伴侣椅上按摩对围产期情绪、焦虑及疼痛影响的初步研究
A Pilot Study of Partner Chair Massage Effects on Perinatal Mood, Anxiety, and Pain.
作者信息
Thomas Robin B
机构信息
Departments of Human Services and Health Promotion Sciences, University of Arizona, Tucson, AZ, USA.
出版信息
Int J Ther Massage Bodywork. 2019 Jun 1;12(2):3-11. eCollection 2019 Jun.
BACKGROUND
Women worldwide experience perinatal mood, anxiety, and pain contributing to pregnancy and birth challenges, maternal and infant bonding, and childhood development. Perinatal women seek massage therapy for relaxation, pain management, and emotional support, but may encounter socioeconomic barriers. Prior studies demonstrated improved perinatal health by teaching partners of pregnant women a side-lying massage.
PURPOSE
This study examined health effects to perinatal mood, anxiety, and pain, by teaching partners of pregnant (PG) women a chair massage.
SETTING
Participant's homes in Tucson, Arizona, USA.
PARTICIPANTS
Twelve PG women with minor mood, anxiety, and pain: 67% white, 33% Hispanic, college educated, married, aged 32 years (± 3.86 SD), 67% expecting a first child, annual incomes ≤ $50,000 (33%), > $50,000 (67%).
RESEARCH DESIGN
A pre/postintervention pilot study in a single group for eight weeks.
INTERVENTION
Twice weekly partner-delivered chair massage and its relation to perinatal mood, anxiety, and pain.
MAIN OUTCOME MEASURES
Pre/poststudy perinatal massage effects were measured with the Edinburgh Depression Scale (mood), the STAI-AD (anxiety), and the VAS (pain). Weekly text messaging tracked dose and frequency, follow-up surveys measured sustainability, and birth outcomes were acquired by texting.
RESULTS
Study retention was 86%, protocol compliance 94%, with couples averaging 10-minute, twice weekly chair massage over the eight-week study period. Paired-sample tests indicated statistically significant improvements to perinatal mood and anxiety, Cohen's , a large strength of effect size ( = .012, = 0.87; = .004, = 1.03). A trend was observed for reduced pain, with a medium strength of effect size ( = .071; = 0.58). Follow-up surveys indicated most couples were sustaining at least weekly massage. Birth outcomes showed healthy infants with no complications, mean birth weight of 7.26 pounds, and mean gestation of 39 weeks.
CONCLUSION
This is the first evidence of partner chair massage as safe and effective complementary home management of perinatal mood, anxiety, and pain.
背景
世界各地的女性在围产期会经历情绪、焦虑和疼痛问题，这些问题会给怀孕和分娩带来挑战，影响母婴关系及儿童发育。围产期女性会寻求按摩疗法来放松身心、缓解疼痛并获得情感支持，但可能会遇到社会经济障碍。先前的研究表明，通过教孕妇的伴侣进行侧躺式按摩可改善围产期健康状况。
目的
本研究通过教孕妇（PG）的伴侣进行椅子按摩，来检验其对围产期情绪、焦虑和疼痛的健康影响。
地点
美国亚利桑那州图森市参与者的家中。
参与者
12名有轻微情绪、焦虑和疼痛问题的孕妇：67%为白人，33%为西班牙裔，受过大学教育，已婚，年龄32岁（标准差±3.86），67%为头胎孕妇，年收入≤50,000美元（33%），>50,000美元（67%）。
研究设计
单组前后干预的试点研究，为期八周。
干预措施
伴侣每周两次进行椅子按摩及其与围产期情绪、焦虑和疼痛的关系。
主要结局指标
研究前后使用爱丁堡抑郁量表（情绪）、状态特质焦虑量表（焦虑）和视觉模拟量表（疼痛）测量围产期按摩效果。每周通过短信跟踪按摩剂量和频率，通过后续调查评估可持续性，并通过短信获取分娩结局。
结果
研究保留率为86%，方案依从率为94%，在为期八周的研究期间，夫妻平均每周进行两次10分钟的椅子按摩。配对样本检验表明围产期情绪和焦虑有统计学意义的显著改善，科恩效应量显示为大效应量（p = .012，d = 0.87；p = .004，d = 1.03）。观察到疼痛有减轻趋势，效应量为中等强度（p = .071；d = 0.58）。后续调查表明，大多数夫妻至少每周持续进行按摩。分娩结局显示婴儿健康无并发症，平均出生体重7.26磅，平均孕周39周。
结论
这是伴侣椅子按摩作为围产期情绪、焦虑和疼痛安全有效的家庭辅助管理方法的首个证据。
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