Massage therapy for patients undergoing autologous bone marrow transplantation
Massage therapy for patients undergoing autologous bone marrow transplantation
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DOI：
10.1016/s0885-3924(99)00061-5
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发表时间：
1999-09-01
影响因子：
4.7
通讯作者：
Silberfarb, PM
中科院分区：
文献类型：
--
作者：
Ahles, TA;Tope, DM;Silberfarb, PM
本研究的目的是探讨按摩治疗对自体骨髓移植（BMT）患者心理、生理和心理生理指标的影响。计划接受BMT的患者被随机分配接受(a)按摩治疗，包括20分钟的肩部、颈部、头部和面部按摩，或(b)标准治疗。分别使用状态-特质焦虑量表、贝克抑郁量表和情绪状态简要表评估按摩治疗对焦虑、抑郁和情绪的总体影响，并在治疗前、治疗中和出院前进行评估。按摩的即时效果通过状态焦虑量表、痛苦、疲劳、恶心和疼痛数值量表以及心理生理唤醒指数（心率、血压和呼吸率）来测量，这些指标在患者第一次、第五次和最后一次按摩之前和之后收集（第7天、治疗中期和出院前）。对评估按摩效果的数据分析显示，与标准治疗组相比，按摩治疗组患者在第7天、治疗中期的状态焦虑和出院前评估的疲劳方面表现出明显更大的痛苦、疲劳、恶心和状态焦虑的减少。在治疗前、治疗中期和出院前测量的心理症状的总体测量结果显示，在治疗中期评估中，按摩组在状态焦虑量表上的得分明显低于标准护理组，但总体上没有组间差异。随着时间的推移，这两组人在情绪状态、状态和特质焦虑量表上的得分都出现了显著下降。(C)美国癌症疼痛缓解委员会，1999。
The purpose of the current study was to examine the impact of massage therapy on psychological, physical and psychophysiological measures in patients undergoing autologous bone marrow transplantation (BMT). Patients scheduled to undergo BMT were randomly assigned to receive either (a) massage therapy, consisting of 20-minute sessions of shoulder, neck, head, and facial massage, or (b) standard treatment. Overall effects of massage therapy on anxiety, depression, and mood were assessed pretreatment, midtreatment, and prior to discharge using the State-Trait Anxiety inventory, Beck Depression Inventory, and Brief Profile of Mood States, respectively. The immediate effects of massage were measured via the State Anxiety Inventory, Numerical Scales of Distress, Fatigue, Nausea, and Pain and indices of psychophysiological arousal (heart rate, blood pressure and respiration, rate), collected prior to and following patients' first, fifth, and final massage (on Days -7, midtreatment, and predischarge). Analysis of the data evaluating the effects of massage showed that patients in the massage therapy group demonstrated significantly larger reductions in distress, fatigue, nausea, and State Anxiety than the standard treatment group at Day -7, in State Anxiety at midtreatment, and in fatigue at the predischarge assessment. The overall measures of psychological symptoms measured at pretreatment, midtreatment, and prior to discharge showed no overall group differences, although the massage group scored significantly lower on the State Anxiety Inventory than the standard care group at the midtreatment assessment. The two groups together showed significant declines through time on scores from the profile of Mood States and State and Trait Anxiety Inventories. (C) U.S. Cancer Pain Relief Committee, 1999.