Harris Melodee, Richards Kathy Culpepper, Grando Victoria T
Harding University Carr College of Nursing, Searcy, AR 72149-2265, USA.
J Holist Nurs. 2012 Dec;30(4):255-63. doi: 10.1177/0898010112455948. Epub 2012 Sep 24.
This pilot study tested the effects of a 3-minute slow-stroke back massage (SSBM) on total minutes of nighttime sleep on persons with dementia with sleep disturbances aged 65 years or older in the nursing home.
Pilot randomized controlled trial.
Participants were randomized to an intervention group (n = 20) who received the 3-minute SSBM or a usual care control condition group (n = 20) who received usual bedtime care. Forty-eight hours of actigraphy data was recorded and analyzed on sleep variables at baseline and postintervention.
Descriptive statistics showed a 36-minute increase on minutes of nighttime sleep in the SSBM intervention group (46.1 minutes) compared with the control group (10.32 minutes). Analysis of covariance did not reveal significant differences between the intervention and control groups on minutes of nighttime sleep, F(1, 37) = 1.90, p = .18, partial η(2) = .05, or on other sleep variables.
Dose-finding studies are needed to determine the duration of SSBM for sleep promotion. Findings from this pilot study suggest that SSBM may be an effective nursing intervention for sleep in persons with dementia in the nursing home, but further testing is needed to provide definitive results.
本试点研究测试了3分钟的慢推背按摩（SSBM）对养老院中65岁及以上患有睡眠障碍的痴呆症患者夜间总睡眠时间的影响。
试点随机对照试验。
参与者被随机分为干预组（n = 20），接受3分钟的SSBM，或常规护理对照组（n = 20），接受常规就寝时间护理。记录并分析了48小时的活动记录仪数据，以获取基线和干预后的睡眠变量。
描述性统计显示，SSBM干预组的夜间睡眠时间增加了36分钟（46.1分钟），而对照组为（10.32分钟）。协方差分析未显示干预组和对照组在夜间睡眠时间上存在显著差异，F(1, 37) = 1.90，p = .18，偏η(2) = .05，在其他睡眠变量上也无显著差异。
需要进行剂量探索研究来确定促进睡眠的SSBM持续时间。本试点研究的结果表明，SSBM可能是养老院中痴呆症患者睡眠的有效护理干预措施，但需要进一步测试以提供确切结果。
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