Wardell Diane Wind, Decker Sheila A, Engebretson Joan C
School of Nursing, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA.
Holist Nurs Pract. 2012 Jul-Aug;26(4):194-202. doi: 10.1097/HNP.0b013e318258528d.
The purpose of this report was to provide an in-depth review of responses from older adults residing in long-term care facilities receiving Healing Touch (HT) for pain management. Persistent pain is common in this population and, while the mainstay for pain management is analgesics, HT may provide supportive therapy. Twenty older adults from 5 facilities in the southwestern United States participated in the study, with 12 receiving the active intervention of HT and 8 receiving the control of presence care. A convergent mixed-methods approach was used in this secondary report, using the providers' descriptions of 84 HT sessions and quantitative findings to provide an in-depth within-case analysis. Outcome measures included quantitative measures of pain, daily living, and quality of life, as well as qualitative descriptors of the HT sessions. The findings suggest that the experience is highly varied and on a continuum from no perceived or noticeable benefit to a decrease in pain and improvement in other physiological and psychosocial symptoms. Therefore, HT may be beneficial for some older adults within long-term care facilities as an adjunct for chronic pain.
本报告的目的是深入回顾居住在长期护理机构中接受治疗性触摸(HT)进行疼痛管理的老年人的反应。持续性疼痛在这一人群中很常见,虽然疼痛管理的主要手段是镇痛药,但HT可能提供支持性治疗。来自美国西南部5家机构的20名老年人参与了该研究,其中12人接受了HT的积极干预,8人接受了对照的陪伴护理。本二次报告采用了收敛性混合方法,利用提供者对84次HT治疗的描述和定量研究结果进行深入的个案分析。结果测量包括疼痛、日常生活和生活质量的定量测量,以及HT治疗的定性描述。研究结果表明,这种体验差异很大,范围从没有感觉到或注意到益处到疼痛减轻以及其他生理和心理社会症状改善。因此,作为慢性疼痛的辅助手段,HT可能对长期护理机构中的一些老年人有益。