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腹部手术后手部按摩对儿童疼痛、情绪症状及生理参数的影响

Effect of hand massage after abdominal surgery on pain, emotional symptoms and physiological parameters among children.

作者信息

Çimke Sevim, Bayat Meral

机构信息

Yozgat Bozok University, Yozgat, Türkiye.

Erciyes University, Kayseri, Türkiye.

出版信息

Pediatr Surg Int. 2025 Jan 3;41(1):55. doi: 10.1007/s00383-024-05954-z.

Abstract

AIM

This randomized controlled study aimed to evaluate the effect of hand massage on pain, emotional symptoms, and physiological parameters in children after abdominal surgery.

MATERIALS AND METHODS

The study included 40 children aged 7-12 years who underwent abdominal surgery (20 intervention, 20 control). Data were collected using the Faces Pain Scale-Revised, Children's Emotion Manifestation Scale, Physiological Measurements Chart, and Child Information Form. The intervention group received a 10-min hand massage 3 h after surgery, and measurements were taken before the massage, immediately after the massage, and 30 min after the massage. Statistical analyses were performed using the Mann-Whitney U, Friedman, and Bonferroni tests.

RESULTS

Immediately after the massage, the pain and emotional manifestation scores were significantly lower in the intervention group compared to the control group (p < 0.05). However, no significant difference was found between the two groups at the third measurement (p = 0.478). Heart rate significantly decreased in the intervention group immediately after the massage (p < 0.001), while it significantly increased in the control group (p < 0.001).

摘要

目的

本随机对照研究旨在评估手部按摩对腹部手术后儿童的疼痛、情绪症状和生理参数的影响。

材料与方法

该研究纳入了40名7至12岁接受腹部手术的儿童(20名干预组,20名对照组)。使用面部疼痛量表修订版、儿童情绪表现量表、生理测量图表和儿童信息表收集数据。干预组在术后3小时接受10分钟的手部按摩,并在按摩前、按摩后立即以及按摩后30分钟进行测量。采用曼-惠特尼U检验、弗里德曼检验和邦费罗尼检验进行统计分析。

结果

按摩后立即测量时,干预组的疼痛和情绪表现得分显著低于对照组(p < 0.05)。然而,在第三次测量时,两组之间未发现显著差异(p = 0.478)。干预组按摩后立即心率显著下降(p < 0.001),而对照组心率显著上升(p < 0.001)。

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