Lindgren Lenita, Lehtipalo Stefan, Winsö Ola, Karlsson Marcus, Wiklund Urban, Brulin Christine
L Lindgren, RN, MSn, PhD, Department of Nursing, Umeå University and Department of Surgical and Perioperative Science Anesthesiology and Intensive Care, Umeå, Sweden.
Nurs Crit Care. 2013 Nov;18(6):269-77. doi: 10.1111/nicc.12017. Epub 2013 May 1.
To report and evaluate a complex touch massage intervention according to the British Medical Research Council framework. This study aimed to evaluate the effects of touch massage on levels of anxiety and physiological stress in patients scheduled for elective aortic surgery.
The use of touch massage has increased during the past decade but no systematic studies have been implemented to investigate the effectiveness of such treatment. It is important to conduct multidisciplinary investigations into the effects of complex interventions such as touch massage. For this, the British Medical Research Council has provided a useful framework to guide the development, piloting, evaluation and reporting of complex intervention studies.
A pilot study with a randomized controlled design including 20 patients (10 + 10) scheduled for elective aortic surgery. Selected outcome parameters included; self-reported anxiety, measured by the State-Trait Anxiety Inventory Form Y instrument, and physiological stress, measured by heart rate variability, blood pressure, respiratory frequency, oxygen saturation and concentrations of cortisol, insulin and glucose in serum.
There were significant differences in self-reported anxiety levels before and after touch massage (p = 0.007), this was not observed in the control group (p = 0.833). There was a significant difference in self-reported anxiety levels between the touch massage group and the control group after touch massage and rest (p = 0.001). There were no significant differences in physiological stress-related outcome parameters between patients who received touch massage and controls.
In our study, touch massage decreased anxiety levels in patients scheduled for elective aortic surgery, and the British Medical Research Council framework was a useful guideline for the development, evaluation and reporting of a touch massage intervention.
Touch massage can reduce patients' anxiety levels and is thus an important nursing intervention in intensive and post-operative care.
根据英国医学研究委员会的框架报告并评估一种复杂的触摸按摩干预措施。本研究旨在评估触摸按摩对择期主动脉手术患者焦虑水平和生理应激的影响。
在过去十年中，触摸按摩的使用有所增加，但尚未开展系统研究来调查这种治疗方法的有效性。对触摸按摩等复杂干预措施的效果进行多学科研究很重要。为此，英国医学研究委员会提供了一个有用的框架，以指导复杂干预研究的开发、试点、评估和报告。
一项采用随机对照设计的试点研究，纳入20例择期主动脉手术患者（10 + 10）。选定的结局参数包括：用状态-特质焦虑量表Y型工具测量的自我报告焦虑，以及用心率变异性、血压、呼吸频率、血氧饱和度和血清中皮质醇、胰岛素和葡萄糖浓度测量的生理应激。
触摸按摩前后自我报告的焦虑水平存在显著差异（p = 0.007），对照组未观察到这种差异（p = 0.833）。触摸按摩和休息后，触摸按摩组与对照组之间自我报告的焦虑水平存在显著差异（p = 0.001）。接受触摸按摩的患者与对照组在生理应激相关结局参数方面无显著差异。
在我们的研究中，触摸按摩降低了择期主动脉手术患者的焦虑水平，英国医学研究委员会框架是触摸按摩干预措施开发、评估和报告的有用指南。
触摸按摩可降低患者的焦虑水平，因此是重症监护和术后护理中的一项重要护理干预措施。
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