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按摩作为剖宫产术后疼痛和焦虑管理的辅助疗法:一项随机临床试验。

Massage as adjuvant therapy in the management of post-cesarean pain and anxiety: A randomized clinical trial.

作者信息

Saatsaz Sussan, Rezaei Rozita, Alipour Abbas, Beheshti Zahra

机构信息

Faculty of Nursing and Midwifery Department of Amol, Mazandaran University of Medical Sciences, Sari, Iran.

Thalassemia Research Center, Mazandaran University of Medical Sciences, Sari, Iran.

出版信息

Complement Ther Clin Pract. 2016 Aug;24:92-8. doi: 10.1016/j.ctcp.2016.05.014. Epub 2016 May 30.

DOI:10.1016/j.ctcp.2016.05.014
PMID:27502807
Abstract

OBJECTIVE

The present study was conducted to determine the effect of massage on post-cesarean pain and anxiety.

METHODS

The present single-blind clinical trial was conducted on 156 primiparous women undergone elective cesarean section. The participants were randomly divided into three groups, including a hand and foot massage group, a foot massage group and a control group (n = 52 per group). The patients' intensity of pain, vital signs and anxiety level were measured before, immediately after and 90 min after the massage.

RESULTS

A significant reduction was observed in the intensity of pain immediately and 90 min after massage (P < 0.001). Moreover, changes in some of the physiological parameters, including blood pressure and respiration rate, were significant after massage (P < 0.001); however, this change was not significant for pulse rate. A significant reduction was also observed in the level of anxiety (P < 0.001) and a significant increase in the frequency of breastfeeding (P < 0.001) after massage.

CONCLUSION

As an effective nursing intervention presenting no side-effects, hand and foot massage can be helpful in the management of postoperative pain and stress.

摘要

目的

本研究旨在确定按摩对剖宫产术后疼痛和焦虑的影响。

方法

本单盲临床试验对156例行择期剖宫产的初产妇进行。参与者被随机分为三组,包括手足按摩组、足部按摩组和对照组(每组n = 52)。在按摩前、按摩后即刻和按摩后90分钟测量患者的疼痛强度、生命体征和焦虑水平。

结果

按摩后即刻和90分钟时疼痛强度显著降低(P < 0.001)。此外,按摩后一些生理参数的变化,包括血压和呼吸频率,有显著意义(P < 0.001);然而,脉搏率的变化无显著意义。按摩后焦虑水平也显著降低(P < 0.001),母乳喂养频率显著增加(P < 0.001)。

结论

作为一种无副作用的有效护理干预措施,手足按摩有助于术后疼痛和应激的管理。

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