Couples and cancer: feasibility of brief instruction in massage and touch therapy to build caregiver efficacy.
Couples and cancer: feasibility of brief instruction in massage and touch therapy to build caregiver efficacy.
复制标题
DOI：
10.2310/7200.2007.013
复制
发表时间：
2007-01-01
期刊：
影响因子：
--
通讯作者：
McCorkle, Ruth
中科院分区：
文献类型：
--
作者：
Collinge, William;Kahn, Janet;McCorkle, Ruth
这项研究探讨了为护理人员（“合作伙伴”）提供按摩和触摸疗法简短指导以给癌症患者提供安慰的可行性。 50 名合作伙伴和 49 名患者参与。纵向、受试者内部、重复测量、控制和干预阶段设计使用自我报告工具，通过 90 天随访期间频率、持续时间、伴侣感知的自我效能和患者感知的帮助性的变化来评估可行性。收集了有关心理社会和生活质量变量的探索性数据。焦点小组提供了定性数据。为期 6 小时的结构化研讨会教授舒适和放松的基本手工技巧，然后是家庭练习。在 3 个月的随访中，按摩频率（每周 1.2 次与 2.7 次）和持续时间（4.7 分钟与 12.2 分钟）均显着增加，p < 0.001。伴侣对按摩的自我效能感和患者对其帮助的评价增加了一倍多。分类树分析发现了护理人员的负担、关系质量以及练习的频率和持续时间，以预测个人的反应。在癌症护理中抑制触摸可能会在患者最需要触摸时导致不必要的身体和情感疏远。简短的指导可能是提高护理人员效率、患者满意度、生活质量和关系质量的可行干预措施。
This study examined the feasibility of brief instruction in massage and touch therapy for caregivers ("partners") to provide comfort to cancer patients. Fifty partners and 49 patients participated. A longitudinal, within-subjects, repeated measures, control and intervention phases design used self-report instruments to assess feasibility via change in frequency, duration, partner-perceived self-efficacy, and patient-perceived helpfulness over a 90-day follow-up. Exploratory data were collected on psychosocial and quality of life variables. Focus groups provided qualitative data. A structured 6-hour workshop taught basic manual techniques for comfort and relaxation, followed by home practice. Significant increases in frequency (1.2 vs 2.7 times per week) and duration (4.7 vs 12.2 minutes) of massage, both p < .001, were sustained through the 3-month follow-up. Partners' perceived self-efficacy in massage and patients' ratings of its helpfulness more than doubled. Classification tree analysis found caregiver burden, relationship quality, and frequency and duration of practice to predict individual responses. Inhibitions about touch in cancer caregiving may lead to unnecessary physical and emotional distancing at a time when patients need touch the most. Brief instruction may be a feasible intervention to increase caregiver efficacy, patient satisfaction, quality of life, and quality of the relationship.