Cardiothoracic Surgical Research Unit, Department of Surgery, Monash University Alfred Hospital, Melbourne, Victoria, Australia.
J Thorac Cardiovasc Surg. 2012 Dec;144(6):1453-9, 1459.e1. doi: 10.1016/j.jtcvs.2012.04.027. Epub 2012 Sep 7.
To determine whether massage significantly reduces anxiety, pain, and muscular tension and enhances relaxation compared with an equivalent period of rest time after cardiac surgery. The feasibility of delivering the treatment, effects on heart rate, blood pressure, and respiratory rate, and patient satisfaction were also assessed.
Elective cardiac surgery patients were randomized to receive massage or rest time at 2 points after surgery. Visual analog scales were used to measure pain, anxiety, relaxation, muscular tension, and satisfaction. Heart rate, respiratory rate, and blood pressure were measured before and after treatment. Focus groups and feedback were used to collect qualitative data about clinical significance and feasibility.
A total of 152 patients (99% response rate) participated. Massage therapy produced a significantly greater reduction in pain (P = .001), anxiety (P < .0001), and muscular tension (P = .002) and increases in relaxation (P < .0001) and satisfaction (P = .016) compared to the rest time. No significant differences were seen for heart rate, respiratory rate, and blood pressure. Pain was significantly reduced after massage on day 3 or 4 (P < .0001) and day 5 or 6 (P = .003). The control group experienced no significant change at either time. Anxiety (P < .0001) and muscular tension (P < .0001) were also significantly reduced in the massage group at both points. Relaxation was significantly improved on day 3 or 4 for both groups (massage, P < .0001; rest time, P = .006), but only massage was effective on day 5 or 6 (P < .0001). Nurses and physiotherapists observed patient improvements and helped facilitate delivery of the treatment by the massage therapists on the ward.
Massage therapy significantly reduced the pain, anxiety, and muscular tension and improves relaxation and satisfaction after cardiac surgery.
确定与手术结束后相等的休息时间相比，按摩是否能显著减轻心脏手术后的焦虑、疼痛、肌肉紧张并提高放松程度。还评估了治疗的可行性、对心率、血压和呼吸频率的影响以及患者满意度。
选择择期心脏手术患者，在手术后 2 个时间点随机分配接受按摩或休息时间。使用视觉模拟量表测量疼痛、焦虑、放松、肌肉紧张和满意度。治疗前后测量心率、呼吸率和血压。使用焦点小组和反馈收集关于临床意义和可行性的定性数据。
共有 152 名患者（99%的响应率）参与。与休息时间相比，按摩疗法可显著减轻疼痛（P =.001）、焦虑（P <.0001）和肌肉紧张（P =.002），并增加放松（P <.0001）和满意度（P =.016）。心率、呼吸率和血压无显著差异。按摩后第 3 天或第 4 天（P <.0001）和第 5 天或第 6 天（P =.003）疼痛明显减轻。对照组在任何时候都没有明显变化。按摩组在两个时间点焦虑（P <.0001）和肌肉紧张（P <.0001）也明显减轻。两组在第 3 天或第 4 天放松明显改善（按摩，P <.0001；休息时间，P =.006），但只有按摩在第 5 天或第 6 天有效（P <.0001）。护士和物理治疗师观察到患者的改善，并帮助按摩治疗师在病房中提供治疗。
按摩疗法可显著减轻心脏手术后的疼痛、焦虑和肌肉紧张，提高放松和满意度。
