Medical-Surgical Nursing, Faculty of Nursing, Suez Canal University, Egypt.
Medical-Surgical Nursing, Faculty of Nursing, Cairo University, Kasr EL ainy, Cairo, Egypt.
Appl Nurs Res. 2023 Oct;73:151719. doi: 10.1016/j.apnr.2023.151719. Epub 2023 Jul 31.
Fatigue, pain, sleep disturbance, and anxiety are prevalent symptoms of multiple sclerosis (MS) and frequent complaints in MS patients, which reduce their quality of life. Many studies have shown that massage therapy improves MS patients' symptoms. However, the effect of effleurage massage on sleep disturbance, fatigue, pain, and anxiety in patients with MS is not studied in Egypt.
To examine the effect of Effleurage massage therapy on sleep disturbance, fatigue, pain, and anxiety in patients with multiple sclerosis (MS).
This research study has a quasi-experimental design, with control and intervention groups, and pre and post-tests conducted at the multiple sclerosis in-patient clinic at one Egyptian hospital between May 2019 and January 2020. Sixty adult female patients with MS were recruited, with 30 patients in the control group and 30 in the intervention group. The intervention group received Effleurage massage therapy intervention three times a week for two weeks, and each session lasted about 20 min. Patients in the control group received routine hospital care. Data were collected using the patient's demographic and medical data sheet, Insomnia Severity Index, Modified Fatigue Impact Scale, Numeric Pain Rating Scale, and Beck Anxiety Inventory before and after the intervention.
Significant improvement was observed in pain, sleep, fatigue, and anxiety in the massage group (P < 0.001).
Based on the current study, Effleurage massage intervention for MS patients could have possible clinical value for improving sleep disturbance, palliating pain, fatigue, and reducing anxiety. Egyptian nurses can integrate massage therapy into the routine nursing care of patients with MS. Effleurage massage could be an adjunct treatment modality for MS patients; however, more significant studies are needed.
疲劳、疼痛、睡眠障碍和焦虑是多发性硬化症（MS）的常见症状，也是 MS 患者的常见抱怨，这些症状降低了他们的生活质量。许多研究表明，按摩疗法可以改善 MS 患者的症状。然而，在埃及，Effleurage 按摩对 MS 患者睡眠障碍、疲劳、疼痛和焦虑的影响尚未得到研究。
研究 Effleurage 按摩疗法对多发性硬化症（MS）患者睡眠障碍、疲劳、疼痛和焦虑的影响。
本研究采用准实验设计，设有对照组和干预组，并在 2019 年 5 月至 2020 年 1 月期间在埃及一家医院的多发性硬化症住院病房进行了预测试和后测试。共招募了 60 名成年女性 MS 患者，对照组 30 名，干预组 30 名。干预组接受每周 3 次的 Effleurage 按摩治疗，持续两周，每次治疗约 20 分钟。对照组患者接受常规医院护理。在干预前后，使用患者的人口统计学和医疗数据表、失眠严重程度指数、改良疲劳影响量表、数字疼痛评分量表和贝克焦虑量表收集数据。
按摩组疼痛、睡眠、疲劳和焦虑均有显著改善（P<0.001）。
根据本研究，MS 患者的 Effleurage 按摩干预可能对改善睡眠障碍、缓解疼痛、减轻疲劳和降低焦虑具有潜在的临床价值。埃及护士可以将按摩疗法纳入 MS 患者的常规护理中。Effleurage 按摩可能是 MS 患者的一种辅助治疗方式，但还需要进行更多的研究。
