Reader Ben, Zerkle Deborah, Fabia Renata, Thakkar Rajan, Schwartz Dana
Division of Clinical Therapies, Nationwide Children's Hospital, Columbus, OH, USA.
Division of Pediatric Surgery, The Burn Center, Nationwide Children's Hospital, Columbus, OH, USA.
Int J Ther Massage Bodywork. 2024 Dec 12;17(4):20-26. doi: 10.3822/ijtmb.v17i4.1043. eCollection 2024 Dec.
Patient-centered burn care extends beyond physical treatment to incorporate the management of the psychological impacts including stress, pain, and anxiety. This study explores the novel application of massage therapy (MT) in children with acute burns, assessing utilization and impact on pain and relaxation.
A retrospective review of 198 children with thermal injury admitted to an American Burn Association-verified pediatric burn center between January 2022 and July 2023 was conducted, excluding those requiring intensive care admission. Demographics, injury details, and MT variables were summarized using descriptive statistics. A logistic regression explored the impact of age, length of stay (LOS), and total body surface area on MT provision.
All patients received MT consultation, with 13.6% of patients (n = 27) undergoing 43 MT sessions, with a median duration of 25.0 min. Common burn mechanisms in the MT group were scalds (55.6%), flame (22.2%), and contact (14.8%) burns. Of patients reporting pain pre-massage, 75.0% experienced pain relief, and 95.3% were content, relaxed or resting comfortably post-intervention. Barriers to MT included patients being asleep (42.1%), off the unit (33.7%), or attended to by other health-care providers (21.1%). Patients receiving MT had a longer median LOS compared to those who did not (p < 0.001).
MT is potentially valuable for children admitted with acute burns, reducing pain and promoting relaxation. However, patients admitted on weekends and with short admissions frequently missed MT treatment. Addressing barriers through additional weekend resources, provider education, and increased awareness of patient readiness for sessions may improve access to MT.
以患者为中心的烧伤护理不仅包括物理治疗，还包括对心理影响（如压力、疼痛和焦虑）的管理。本研究探讨了按摩疗法（MT）在急性烧伤儿童中的新应用，评估其使用情况以及对疼痛和放松的影响。
对2022年1月至2023年7月间入住一家经美国烧伤协会认证的儿科烧伤中心的198名热损伤儿童进行回顾性研究，排除需要入住重症监护病房的儿童。使用描述性统计方法总结人口统计学、损伤细节和MT变量。采用逻辑回归分析年龄、住院时间（LOS）和体表面积对MT提供的影响。
所有患者均接受了MT咨询，13.6%的患者（n = 27）接受了43次MT治疗，中位持续时间为25.0分钟。MT组常见的烧伤机制为烫伤（55.6%）、火焰烧伤（22.2%）和接触性烧伤（14.8%）。在按摩前报告疼痛的患者中，75.0%的患者疼痛得到缓解，95.3%的患者在干预后感到满意、放松或舒适地休息。MT的障碍包括患者入睡（42.1%）、不在病房（33.7%）或由其他医护人员照料（21.1%）。接受MT治疗的患者中位住院时间比未接受治疗的患者长（p < 0.001）。
MT对急性烧伤患儿可能具有重要价值，可减轻疼痛并促进放松。然而，周末入院和住院时间短的患者经常错过MT治疗。通过增加周末资源、对医护人员进行教育以及提高对患者接受治疗准备情况的认识来消除障碍，可能会改善MT的可及性。
