按摩疗法减少紧张,焦虑和疼痛患者等待侵入性心血管手术。

Laura J Wentworth, Lora J Briese, Farris K Timimi, Carrie L Sanvick, David C Bartel, Susanne M Cutshall, R Thomas Tilbury, Ryan Lennon, Brent A Bauer
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引用次数: 45

摘要

目的:(1)评估有创心血管手术前20分钟按摩治疗对患者疼痛、焦虑和紧张的疗效。(2)评估患者对按摩治疗的总体满意度。(3)评价推拿疗法融入手术前实践的可行性。采用随机分配的实验前测后测设计。中西部学术医疗中心的内科心脏病进展监护病房。患者(N=130)接受有创心血管手术。干预组在进行有创心血管手术前至少30分钟接受手部按摩20分钟。对照组患者接受标准的术前护理。视觉模拟量表用于收集测量手术前后疼痛、焦虑和紧张程度的口头数字反应。使用Mann-Whitney Wilcoxon测试比较按摩组和标准治疗组术前和术后评分的差异。与接受标准治疗的患者相比,术前接受20分钟按摩的患者在疼痛、焦虑和紧张评分方面的满意度有所提高。本初步研究表明,按摩可以纳入医疗心血管单位的术前实践,并增加了之前的按摩研究的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Massage therapy reduces tension, anxiety, and pain in patients awaiting invasive cardiovascular procedures.

Objectives: (1) To assess the efficacy of a 20 minute massage therapy session on pain, anxiety, and tension in patients before an invasive cardiovascular procedure. (2) To assess overall patient satisfaction with the massage therapy. (3) To evaluate the feasibility of integrating massage therapy into preprocedural practices. Experimental pretest-posttest design using random assignment. Medical cardiology progressive care units at a Midwestern Academic Medical Center. Patients (N=130) undergoing invasive cardiovascular procedures. The intervention group received 20 minutes of hands on massage at least 30 minutes before an invasive cardiovascular procedure. Control group patients received standard preprocedural care. Visual analogue scales were used to collect verbal numeric responses measuring pain, anxiety, and tension pre- and postprocedure. The differences between pre- and postprocedure scores were compared between the massage and standard therapy groups using the Mann-Whitney Wilcoxon's test. Scores for pain, anxiety, and tension scores were identified along with an increase in satisfaction for patients who received a 20-minute massage before procedure compared with those receiving standard care. This pilot study showed that massage can be incorporated into medical cardiovascular units' preprocedural practice and adds validity to prior massage studies.

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