Babaee Sima, Shafiei Zahra, Sadeghi Mohsen Mir Mohammad, Nik Ahmadreza Yazdan, Valiani Mahboobeh
Department of Surgery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2012 Feb;17(2 Suppl 1):S120-4.
Cardiovascular diseases have the highest death rates in human society. Coronary artery disease is among the most important of these diseases. No treatment of cardiovascular disease has as much impact on the quality of life of the patients as the heart surgery. The recovery from heart surgery is associated with symptoms of pain and psychological distress. In the early recovery period, the patients will face moderate symptoms of anxiety and depression. In this regard, various measures of nursing, as complementary therapy practices have been performed to help the patients for overcoming the physical and psychological needs. One of these methods, in recent years has been the use of complementary and alternative therapies, particularly massage therapy, after heart surgery. Thus, the aim of this study was to determine the effectiveness of massage therapy on the mood of patients after open-heart surgery in Isfahan Chamran Hospital during 2010-11.
In this study 72 patients, who underwent coronary artery bypass surgery, were selected. They were randomly assigned to the two case and control groups. The patients of the case group (n = 36) received Swedish massage for 20 minutes in 4 sessions in 4 consecutive days, 3 to 6 days after the open-heart surgery. The patients in the control group received only the routine care. The mood questionnaire (POMS) which was used in this study has been completed the day before the start of the study and intervention and again after the last day of the intervention. SPSS software version 12 and descriptive and inferential statistical methods were used for data analysis.
The comparison of study results showed that massage decreased the overall rating of the patients' mood after the surgery.
The use of massage therapy as an effective nursing intervention can improve the patients' mood after open-heart surgery. Due to the low cost and simplicity of this method, it can perhaps be used as a complement to drug therapy and postoperative interventions used in these patients.
心血管疾病在人类社会中死亡率最高。冠状动脉疾病是这些疾病中最重要的之一。没有哪种心血管疾病的治疗方法能像心脏手术那样对患者的生活质量产生如此大的影响。心脏手术后的恢复与疼痛症状和心理困扰有关。在早期恢复阶段，患者会面临中度的焦虑和抑郁症状。在这方面，作为辅助治疗手段，已经采取了各种护理措施来帮助患者满足身体和心理需求。近年来，其中一种方法是在心脏手术后使用补充和替代疗法，特别是按摩疗法。因此，本研究的目的是确定按摩疗法对2010 - 2011年期间伊斯法罕查姆兰医院心脏直视手术后患者情绪的有效性。
本研究选取了72例接受冠状动脉搭桥手术的患者。他们被随机分为病例组和对照组。病例组（n = 36）的患者在心脏直视手术后3至6天内连续4天接受4次瑞典式按摩，每次20分钟。对照组患者仅接受常规护理。本研究中使用的情绪问卷（POMS）在研究和干预开始前一天以及干预最后一天后再次填写。使用SPSS软件版本12以及描述性和推断性统计方法进行数据分析。
研究结果比较显示，按摩降低了患者术后情绪的总体评分。
使用按摩疗法作为一种有效的护理干预措施可以改善心脏直视手术后患者的情绪。由于这种方法成本低且简单，它或许可以作为这些患者药物治疗和术后干预的补充手段。
