按摩疗法对急诊医疗服务人员职业压力的管理：一项随机对照试验
Massage Therapy in Management of Occupational Stress in Emergency Medical Services Staffs: a Randomized Controlled Trial.
作者信息
Mahdizadeh Mahdi, Jaberi Ali Ansari, Bonabi Tayebeh Negahban
机构信息
Critical Care Nursing Student, School of Nursing and Midwifery, Students Research Committee, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Department of Psychiatric and Mental Health Nursing, School of Nursing and Midwifery, Social Determinants of Health Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
出版信息
Int J Ther Massage Bodywork. 2019 Mar 4;12(1):16-22. eCollection 2019 Mar.
BACKGROUND
Results of various studies indicate that emergency medical service (EMS) staff suffer from occupational stress that adversely affects their quality of life and their care quality.
PURPOSE
This study aimed at determining the effect of massage on occupational stress experienced by emergency medical service staff.
SETTING
Prehospital emergency medical services stations of a city in the southwest of Iran.
PARTICIPANTS
A total of 58 members of staff of the emergency medical services, working in prehospital emergency medical services stations.
RESEARCH DESIGN
In this randomized controlled trial, a total of 58 EMS staff were selected from prehospital EMS stations, according to inclusion and exclusion criteria, and then assigned in two groups (29 in massage and 29 in control group) randomly by the minimization method. The intervention group received Swedish massage, twice a week for four weeks in the morning after the end of the work shift. Each massage session lasted 20-25 minutes. Subjects in the control group received no intervention. The level of occupational stress of the two groups was measured under the same conditions before and after the intervention by using the expanded nurses' occupational stress scale (ENSS). Data were analyzed with the SPSS16 software by using the chi-squared test, paired and independent-sample tests, one-way ANCOVA. value < .05 was considered as the level of significance.
RESULTS
The mean and SD of total occupational stress scores in the control group was 114.41±30.11 in pretest and reach to 112.58± 30.62 in posttest stage. Also the mean and SD of total occupational stress scores in the intervention group was 130.20±26.45 in pretest and reach to 110.41±21.75 in posttest stage. A one-way ANCOVA showed that there is a significant effect of massage on EMS staff's occupational stress level after controlling for pretest score ( = .001).
CONCLUSIONS
The training and the application of massage therapy can serve as an effective method in reducing occupational stress in emergency medical centers.
背景
多项研究结果表明，紧急医疗服务（EMS）工作人员承受着职业压力，这对他们的生活质量和护理质量产生了不利影响。
目的
本研究旨在确定按摩对紧急医疗服务工作人员所经历的职业压力的影响。
地点
伊朗西南部一个城市的院前紧急医疗服务站。
参与者
共有58名在院前紧急医疗服务站工作的紧急医疗服务工作人员。
研究设计
在这项随机对照试验中，根据纳入和排除标准，从院前急救站选取了58名急救人员，然后通过最小化法随机分为两组（按摩组29人，对照组29人）。干预组接受瑞典式按摩，在轮班结束后的早晨每周两次，共四周。每次按摩持续20 - 25分钟。对照组受试者不接受干预。在干预前后的相同条件下，使用扩展护士职业压力量表（ENSS）测量两组的职业压力水平。使用SPSS16软件，通过卡方检验、配对和独立样本检验、单向协方差分析对数据进行分析。P值<0.05被视为显著性水平。
结果
对照组总职业压力得分的均值和标准差在预测试阶段为114.41±30.11，在后测试阶段达到112.58±30.62。干预组总职业压力得分的均值和标准差在预测试阶段为130.20±26.45，在后测试阶段达到110.41±21.75。单向协方差分析表明，在控制预测试分数后，按摩对急救人员的职业压力水平有显著影响（P = 0.001）。
结论
按摩疗法的培训和应用可作为降低急救中心职业压力的有效方法。
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