Aksaray University, Faculty of Health Science, Nursing Department, Turkey.
Intensive Crit Care Nurs. 2021 Apr;63:102962. doi: 10.1016/j.iccn.2020.102962. Epub 2020 Nov 6.
This study aimed to examine the effect of back massage on physiological parameters, dyspnoea and anxiety in patients with chronic obstructive pulmonary disease receiving noninvasive mechanical ventilation in the intensive care unit.
This study was a randomised controlled trial. Patients in the intervention group received back massage (15 minutes) between 16.00 and 20.00 every day for four days in the intensive care unit. The control group received no intervention. The data was collected using a personal information form, Baseline Dyspnoea Index, State-Trait Anxiety Inventory and Physiological Parameters Chart.
We found no statistically significant change between systolic-diastolic blood pressures, heart rates and respiratory rate, oxygen saturation and dyspnoea level of the intervention and control groups (p > .05), while there was a significant reduction in the anxiety scores of patients in the intervention group (p < .05).
This study found that back massage applied in patients with chronic obstructive pulmonary disease receiving noninvasive mechanical ventilation was effective in decreasing anxiety. Back massage is a low-cost intervention with benefits for patients, and it may be a useful intervention in the anxiety management of intensive care patients.
本研究旨在探讨背部按摩对接受重症监护室无创机械通气的慢性阻塞性肺疾病患者的生理参数、呼吸困难和焦虑的影响。
这是一项随机对照试验。干预组患者在重症监护室每天 16:00 到 20:00 之间接受 15 分钟的背部按摩,共四天。对照组不进行任何干预。使用个人信息表、基础呼吸困难指数、状态-特质焦虑量表和生理参数图表收集数据。
我们发现干预组和对照组的收缩压-舒张压、心率和呼吸率、血氧饱和度和呼吸困难水平均无统计学显著变化(p>.05),而干预组患者的焦虑评分显著降低(p<.05)。
本研究发现,对接受无创机械通气的慢性阻塞性肺疾病患者进行背部按摩可有效降低焦虑。背部按摩是一种低成本的干预措施,对患者有益,可能是重症监护患者焦虑管理的一种有用干预措施。