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一项定性研究——脑卒中后触觉按摩的患者体验。

A qualitative study-Patient experience of tactile massage after stroke.

机构信息

Department of Nursing Red Cross University College Stockholm Sweden.

Division of Nursing Department of Neurobiology, Care Sciences and Society Karolinska Institutet Stockholm Sweden.

出版信息

Nurs Open. 2020 May 29;7(5):1446-1452. doi: 10.1002/nop2.515. eCollection 2020 Sep.

DOI:10.1002/nop2.515
PMID:32802364
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7424438/
Abstract

AIM

The aim was to evaluate emotional experiences of gentle skin massage, combined with regular rehabilitation in patients shortly after being diagnosed with stroke.

DESIGN

A randomized study with two groups: standard individualized rehabilitation and tactile massage for 20 min three times per week (max nine times) or individual standardized rehabilitations.

METHODS

This study applied a qualitative approach using semi-structured questions to evaluate experiences of receiving tactile massage among patients with first-time-ever stroke. The interviews lasted between 6-25 min and analysed using manifest content analysis. Data was collected between 2015-2017. This study applies to the COREQ checklist.

RESULTS

Eight patients >18 years of age participated. The participants experienced emotional worries especially during the night hours affecting their sleep negatively. Receiving tactile massage was reported to relax and to ease worries and anxiety momentarily, during the session and for a longer period. The results also show that physical touch generates feelings of closeness. The findings will be presented in two categories: and .

摘要

目的

评估中风后不久的患者接受轻柔皮肤按摩联合常规康复治疗的情绪体验。

设计

一项随机研究,分为两组:标准个体化康复和每周三次(最多九次)每次 20 分钟的触觉按摩,或个体化标准化康复。

方法

本研究采用半结构式问题的定性方法,评估首次中风患者接受触觉按摩的体验。访谈持续 6-25 分钟,并采用明显内容分析法进行分析。数据收集于 2015-2017 年。本研究适用于 COREQ 清单。

结果

8 名年龄>18 岁的患者参与了研究。参与者经历了情感困扰,特别是在夜间,这对他们的睡眠产生了负面影响。接受触觉按摩被报告在治疗过程中和更长的时间内可以暂时放松身心,减轻担忧和焦虑。结果还表明,身体接触会产生亲近感。研究结果将分为两个类别:和。

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本文引用的文献

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Anxiety after stroke: A systematic review and meta-analysis.卒中后焦虑:系统评价和荟萃分析。
J Rehabil Med. 2018 Sep 28;50(9):769-778. doi: 10.2340/16501977-2384.
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Effect of hand and foot surface stroke massage on anxiety and vital signs in patients with acute coronary syndrome: A randomized clinical trial.手部和足部表面 strokes 按摩对急性冠脉综合征患者焦虑和生命体征的影响:一项随机临床试验。
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A pilot randomized controlled trial of self-help relaxation to reduce post-stroke depression.一项自我帮助放松治疗减少中风后抑郁的随机对照试验。
Clin Rehabil. 2018 Jun;32(6):747-751. doi: 10.1177/0269215517741947. Epub 2017 Nov 22.
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Tactile massage reduces rescue doses for pain and anxiety: an observational study.触觉按摩可减少疼痛和焦虑的急救剂量:一项观察性研究。
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Twelve month follow-up on a randomised controlled trial of relaxation training for post-stroke anxiety.随机对照试验对中风后焦虑症的放松训练进行 12 个月随访。
Clin Rehabil. 2017 Sep;31(9):1164-1167. doi: 10.1177/0269215516682820. Epub 2016 Dec 8.
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Stroke.中风。
Lancet. 2017 Feb 11;389(10069):641-654. doi: 10.1016/S0140-6736(16)30962-X. Epub 2016 Sep 13.
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The impact of therapeutic massage on adult residents living with complex and high level disabilities: A brief report.治疗性按摩对患有复杂和严重残疾的成年居民的影响:简要报告。
Disabil Health J. 2016 Oct;9(4):730-4. doi: 10.1016/j.dhjo.2016.04.009. Epub 2016 May 18.
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Self-help relaxation for post-stroke anxiety: a randomised, controlled pilot study.中风后焦虑的自助放松疗法:一项随机对照试验性研究
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Cerebrovasc Dis. 2015;39(3-4):190-201. doi: 10.1159/000375397. Epub 2015 Mar 5.
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Scoping review of common secondary conditions after stroke and their associations with age and time post stroke.中风后常见继发病症及其与年龄和中风后时间的关联的范围综述。
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