Zwoliński Tomasz, Jaskulak Marta, Janicki Konrad, Siek Bartłomiej, Batycka-Stachnik Dominika, Wilczyński Bartosz, Szalewska Dominika, Gworys Kamila, Wąż Piotr
Department of Health, University WSB Merito Gdańsk, Gdańsk, Poland.
Department of Immunobiology and Environmental Microbiology, Medical University of Gdańsk, Gdańsk, Poland.
Front Pain Res (Lausanne). 2025 Apr 9;6:1452434. doi: 10.3389/fpain.2025.1452434. eCollection 2025.
Physiotherapy in the Intensive Care Unit (ICU) is a common medical procedure involving mainly elements of mobilisation, electrotherapy and also, in various forms and to a lesser extent, elements of massage. Massage can positively influence the physical and psychological outcomes of the ICU) patients.
The study aimed to assess the perception of physiotherapists (PTs), physicians (PHs), and registered nurses (RNs) working in ICU about the possibilities and safety of implementing massage in the process of rehabilitation of ICU patients.
This multicentre survey was conducted in Poland in three ICUs (Gdansk, Koscierzyna, Krakow). A total of 135 people participated in the study. Of these, 25.9% (35/135) were PTs, 21.5% (29/135) were PHs, and 52.6% (71/135) were RNs. The questionnaires were distributed and collected online (directly by respondents to Google Form system) and in written form.
Most PTs-71% (25/35)-perceive massage as a beneficial and safe treatment while working with ICU patients. PHs 96% (28/29) and RNs 92% (65/71) also recommend using massage by physiotherapists to rehabilitate ICU patients. In the respondents' opinion, the possibilities for the use of massage by PHs and RNs are lower (between 20% and 55%).
According to the surveyed clinicians working in the ICU, massage is a safe form of treatment, especially when performed by PTs and it could be a permanent element of rehabilitation among ICU patients, especially for reducing pain, anxiety and restlessness and also improving sleep quality and bowel movement.
重症监护病房（ICU）的物理治疗是一种常见的医疗程序，主要包括活动、电疗等内容，同时还包括各种形式且程度较轻的按摩。按摩可以对ICU患者的身体和心理状况产生积极影响。
本研究旨在评估在ICU工作的物理治疗师（PT）、医生（PH）和注册护士（RN）对在ICU患者康复过程中实施按摩的可能性和安全性的看法。
这项多中心调查在波兰的三个ICU（格但斯克、科希耶尔齐纳、克拉科夫）进行。共有135人参与了研究。其中，25.9%（35/135）是PT，21.5%（29/135）是PH，52.6%（71/135）是RN。问卷通过在线（由受访者直接发送到谷歌表单系统）和书面形式进行分发和收集。
大多数PT（71%，25/35）认为在治疗ICU患者时按摩是一种有益且安全的治疗方法。PH（96%，28/29）和RN（92%，65/71）也建议由物理治疗师使用按摩来帮助ICU患者康复。在受访者看来，PH和RN使用按摩的可能性较低（在20%至55%之间）。
根据在ICU工作的受访临床医生的看法，按摩是一种安全的治疗方式，尤其是由PT进行时，它可以成为ICU患者康复过程中的一个常规组成部分，特别是对于减轻疼痛、焦虑和烦躁，以及改善睡眠质量和肠道蠕动。
