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足部按摩对重症监护患者疼痛的影响:一项平行随机单盲对照试验。

The Effect of Foot Massage on Pain of the Intensive Care Patients: A Parallel Randomized Single-Blind Controlled Trial.

作者信息

Momeni Masoumeh, Arab Mansoor, Dehghan Mahlagha, Ahmadinejad Mehdi

机构信息

Student Research Committee, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.

Faculty of Nursing and Midwifery, Bam University of Medical Sciences, Bam, Iran.

出版信息

Evid Based Complement Alternat Med. 2020 Jun 13;2020:3450853. doi: 10.1155/2020/3450853. eCollection 2020.

Abstract

MATERIALS AND METHODS

This randomized, parallel, single-blind controlled trial study was performed on 75 ICU patients. Patients were allocated into three groups (massage by a nurse, massage by the patient's family, and control group) by the minimization method. Swedish massage was provided for the patients in experimental groups (each foot for 5 minutes) once a day for six days. The pain was examined in all three groups before, immediately, and one week after the intervention.

RESULTS

The mean scores of pain in the groups of foot massage by the patient's family and by a nurse showed a significant reduction at the end of the study (from 4.48 to 3.36 and 4.76 to 2.96, respectively). The control group had significantly more pain after the intervention than the family-based massage group and the nurse-based massage group ( < 0.05). Although significant difference was found in the mean scores of pain between the massage provided by a nurse and that provided by the patient's family immediately after the intervention ( < 0.05), it was not significant one week after the intervention ( > 0.05).

CONCLUSION

Using foot massage, by both nurses and family members can reduce the pain of ICU patients. This intervention may improve the nursing care quality with the least cost and complications.

摘要

材料与方法

本随机、平行、单盲对照试验研究对75例重症监护病房患者进行。采用最小化法将患者分为三组(护士按摩组、患者家属按摩组和对照组)。对实验组患者进行瑞典式按摩(每只脚按摩5分钟),每天一次,共六天。在干预前、干预后即刻和干预后一周对三组患者的疼痛情况进行检查。

结果

患者家属按摩组和护士按摩组在研究结束时疼痛平均评分显著降低(分别从4.48降至3.36和从4.76降至2.96)。干预后,对照组的疼痛明显多于家庭按摩组和护士按摩组(<0.05)。虽然干预后即刻护士按摩组和患者家属按摩组的疼痛平均评分存在显著差异(<0.05),但干预一周后差异不显著(>0.05)。

结论

护士和家属进行足部按摩均可减轻重症监护病房患者的疼痛。该干预措施可能以最低的成本和并发症改善护理质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9502/7306861/9013d2f6be0a/ECAM2020-3450853.001.jpg

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