Kashani Fahimeh, Kashani Parisa
Department of Adult Health Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Master of Business Management, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2014 Mar;19(2):113-8.
Annually, about 6000 new cases are diagnosed with breast cancer in Iran. In Iran, more women are affected with breast cancer than a decade earlier in comparison with other countries, and 70% of them are diagnosed at an advanced phase. Insomnia is the most common disorder following breast cancer, and interference in sleep quality and rest causes changes in physiological functions and reduces the body's daily performance. The objective of this study was to determine the effect of massage therapy on the quality of sleep in patients with breast cancer.
This clinical trial was conducted for about 1 month in a referral chemotherapy clinic of a teaching hospital in Isfahan, Iran. The participants consisted of 57 women with breast cancer who were selected by simple random sampling. They were randomly assigned to two groups of control and experimental. The control group was treated only by usual medical therapy, whereas the case group was treated by combined medical-massage therapy. Data collection tools were the validated Pittsburgh Sleep Quality Index and a demographic questionnaire. Data were analyzed by SPSS using descriptive statistics, Chi-square test, paired t-test, and Student's t-test.
The results showed significant differences in the mean scores of quality of sleep before and after the intervention in the case group, while no significant differences were observed in the mean scores of quality of sleep before and after the intervention in the control group. In addition, no significant differences were observed in the mean scores of quality of sleep before the intervention between case and control groups. However, significant differences were observed in the mean scores of quality of sleep after the intervention between case and control groups.
According to the results of this study, learning and applying massage techniques by medical staff causes health promotion and improves the quality of sleep in cancer patients. Furthermore, massage therapy is suggested as a non-pharmacologic method to improve sleep quality in these patients.
在伊朗，每年约有6000例新确诊的乳腺癌病例。与其他国家相比，伊朗患乳腺癌的女性比十年前更多，其中70%在晚期被诊断出来。失眠是乳腺癌后最常见的病症，睡眠质量和休息受到干扰会导致生理功能发生变化，并降低身体的日常表现。本研究的目的是确定按摩疗法对乳腺癌患者睡眠质量的影响。
本临床试验在伊朗伊斯法罕一家教学医院的转诊化疗诊所进行了约1个月。参与者包括57名通过简单随机抽样选择的乳腺癌女性。她们被随机分为对照组和试验组。对照组仅接受常规药物治疗，而试验组接受药物 - 按摩联合治疗。数据收集工具是经过验证的匹兹堡睡眠质量指数和一份人口统计学问卷。数据通过SPSS使用描述性统计、卡方检验、配对t检验和学生t检验进行分析。
结果显示，试验组干预前后睡眠质量平均得分存在显著差异，而对照组干预前后睡眠质量平均得分未观察到显著差异。此外，试验组和对照组干预前睡眠质量平均得分未观察到显著差异。然而，试验组和对照组干预后睡眠质量平均得分存在显著差异。
根据本研究结果，医护人员学习和应用按摩技术可促进健康并改善癌症患者的睡眠质量。此外，建议将按摩疗法作为改善这些患者睡眠质量的非药物方法。
