Centre for Allied Health Research and Education, Cabrini Health, Malvern, VIC, Australia; Oncology Rehabilitation Program, Eastern Health, Wantirna, VIC, Australia.
Centre for Allied Health Research and Education, Cabrini Health, Malvern, VIC, Australia; Alpha Crucis Group, Langwarrin, VIC, Australia.
Complement Ther Clin Pract. 2022 Nov;49:101663. doi: 10.1016/j.ctcp.2022.101663. Epub 2022 Sep 8.
and purpose: Massage therapy can benefit palliative care inpatients and this intervention could be provided by trained caregivers in this setting. This study aimed to determine the feasibility and acceptance of caregiver massage therapy, to explore patients' and caregivers' experience of massage therapy, and examine staff perspectives about caregiver massage therapy in palliative care.
This was a mixed methods, convergent, study design. Inpatient palliative care patients were offered massage provided by a caregiver, following training. Caregiver massage therapy was provided up to five days post training. Patients and caregivers completed self-report measures of satisfaction for the five-day intervention, while caregivers rated massage-related burden and confidence. Healthcare professionals working in inpatient palliative care participated in a focus group, during which enablers and barriers to caregiver massage therapy were explored.
Over the three-month recruitment period, 62 participants were available for recruitment. Of these, 23 (37%) consented to caregiver massage. Caregiver burden was highest on day 2 (mean 2.9/5) while confidence was highest on day 4 (mean 4.1/5). Caregivers and patients were satisfied with the massage training sessions, and patients reported perceptions of comfort during subsequent sessions. Staff-identified enablers to caregiver massage therapy included patient symptom improvement and caregiver empowerment but considered caregiver massage potentially burdensome for caregivers.
Caregiver massage training is feasible, with a modest acceptance within an inpatient palliative care unit. Enablers of massage therapy in inpatient palliative care were caregiver empowerment, but this model was perceived as potentially burdensome for caregivers by healthcare professionals.
按摩疗法可以使姑息治疗住院患者受益，而这种干预措施可以由该环境中的经过培训的护理人员提供。本研究旨在确定护理人员按摩疗法的可行性和可接受性，探讨患者和护理人员对按摩疗法的体验，并研究工作人员对姑息治疗中护理人员按摩疗法的看法。
这是一项混合方法、收敛研究设计。姑息治疗住院患者在接受培训后接受护理人员提供的按摩。护理人员在培训后五天内提供按摩。患者和护理人员在五天干预期间完成了对满意度的自我报告测量，而护理人员则评估了与按摩相关的负担和信心。在姑息治疗住院病房工作的医护人员参加了焦点小组，在此期间探讨了护理人员按摩疗法的促进因素和障碍。
在三个月的招募期间，有 62 名参与者可供招募。其中，23 名（37%）同意接受护理人员按摩。护理人员的负担在第 2 天最高（平均 2.9/5），而信心在第 4 天最高（平均 4.1/5）。护理人员和患者对按摩培训课程感到满意，并且患者在随后的课程中报告了舒适感。工作人员认为护理人员按摩疗法的促进因素包括患者症状改善和护理人员赋权，但认为这种模式对护理人员来说可能负担过重。
护理人员按摩培训是可行的，在姑息治疗住院病房中得到了适度的接受。姑息治疗中按摩疗法的促进因素是护理人员赋权，但医护人员认为这种模式对护理人员来说可能负担过重。
