Van Praag Instituut, Utrecht, The Netherlands.
Patient Educ Couns. 2012 Dec;89(3):439-46. doi: 10.1016/j.pec.2012.08.012. Epub 2012 Sep 17.
Evaluation of therapeutic touch (TT) in the nursing of burn patients; post hoc evaluation of the research process in a non-academic nursing setting.
38 burn patients received either TT or nursing presence. On admission, days 2, 5 and 10 of hospitalization, data were collected on anxiety for pain, salivary cortisol, and pain medication. Interviews with nurses were held concerning research in a non-academic setting.
Anxiety for pain was more reduced on day 10 in the TT-group. The TT-group was prescribed less morphine on day 1 and 2. On day 2 cortisol level before dressing changes was higher in the TT-group. The situational challenges of this study led to inconsistencies in data collection and a high patient attrition rate, weakening its statistical power.
Conducting an effect study within daily nursing practice should not be done with a nursing staff inexperienced in research. Analysis of the remaining data justifies further research on TT for burn patients with pain, anxiety for pain, and cortisol levels as outcomes.
Administering and evaluating TT during daily care requires nurses experienced both in TT and research, thus leading to less attrition and missing data, increasing the power of future studies.
评估治疗触摸（TT）在烧伤患者护理中的作用；事后评估非学术护理环境中的研究过程。
38 名烧伤患者接受 TT 或护理陪伴。在入院时、住院第 2、5 和 10 天，收集疼痛焦虑、唾液皮质醇和疼痛药物的数据。对护士进行了关于非学术环境中研究的访谈。
TT 组在第 10 天的疼痛焦虑程度降低更多。TT 组在第 1 天和第 2 天开的吗啡剂量较少。在第 2 天更换敷料前，TT 组的皮质醇水平较高。该研究的情况挑战导致数据收集不一致和患者大量流失，削弱了其统计效力。
在日常护理实践中进行效果研究不应由不熟悉研究的护理人员进行。对剩余数据的分析证明，进一步研究 TT 对疼痛、疼痛焦虑和皮质醇水平作为烧伤患者的结果是合理的。
在日常护理中实施和评估 TT 需要既熟悉 TT 又熟悉研究的护士，从而减少流失和缺失数据，提高未来研究的效力。
