Thomas Linda S, Stephenson Nancy, Swanson Mel, Jesse D Elizabeth, Brown Sylvia
Sylva, North Carolina.
J Holist Nurs. 2013 Dec;31(4):234-47. doi: 10.1177/0898010113491631. Epub 2013 Jul 1.
PURPOSE: This pilot study was conducted to determine the effectiveness of Healing Touch on anxiety, stress, pain, pain medication usage, and selected physiological measures of hospitalized adults with sickle cell disease experiencing a vaso-occlusive pain episode. DESIGN: Healing Touch sessions were administered for 30 minutes on four consecutive days, and the self-reported data on anxiety, stress, pain, and the selected physiological data were collected while controlling for music and presence. METHOD: A parallel-group randomized control trial comparing the effects of Healing Touch with Music (HTM) to Attention Control with Music (ACM). FINDINGS: Due to the small sample size, there were no statistically significant changes in any between-group comparisons, except for present pain on Day 4 for the ACM group. For both groups, the within-group comparison showed a nonsignificant reduction in physiological parameters, a statistically significant reduction in anxiety and stress for the ACM group after Day 4, and a statistically significant reduction in stress in the HTM group after Days 2 and 4. The pre- to postintervention reductions in present pain were greater in the HTM group across all 4 days, but the only statistically significant within groups findings were in the HTM group (p < .01) on Day 1. CONCLUSIONS: Further research is needed.
目的:本初步研究旨在确定抚触疗法对镰状细胞病住院成人在血管闭塞性疼痛发作期间的焦虑、压力、疼痛、止痛药物使用情况以及选定生理指标的有效性。 设计:连续四天每天进行30分钟的抚触疗法,在控制音乐和陪伴因素的同时,收集关于焦虑、压力、疼痛的自我报告数据以及选定的生理数据。 方法:一项平行组随机对照试验,比较抚触疗法与音乐结合(HTM)和注意力控制与音乐结合(ACM)的效果。 结果:由于样本量小,除ACM组第4天的当前疼痛外,组间比较在任何方面均无统计学显著变化。两组的组内比较均显示生理参数无显著降低,ACM组在第4天后焦虑和压力有统计学显著降低,HTM组在第2天和第4天后压力有统计学显著降低。在所有4天中,HTM组当前疼痛从干预前到干预后的降低幅度更大,但组内唯一具有统计学显著意义的结果是HTM组在第1天(p <.01)。 结论:需要进一步研究。
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