按摩对胸外科手术患者疼痛管理的影响。
Effect of massage on pain management for thoracic surgery patients.
作者信息
Dion Liza, Rodgers Nancy, Cutshall Susanne M, Cordes Mary Ellen, Bauer Brent, Cassivi Stephen D, Cha Stephen
机构信息
Department of Surgery.
出版信息
Int J Ther Massage Bodywork. 2011;4(2):2-6. doi: 10.3822/ijtmb.v4i2.100. Epub 2011 Jun 29.
BACKGROUND
Integrative therapies such as massage have gained support as interventions that improve the overall patient experience during hospitalization. Thoracic surgery patients undergo long procedures and commonly have postoperative back, neck, and shoulder pain.
PURPOSE
Given the promising effects of massage therapy for alleviation of pain, we studied the effectiveness and feasibility of massage therapy delivered in the postoperative thoracic surgery setting.
METHODS
Patients who received massage in the postoperative setting had pain scores evaluated pre and post massage on a rating scale of 0 to 10 (0 = no pain, 10 = worst possible pain).
RESULTS
In total, 160 patients completed the pilot study and received massage therapy that was individualized. Patients receiving massage therapy had significantly decreased pain scores after massage (p ≤ .001), and patients' comments were very favorable. Patients and staff were highly satisfied with having massage therapy available, and no major barriers to implementing massage therapy were identified.
CONCLUSIONS
Massage therapy may be an important additional pain management component of the healing experience for patients after thoracic surgery.
背景
诸如按摩等综合疗法已获得支持，被视为可改善患者住院期间整体体验的干预措施。胸外科手术患者手术过程漫长，术后常出现背部、颈部和肩部疼痛。
目的
鉴于按摩疗法在缓解疼痛方面具有显著效果，我们研究了在胸外科手术后进行按摩治疗的有效性和可行性。
方法
在术后接受按摩治疗的患者，在按摩前后采用0至10分的评分量表评估疼痛评分（0分 = 无疼痛，10分 = 可能出现的最严重疼痛）。
结果
共有160名患者完成了这项初步研究并接受了个性化的按摩治疗。接受按摩治疗的患者在按摩后疼痛评分显著降低（p≤0.001），患者的反馈非常积极。患者和工作人员对提供按摩治疗高度满意，且未发现实施按摩治疗的重大障碍。
结论
按摩疗法可能是胸外科手术后患者康复过程中疼痛管理的一个重要辅助组成部分。
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