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肩部按摩对腹腔镜胆囊切除术后患者肩部疼痛及睡眠质量的影响:一项随机对照试验

The effect of shoulder massage on shoulder pain and sleep quality in patients after laparoscopic cholecystectomy: a randomized controlled trial.

作者信息

Duran Melis Kübra, Öztürk Şenay

机构信息

Uskudar University NP Istanbul Brain Hospital, Istanbul, Turkey.

School of Nursing, Maltepe University, Istanbul, Turkey.

出版信息

BMC Nurs. 2024 Sep 4;23(1):618. doi: 10.1186/s12912-024-02264-6.

Abstract

BACKGROUND

Laparoscopic cholecystectomy patients may suffer from sleep disturbances due to this postoperative pain. Postoperative pain and low sleep quality can lead to various unpredictable complications, including anxiety.The aim of this study is to determine the effect of shoulder massage administered to patients after laparoscopic cholecystectomy on pain and sleep quality.

METHODS

The study was designed as a randomized controlled trial.This study was carried out with 60 patients who underwent surgery at the General Surgery Department of a university's Faculty of Medicine between January 2020 and March 2021. The study was completed with 60 patients (30 in the intervention group and 30 in the control group). The patients in the intervention group received shoulder massage twice at 6-hour intervals. The data for the study were collected using the "Individual Introduction Form", the "VAS", and the "Richard Campbell Sleep Scale".

RESULTS

It was found that the pain of the patients in the intervention group significantly decreased compared to the control group 30 min after the massage (p˂0.05). However, 6 h after the massage, the pain levels in both groups were similar. The sleep quality of the patients in the intervention group was significantly higher compared to those in the control group (p˂0.05).

CONCLUSIONS

It was determined that the massage therapy yielded a short-term alleviation of shoulder pain among the patients while also enhancing their sleep quality. These results suggest that shoulder massage could be effectively incorporated into nursing practice as a means to ameliorate pain levels and enhance sleep quality in postoperative patients.

TRIAL REGISTRATION

ClinicalTrials.gov identifier: NCT06480149 (retrospectively registered, Protocol ID: 2019/06-8Last Update Posted 2024-06-28) https://ctv.veeva.com/study/shoulder-massage-after-cholecystectomy .

摘要

背景

腹腔镜胆囊切除术患者可能因术后疼痛而出现睡眠障碍。术后疼痛和低睡眠质量可导致各种不可预测的并发症,包括焦虑。本研究的目的是确定腹腔镜胆囊切除术后对患者进行肩部按摩对疼痛和睡眠质量的影响。

方法

本研究设计为随机对照试验。该研究于2020年1月至2021年3月在某大学医学院普通外科接受手术的60例患者中进行。研究最终纳入60例患者(干预组30例,对照组30例)。干预组患者每隔6小时接受两次肩部按摩。研究数据通过“个人介绍表”、“视觉模拟评分法(VAS)”和“理查德·坎贝尔睡眠量表”收集。

结果

发现按摩后30分钟,干预组患者的疼痛较对照组显著减轻(p<0.05)。然而,按摩后6小时,两组的疼痛水平相似。干预组患者的睡眠质量显著高于对照组(p<0.05)。

结论

确定按摩疗法可使患者肩部疼痛得到短期缓解,并提高其睡眠质量。这些结果表明,肩部按摩可有效地纳入护理实践,作为改善术后患者疼痛水平和提高睡眠质量的一种手段。

试验注册

ClinicalTrials.gov标识符:NCT06480149(回顾性注册,方案识别码:2019/06-8最后更新日期:2024-06-28)https://ctv.veeva.com/study/shoulder-massage-after-cholecystectomy

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