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按摩疗法对烧伤患者疼痛和焦虑强度的影响：系统评价和荟萃分析。

Effects of massage therapy on pain and anxiety intensity in patients with burns: A systematic review and meta-analysis.

机构信息

Department of Corrective Exercise and Sport Injury, Faculty of Sport Sciences, University of Guilan, Rasht, Iran.

Department of Nursing, Esfarayen Faculty of Medical Sciences, Esfarayen, Iran.

出版信息

Int Wound J. 2023 Aug;20(6):2440-2458. doi: 10.1111/iwj.14089. Epub 2023 Jan 21.

DOI:10.1111/iwj.14089
PMID:36680488
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10333016/
Abstract

This systematic review and meta-analysis aimed to examine the effects of massage therapy on pain and anxiety intensity in patients with burns. A comprehensive, systematic search was conducted in various international electronic databases, such as Scopus, PubMed, Web of Science, and Persian electronic databases such as Iranmedex, and Scientific Information Database using keywords extracted from Medical Subject Headings such as 'Massage therapy', 'Musculoskeletal manipulations', 'Acute pains', 'Burning pain', and 'Burn' from the earliest to October 17, 2022. Cochran's tool is used to check the risk of bias for randomised clinical trial (RCT) articles. The methodological index for non-randomised studies was used to assess the risk of bias in quasi-experimental studies. STATA version 14 software was used to perform the meta-analysis. A 95% confidence interval (CI) was used to determine statistical significance. Heterogeneity was investigated with I . A P-value less than .1 was considered statistically significant for publication bias value. A total of 733 patients with burns were included in seven studies. Five studies had an RCT design and two studies had a quasi-experimental design. The duration of the study was reported in five studies, with a mean of 42.40 weeks. The duration of the intervention was reported in seven studies with a mean of 22.86 minutes. The results of the meta-analysis showed using various types of massage therapy interventions significantly reduced pain intensity in the intervention group compared with the control group (weighted mean difference: -2.08, 95% CI: -2.55 to -1.62, Z = 8.77, I : 67.1%, P < .001). Massage therapy intervention significantly reduced the intensity of anxiety in burn patients (standard mean difference: -7.07, 95% CI: -10.13 to -4.01, Z = 4.53, I : 98.2, P < .001). Overall, the present systematic review and meta-analysis showed that massage therapy can reduce the intensity of pain and anxiety in burn patients. Therefore, it is recommended that health managers and policymakers pay special attention to massage therapy as a simple, low-cost, and efficient non-pharmacological treatment to relieve pain and anxiety in burn patients.

摘要

本系统评价和荟萃分析旨在研究按摩疗法对烧伤患者疼痛和焦虑强度的影响。我们在各种国际电子数据库中进行了全面、系统的搜索，例如 Scopus、PubMed、Web of Science 以及伊朗电子数据库，如 Iranmedex 和 Scientific Information Database，使用从最早到 2022 年 10 月 17 日从医学主题词中提取的关键词，例如“按摩疗法”、“肌肉骨骼推拿”、“急性疼痛”、“烧伤疼痛”和“烧伤”。Cochran 工具用于检查随机临床试验（RCT）文章的偏倚风险。非随机研究的方法学指数用于评估准实验研究的偏倚风险。使用 STATA 版本 14 软件进行荟萃分析。95%置信区间（CI）用于确定统计显着性。使用 I 调查异质性。对于发表偏倚值，P 值小于.1 被认为具有统计学意义。共有 733 名烧伤患者纳入了 7 项研究。5 项研究为 RCT 设计，2 项研究为准实验设计。5 项研究报告了研究持续时间，平均为 42.40 周。7 项研究报告了干预持续时间，平均为 22.86 分钟。荟萃分析结果表明，使用各种类型的按摩疗法干预措施可显著降低干预组的疼痛强度，与对照组相比（加权均数差：-2.08，95%CI：-2.55 至-1.62，Z = 8.77，I ：67.1%，P <.001）。按摩疗法干预可显著降低烧伤患者的焦虑强度（标准均数差：-7.07，95%CI：-10.13 至-4.01，Z = 4.53，I ：98.2%，P <.001）。总的来说，本系统评价和荟萃分析表明，按摩疗法可以降低烧伤患者的疼痛和焦虑强度。因此，建议卫生管理者和政策制定者特别关注按摩疗法，将其作为一种简单、低成本、高效的非药物治疗方法，以减轻烧伤患者的疼痛和焦虑。

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