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针对接受化疗的乳腺癌患者恶心症状的治疗性触摸:构建一种治疗方法。

Therapeutic touch for nausea in breast cancer patients receiving chemotherapy: Composing a treatment.

作者信息

Vanaki Zohreh, Matourypour Pegah, Gholami Roya, Zare Zahra, Mehrzad Valiolah, Dehghan Mojtaba

机构信息

Tarbiat Modares University, Tehran, Iran.

Department of Nursing, School of Nursing and Midwife, Arak University of Medical Sciences, Arak, Iran.

出版信息

Complement Ther Clin Pract. 2016 Feb;22:64-8. doi: 10.1016/j.ctcp.2015.12.004. Epub 2015 Dec 11.

Abstract

BACKGROUND AND OBJECTIVE

Therapeutic touch (TT) is independent nursing intervention which is effective on nausea induced by chemotherapy but technique, steps and variables affected by this therapy are not yet well known. The aim of this study was to elicit descriptions of how TT is used with cancer patients, providing a basis for the systematic use and evaluation of TT with patients.

MATERIALS AND METHOD

In this research, 108 patients were examined with intentional sampling and random allocation in 3 groups (control, placebo and intervention) in 2013 (each group 36). Intervention received therapeutic touch (touching of first energy layer) and demographic form, visual analog scale (VAS) for intensity of nausea, check list for duration and times of nausea in the morning, noon, afternoon and night at acute phase were used. Data were analyzed by Kruskal Wallis, χ(2) and analysis of variance (ANOVA).

RESULTS

Duration, frequency and intensity of nausea were significantly lower in the test group (P < 0.001, P < 0.001 and P < 0.001). The mean duration of intervention (whole process) was 21.38 min [SD 6.04]. In 69.4% of women there was a need for re-intervention after reassessment phase.

CONCLUSION

Results of this randomized control trial showed that TT is effective on duration, times and intensity of nausea; therefore, TT can be used as an alternative method for patients who are willing to use this technique.

摘要

背景与目的

治疗性触摸(TT)是一种独立的护理干预措施,对化疗引起的恶心有效,但该疗法所涉及的技术、步骤及影响变量尚不清楚。本研究旨在获取关于如何对癌症患者使用TT的描述,为对患者系统使用和评估TT提供依据。

材料与方法

本研究于2013年采用立意抽样和随机分组的方法,将108例患者分为3组(对照组、安慰剂组和干预组)(每组36例)。干预组接受治疗性触摸(触摸第一能量层)并填写人口统计学表格,使用视觉模拟量表(VAS)评估恶心强度,采用清单记录急性期早晨、中午、下午和晚上恶心的持续时间和次数。数据采用Kruskal Wallis检验、χ²检验和方差分析(ANOVA)进行分析。

结果

试验组恶心的持续时间、频率和强度显著更低(P < 0.001,P < 0.001,P < 0.001)。干预(全过程)的平均持续时间为21.38分钟[标准差6.04]。在69.4%的女性患者中,重新评估阶段后需要再次干预。

结论

这项随机对照试验的结果表明,TT对恶心的持续时间、发作次数和强度有效;因此,对于愿意使用该技术的患者,TT可作为一种替代方法。

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