实施4次MT疗程之前、期间和之后完成的身体健康和心理健康测量方法。使用描述性统计、单向组间方差分析和独立样本t检验来分析数据。
干预
治疗组每天接受一次20分钟的瑞典式MT疗程，持续约4天（住院患者），或每周一次，持续约4周（门诊患者）；对照组不接受MT。
结果
组间分析表明，MT组在状态焦虑（F(1,58)=16.79，p<0.000）、特质焦虑（F(1,58)=3.95，p<0.000）和情绪状态（F(1,238)=42.39，p<0.001）方面有显著的心理改善。组间分析表明，MT组在肌肉酸痛（F(1,238)=38.96，p<0.001）不舒服（F(1,238)=50.16，p<0.001）、呼吸频率（F(1,237)=22.47，p<0.000）和总体进展（t(28)=25.55，p<0.000）方面有显著的身体改善。在家长对孩子身体健康或心理健康、脉搏率或血压的评分上，两组之间没有发现显著差异。
结论
对于患有癌症和血液疾病的儿童，MT可以减轻心理和身体痛苦，并对生活质量产生积极影响。
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