Airosa Fanny, Arman Maria, Sundberg Tobias, Öhlén Gunnar, Falkenberg Torkel
Karolinska Institutet, Institution of Neurobiology, Care Science and Society, Huddinge, Sweden.
BMC Complement Altern Med. 2016 Mar 22;16:106. doi: 10.1186/s12906-016-1084-2.
Patients who sustain a motor vehicle accident may experience long-term distress, even if they are uninjured or only slightly injured. There is a risk of neglecting patients with minor or no physical injuries, which might impact future health problems. The aim of this study was to explore patients' subjective experiences and perspectives on pain and other factors of importance after an early nursing intervention consisting of "caring touch" (tactile massage and healing touch) for patients subjected to a motor vehicle accident with minor or no physical injuries.
A mixed method approach was used. The qualitative outcomes were themes derived from individual interviews. The quantitative outcomes were measured by visual analogue scale for pain (VAS, 0-100), sense of coherence (SOC), post-traumatic stress (IES-R) and health status (EQ-5D index and EQ-5D self-rated health). Forty-one patients of in total 124 eligible patients accepted the invitation to participate in the study. Twenty-seven patients completed follow-up after 6 months whereby they had received up to eight treatments with either tactile massage or healing touch.
Patients reported that caring touch may assist in trauma recovery by functioning as a physical "anchor" on the patient's way of suffering, facilitating the transition of patients from feeling as though their body is "turned off" to becoming "awake". By caring touch the patients enjoyed a compassionate care and experience moments of pain alleviation. The VAS pain ratings significantly decreased both immediately after the caring touch treatment sessions and over the follow-up period. The median scores for VAS (p < 0.001) and IES-R (p 0.002) had decreased 6 months after the accident whereas the EQ-5D index had increased (p < 0.001). There were no statistically significant differences of the SOC or EQ-5D self-rated health scores over time.
In the care of patients suffering from a MVA with minor or no physical injuries, a caring touch intervention is associated with patients' report of decreased pain and improved wellbeing up to 6 months after the accident.
ClinicalTrials.gov Id: NCT02610205 . Date 25 November 2015.
遭遇机动车事故的患者可能会经历长期痛苦，即便他们未受伤或仅受轻伤。存在忽视轻伤或无身体损伤患者的风险，这可能会影响其未来的健康问题。本研究的目的是探讨在对遭受机动车事故且轻伤或无身体损伤的患者进行包括“关爱触摸”（触觉按摩和治疗性触摸）的早期护理干预后，患者对疼痛及其他重要因素的主观体验和看法。
采用混合方法。定性结果是从个体访谈中得出的主题。定量结果通过疼痛视觉模拟量表（VAS，0 - 100）、连贯感（SOC）、创伤后应激（IES - R）和健康状况（EQ - 5D指数和EQ - 5D自评健康）来衡量。在总共124名符合条件的患者中，41名患者接受邀请参与研究。27名患者在6个月后完成随访，在此期间他们接受了多达8次触觉按摩或治疗性触摸治疗。
患者报告称，关爱触摸可通过在患者痛苦过程中充当身体“锚点”来帮助创伤恢复，促进患者从感觉身体“关闭”转变为“苏醒”。通过关爱触摸，患者得到了富有同情心的护理，并体验到疼痛缓解的时刻。在关爱触摸治疗后即刻以及随访期间，VAS疼痛评分均显著降低。事故发生6个月后，VAS（p < 0.001）和IES - R（p 0.002）的中位数得分下降，而EQ - 5D指数有所上升（p < 0.001）。随着时间推移，SOC或EQ - 5D自评健康评分无统计学显著差异。
在护理遭受机动车事故且轻伤或无身体损伤的患者时，关爱触摸干预与患者报告事故后长达6个月疼痛减轻及幸福感改善相关。
ClinicalTrials.gov标识符：NCT02610205。日期：2015年11月25日。
Zotero 插件