Adib-Hajbaghery Mohsen, Rajabi-Beheshtabad Rahman, Ardjmand Abolfazl
Professor, Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.
Department of Nursing, Dehdash Imam Khomeini Hospital, Yasouj University of Medical Sciences, Yasouj, Iran.
ARYA Atheroscler. 2015 Mar;11(2):126-32.
Cardiovascular diseases such as acute coronary syndrome and myocardial infarction are often accompanied by severe anxiety over the likelihood of death. Cortisol has been known as a stress hormone. However, there are controversies about the effect of massage therapy on blood cortisol level. Furthermore, no study is available on the difference between massage applied by a nurse specialist or by patients' relatives on blood cortisol level. This study was aimed to compare the effect of massage applied by a nurse specialist and patients' relatives on blood cortisol level among the patients admitted in coronary care unit (CCU).
In a randomized controlled trial, ninety patients hospitalized at CCU were randomly placed in three groups: massage by a nurse; massage by patients' relatives and control group. The two massage groups received a session of whole body massage. The control group received the routine care. Data were analyzed using analysis of variance, chi-square and Fischer exact tests, Kruskal-Wallis and Wilcoxon Signed Ranks tests.
The mean age of participants was 58.43 ± 14.23 years. None of the participants had the history of massage therapy. In the group massaged by a nurse, the median blood cortisol level was 281.90 nanomoles, which were decreased to 197.00 after the intervention (P < 0.007). The median blood cortisol level in the group massaged by the patients' relatives and the control group did not affect significantly.
Massage therapy decreased the blood cortisol level in the group that received massage by a specialist nurse. It can be recommended that massage therapy be used in patients admitted in CCU.
急性冠状动脉综合征和心肌梗死等心血管疾病常伴有对死亡可能性的严重焦虑。皮质醇一直被认为是一种应激激素。然而，关于按摩疗法对血液皮质醇水平的影响存在争议。此外，尚无研究探讨护士专家或患者亲属进行的按摩对血液皮质醇水平的差异。本研究旨在比较护士专家和患者亲属进行的按摩对冠心病监护病房（CCU）患者血液皮质醇水平的影响。
在一项随机对照试验中，90名入住CCU的患者被随机分为三组：护士按摩组；患者亲属按摩组和对照组。两个按摩组接受了一次全身按摩。对照组接受常规护理。数据采用方差分析、卡方检验和费舍尔精确检验、克鲁斯卡尔-沃利斯检验和威尔科克森符号秩检验进行分析。
参与者的平均年龄为58.43±14.23岁。所有参与者均无按摩治疗史。在护士按摩组中，血液皮质醇水平中位数为281.90纳摩尔，干预后降至197.00（P<0.007）。患者亲属按摩组和对照组的血液皮质醇水平中位数无显著影响。
按摩疗法降低了接受专科护士按摩组的血液皮质醇水平。建议在CCU住院患者中使用按摩疗法。
