母亲为婴儿进行按摩对婴儿湿疹和产妇精神状态的积极影响：一项随机对照试验。
The positive effect of mother-performed infant massage on infantile eczema and maternal mental state: A randomized controlled trial.
机构信息
Acupuncture and Massage College, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Pediatric Massage Department, Jiangsu Provincial Hospital of Chinese and Western Medicine, Nanjing, Jiangsu, China.
出版信息
Front Public Health. 2023 Jan 11;10:1068043. doi: 10.3389/fpubh.2022.1068043. eCollection 2022.
OBJECTIVE
To observe the influence of MPIM on infantile eczema, quality of life, growth and maternal mental state.
METHODS
This trial was a randomized controlled study. Sixty-six full-term infants with eczema were randomly divided into eczema control group (EC group, = 33) and eczema with MPIM group (EM group, = 33), along with healthy full-term infants in the healthy control group (HC group, = 31). The mothers in the EC group received the instruction of routine care, while the mothers in the EM group applied massage on the infants plus receiving the same instruction of the routine care. HC group received none of any specific intervention. Data were collected in the three groups at the baseline and at the end of 2- and 5-month intervention. Before and at the end of 2-month intervention, the following indexes were investigated in infants including the growth indexes, eczema area severity index (EASI), infantile dermatitis quality of life index (IDQOL). And the scores of self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were investigated in mothers at the same timepoints. At the end of 5-month intervention, the infants' growth and relapse condition of eczema were observed.
RESULTS
Overall, 31 cases in HC group, 31 in EC group and 32 in EM group were included for data analysis. There were no significant differences in the indexes of infantile growth among the three groups (all >0.05). The scores of EASI and IDQOL significantly lowered (both < 0.001) in EC group following the instruction of routine care, along with reduced maternal scores of SAS and SDS (both < 0.05). Compared with the EC group, the EM group showed significantly lower scores of EASI and IDQOL (both < 0.001) and lower relapse rate ( < 0.01) in infants with eczema, along with significantly lower scores of SAS and SDS in mothers (both < 0.01). Moreover, none of obvious adverse reaction was reported following MPIM, to which most of the mothers could adhere.
CONCLUSION
MPIM could effectively promote the remission of infantile eczema and reduce its relapse, along with relieving maternal anxiety and depression mood.
CLINICAL TRIAL REGISTRATION
Identifier: ChiCTR2200066246.
目的
观察母子抚触对婴儿湿疹、生活质量、生长发育及母婴心理状态的影响。
方法
本试验为随机对照研究。将 66 例足月湿疹婴儿按随机数字表法分为湿疹对照组（EC 组，n=33）和湿疹加母子抚触组（EM 组，n=33），另选取同期健康足月婴儿 31 例作为健康对照组（HC 组）。EC 组婴儿母亲接受常规护理指导，EM 组婴儿母亲在常规护理指导的基础上进行抚触。HC 组婴儿不接受任何特定干预。三组均于基线及干预 2 个月和 5 个月时采集数据。在干预前和干预 2 个月时，分别对婴儿进行生长指标、湿疹面积严重程度指数（EASI）、婴幼儿皮炎生活质量指数（IDQOL）评估，同时对母亲进行焦虑自评量表（SAS）和抑郁自评量表（SDS）评分。干预 5 个月时，观察婴儿生长情况及湿疹复发情况。
结果
最终纳入 HC 组 31 例、EC 组 31 例和 EM 组 32 例进行数据分析。三组婴儿生长指标比较，差异均无统计学意义（均 >0.05）。EC 组常规护理指导后 EASI 评分和 IDQOL 评分均显著降低（均 <0.001），母亲 SAS 和 SDS 评分均显著降低（均 <0.05）。与 EC 组比较，EM 组婴儿湿疹 EASI 评分和 IDQOL 评分均显著降低（均 <0.001），湿疹复发率显著降低（ <0.01），母亲 SAS 和 SDS 评分均显著降低（均 <0.01）。且母子抚触过程中未发生明显不良反应，母亲依从性较好。
结论
母子抚触可有效促进婴儿湿疹缓解及降低复发，缓解母婴焦虑、抑郁情绪。
临床试验注册
ChiCTR2200066246。
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