Taylor Ann Gill, Snyder Audrey E, Anderson Joel G, Brown Cynthia J, Densmore John J, Bourguignon Cheryl
Center for the Study of Complementary and Alternative Therapies, University of Virginia School of Nursing, Charlottesville, Virginia, USA.
University of Virginia School of Nursing, Charlottesville, Virginia, USA.
J Clin Trials. 2014;4. doi: 10.4172/2167-0870.1000161.
Cancer treatment is reported to be stressful, and patients diagnosed with hematologic cancers often exhibit higher levels of anxiety and emotional distress than individuals with other malignancies. Management of these symptoms in patients with hematologic cancer presents significant challenges, as many of them are in and out of the hospital while undergoing high dose chemotherapy. Oncology patients use complementary modalities such as therapeutic massage in an attempt to alleviate disease and treatment-related symptoms, including anxiety and emotional distress. In the current study, the feasibility of a novel massage intervention delivered over the continuum of care, as well as assessment of the immediate and cumulative effects of massage, was examined in patients with acute myelogenous leukemia.
A mixed-methods, unmasked, prospective, randomized study was conducted with two groups: a usual care alone control group and a massage therapy intervention plus usual care group.
Significant improvements in levels of stress and health-related quality of life were observed in the massage therapy group versus the usual care alone group, after adjusting for anxiety level, including both immediate and cumulative effects of massage.
While the findings of the current study regarding acceptability, feasibility, and potential efficacy of therapeutic massage as a complementary health-enhancing intervention in patients diagnosed with acute myelogenous leukemia are very promising, the relatively small size of the study sample limits generalizability.
据报道，癌症治疗压力很大，与其他恶性肿瘤患者相比，被诊断为血液系统癌症的患者往往表现出更高水平的焦虑和情绪困扰。血液系统癌症患者这些症状的管理面临重大挑战，因为他们中的许多人在接受高剂量化疗时频繁进出医院。肿瘤患者会使用诸如治疗性按摩等辅助方式，试图缓解与疾病和治疗相关的症状，包括焦虑和情绪困扰。在本研究中，对急性髓性白血病患者进行了一项新的按摩干预措施在连续护理过程中的可行性研究，以及对按摩的即时和累积效果的评估。
进行了一项混合方法、非盲、前瞻性、随机研究，分为两组：仅常规护理对照组和按摩疗法干预加常规护理组。
在调整焦虑水平后，与仅常规护理组相比，按摩疗法组在压力水平和与健康相关的生活质量方面有显著改善，包括按摩的即时和累积效果。
虽然本研究关于治疗性按摩作为一种辅助健康增强干预措施在诊断为急性髓性白血病患者中的可接受性、可行性和潜在疗效的结果很有前景，但研究样本规模相对较小限制了其普遍性。
