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护士实施的手部按摩:融入输液室的护理标准

Nurse-Administered Hand Massage: Integration Into an Infusion Suite's Standard of Care
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作者信息

Braithwaite Caitlin M, Ringdahl Deborah

机构信息

University of Iowa Hospital and Clinics.

University of Minnesota.

出版信息

Clin J Oncol Nurs. 2017 Aug 1;21(4):E87-E92. doi: 10.1188/17.CJON.E87-E92.

Abstract

BACKGROUND: Nurse-delivered hand massage is a safe and effective intervention that has potential for positively affecting nursing and patient outcomes.
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OBJECTIVES: Nurses in a National Cancer Institute-designated academic health center outpatient chemotherapy infusion suite were taught how to administer a hand massage to strengthen the nurse-patient relationship and improve patient experience, comfort, satisfaction, stress, and anxiety.
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METHODS: A pre-/postimplementation group comparison design was used. Patients in both groups completed self-reported measures of stress, comfort, satisfaction, and anxiety. Nurses completed Likert-type scales pre- and postimplementation on the perceived benefits of hand massage to the patient and nursing practice, impact on patient anxiety, and preparation in providing a hand massage.
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FINDINGS

A positive trend was seen in all indicators. Patients who received a hand massage had a statistically significant improvement in comfort (p = 0.025) compared to those who did not. A statistically significant improvement was seen in all nurse indicators pre- to postimplementation.

摘要

背景

护士提供的手部按摩是一种安全有效的干预措施,有可能对护理和患者结局产生积极影响。

目的

在一家美国国立癌症研究所指定的学术健康中心门诊化疗输液室,护士们学习了如何进行手部按摩,以加强护患关系,改善患者体验、舒适度、满意度、压力和焦虑情绪。

方法

采用实施前/后组对比设计。两组患者均完成了关于压力、舒适度、满意度和焦虑的自我报告测量。护士在实施前和实施后完成了李克特量表,内容涉及手部按摩对患者和护理实践的感知益处、对患者焦虑的影响以及提供手部按摩的准备情况。

结果

所有指标均呈现积极趋势。与未接受手部按摩的患者相比,接受手部按摩的患者在舒适度方面有统计学意义的显著改善(p = 0.025)。实施前至实施后,所有护士指标均有统计学意义的显著改善。

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