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足部按摩对缓解颈椎术后患者疼痛、焦虑及改善生活质量的效果。

Effects of foot massage on relieving pain, anxiety and improving quality of life of patients undergone a cervical spine surgery.

机构信息

Department of Spinal Surgery, Liaocheng People's Hospital, No. 67 Dongchang Xi Road, Liaocheng, 252000, Shandong, China.

出版信息

Health Qual Life Outcomes. 2021 Jan 19;19(1):22. doi: 10.1186/s12955-021-01667-2.

Abstract

BACKGROUND

Long-term recovery of patients undergone cervical spine surgery is of paramount importance to improve their quality of life. In this study we aimed to evaluate the effects of foot massage on relieving pain and anxiety of patients with anterior cervical discectomy and fusion (ACDF).

METHODS

Enrolled patients undergone ACDF and diagnosed with anxiety disorder at least six months before surgery were treated with 10-min foot massage on a daily basis for four weeks using sweet almond oil. Patients were assessed by neck pain visual analog pain scale (NP-VAS), neck disability index (NDI) and self-rating anxiety scale.

RESULTS

More significant relief in NP-VAS was observed in patients who received foot massage treatment. No significant difference in NDI reduction was seen in patients with or without the treatment. Intervention group demonstrated less anxiety during follow-up (p = 0.021) compared to the control group and more reduction compared to baseline (p = 0.046). In terms of quality of life, while both groups demonstrated improvement in pain relief (p = 0.015 for the intervention group and p = 0.037 for the control group), only the intervention group showed improved mental function (p = 0.031).

CONCLUSION

This study found that foot massage was effective in alleviating pain and anxiety, while improving quality of life in patients undergone ACDF, indicating that this intervention should be considered in the clinical management of these patients.

摘要

背景

颈椎手术后患者的长期康复对于提高其生活质量至关重要。本研究旨在评估足部按摩对缓解前路颈椎间盘切除融合术(ACDF)患者疼痛和焦虑的影响。

方法

本研究纳入了术前至少 6 个月被诊断为焦虑症的接受 ACDF 的患者,每天接受 10 分钟的足部按摩治疗,使用甜杏仁油,共 4 周。采用颈部疼痛视觉模拟评分(NP-VAS)、颈部残疾指数(NDI)和自评焦虑量表对患者进行评估。

结果

接受足部按摩治疗的患者的 NP-VAS 评分明显减轻。接受或不接受治疗的患者在 NDI 降低方面无显著差异。与对照组相比,干预组在随访期间焦虑程度较低(p=0.021),与基线相比焦虑程度降低更为显著(p=0.046)。在生活质量方面,两组患者的疼痛缓解均有改善(干预组 p=0.015,对照组 p=0.037),但只有干预组的心理功能得到改善(p=0.031)。

结论

本研究发现足部按摩可有效缓解 ACDF 患者的疼痛和焦虑,同时提高其生活质量,提示该干预措施应在这些患者的临床管理中得到考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a8c/7814554/42f835ce9fdf/12955_2021_1667_Fig1_HTML.jpg

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