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足部按摩对胫骨骨折手术患者疼痛强度和焦虑的影响:一项随机临床试验。

The Effect of Foot Massage on Pain Intensity and Anxiety in Patients Having Undergone a Tibial Shaft Fracture Surgery: A Randomized Clinical Trial.

机构信息

Community Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

J Orthop Trauma. 2018 Dec;32(12):e482-e486. doi: 10.1097/BOT.0000000000001320.

DOI:10.1097/BOT.0000000000001320
PMID:30444801
Abstract

OBJECTIVE

To determine the effect of massage therapy on pain intensity and anxiety in patients who have undergone tibial shaft fracture surgery.

DESIGN

This study was a randomized clinical trial with a pre-post design. As the study included 2 treatment groups, it was a parallel study.

SETTING

Khatam-Al-Anbia Hospital in Zahedan, Iran, between July and August 2017.

PATIENTS

In all, 66 patients who underwent a tibial shaft fracture surgery were enrolled and randomly assigned to intervention and control groups (33 patients each).

INTERVENTION

The intervention included a 10-minute foot massage (5 minutes per leg) using sweet almond oil, the most common lubricant used in massage therapy.

MAIN OUTCOME MEASUREMENTS

Data were collected using pain numeric rating scale and Spielberger State-Trait Anxiety Inventory before and after intervention.

RESULTS

After intervention, the mean scores for pain intensity, and anxiety in the intervention and control groups were 4.72 (0.97) and 5.72 (0.91), and 42.84 (6.50) and 58.36 (10.37), respectively. A significant difference was noted between the intervention and control groups concerning pain intensity and anxiety.

CONCLUSIONS

The results indicated that massage therapy reduced pain intensity and anxiety in patients who underwent tibial shaft fracture surgery. Therefore, using massage as a noninvasive and acceptable intervention is suggested in orthopaedic surgery, especially after tibial shaft fracture surgeries.

LEVEL OF EVIDENCE

Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.

摘要

目的

评估按摩疗法对胫骨骨干骨折术后患者疼痛强度和焦虑的影响。

设计

这是一项随机临床试验,采用前后设计。由于该研究包括 2 个治疗组,因此是一项平行研究。

设置

伊朗扎黑丹的卡塔姆-安比娅医院,2017 年 7 月至 8 月。

患者

共有 66 例胫骨骨干骨折手术患者入组,并随机分为干预组和对照组(每组 33 例)。

干预

干预措施包括使用最常用于按摩疗法的甜杏仁油进行 10 分钟足部按摩(每条腿 5 分钟)。

主要观察指标

干预前后采用疼痛数字评分量表和 Spielberger 状态-特质焦虑量表收集数据。

结果

干预后,干预组和对照组的疼痛强度和焦虑评分分别为 4.72(0.97)和 5.72(0.91),42.84(6.50)和 58.36(10.37)。干预组和对照组在疼痛强度和焦虑方面存在显著差异。

结论

结果表明,按摩疗法可降低胫骨骨干骨折术后患者的疼痛强度和焦虑。因此,建议在骨科手术中,特别是在胫骨骨干骨折手术后,使用按摩作为一种非侵入性和可接受的干预措施。

证据水平

治疗性研究,Ⅰ级。有关证据水平的完整描述,请参见作者须知。

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