Effects of Tactile Massage in Improving Older Residents' Psychological Health in Long-Term Care Facilities: A Randomised Controlled Trial

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing Pub Date : 2024-09-23 DOI:10.1111/opn.12652

Pi-Hua Huang, Wan-Pin Chien, Ya-Chun Lin, Min-Huey Chung, Pi-Chu Lin, Yueh-Kuei Lin, Yeu-Hui Chuang

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引用次数: 0

Abstract

Background

Loneliness, anxiety and depressive symptoms are common among older residents in long-term care facilities (LTCFs), which can negatively impact their quality of life and increase mortality rates. Addressing these psychological health issues is an important task for nursing staff. There is a need for easy and accessible interventions to improve older residents' negative emotions. Tactile massage (TM) is a form of touch therapy that induces oxytocin, which can help individuals feel relaxed, experience pleasure and reduce anxiety. TM can also provide a sense of security and care for individuals.

Objective

This study aimed to evaluate the effects of TM in improving older residents' psychological health in LTCFs.

Design

In this study, we applied a two-arm randomised controlled trial research design.

Methods

We used convenience sampling to enrol 55 older residents in three long-term care facilities who were randomly assigned to an intervention group and a comparison group. The intervention group received TM by research assistants on both hands for 15 min per time, twice a week for 4 weeks and the comparison group received regular care. Data were collected before and after the intervention. Generalised estimating equations (GEEs) were used to evaluate the effectiveness of the intervention.

Results

There were no significant differences in loneliness, anxiety, depressive symptoms, happiness, ear temperature, heart rate or diastolic blood pressure between the two groups after the intervention. However, the intervention group had significant improvements in comfort (B = 0.86, p < 0.001), relaxation (B = 1.00, p < 0.001), respiratory rate (B = −0.16, p = 0.021) and systolic blood pressure (B = − 4.17, p = 0.002) compared to the control group.

Conclusions

TM can help older residents who live in LTCFs feel relaxed and comfortable.

Implications for Practice

TM can be easily implemented as it requires no tools. We recommend that nursing staff and healthcare professionals incorporate TM as part of their care routines. They also can encourage family members to perform TM on residents during their visits to enhance residents' comfort and relaxation.

Reporting Method

The Consolidated Standards of Reporting Trials (CONSORT) checklist was used for this paper.

Trial Registration

ClinicalTrials.gov (NCT05052138)

查看原文本刊更多论文

触觉按摩对改善长期护理机构老年居民心理健康的影响：随机对照试验

背景：孤独、焦虑和抑郁症状在长期护理机构（LTCF）的老年居民中很常见，会对他们的生活质量产生负面影响，并增加死亡率。解决这些心理健康问题是护理人员的一项重要任务。我们需要简便易行的干预措施来改善老年居民的负面情绪。触觉按摩（TM）是一种能诱发催产素的触觉疗法，它能让人感到放松、愉悦并减少焦虑。触觉按摩还能为个人提供安全感和关爱：本研究旨在评估触感疗法在改善长者护理中心老年居民心理健康方面的效果：本研究采用了双臂随机对照试验研究设计：方法：我们采用便利抽样法，在三家长期护理机构中招募了 55 名老年居民，并将他们随机分配到干预组和对比组。干预组接受研究助理的双手按摩，每次 15 分钟，每周两次，持续 4 周；对比组接受常规护理。干预前后的数据均已收集。采用广义估计方程（GEE）评估干预效果：结果：干预后，两组在孤独感、焦虑、抑郁症状、幸福感、耳温、心率或舒张压方面没有明显差异。但是，干预组在舒适度方面有明显改善（B = 0.86，p 结论：TM 可以帮助居住在养老院的老年居民：TM 可以帮助居住在长者护理中心的老年居民感到放松和舒适：TM 不需要任何工具，因此很容易实施。我们建议护理人员和医护人员将 TM 纳入日常护理工作中。我们建议护理人员和医护人员将 TM 作为日常护理的一部分，也可以鼓励家庭成员在探访住院者时为他们做 TM，以提高住院者的舒适度和放松感：本文采用了《试验报告综合标准》（CONSORT）核对表：试验注册：ClinicalTrials.gov（NCT05052138）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Older People Nursing Nursing-Gerontology

CiteScore

3.60

自引率

9.10%

发文量

期刊介绍： International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.