Feasibility and Burden of Lay Caregivers Providing Daily Massages to Patients With Cancer Receiving Hospice and Palliative Care.
Feasibility and Burden of Lay Caregivers Providing Daily Massages to Patients With Cancer Receiving Hospice and Palliative Care.
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外行护理人员的可行性和负担为接受临终关怀和姑息治疗的癌症患者提供按摩。
DOI：
10.1177/10499091221105881
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发表时间：
2022-12
影响因子：
1.9
通讯作者：
Wilkie, Diana J.
中科院分区：
文献类型：
--
作者：
Moosvi, Karen;Schoppee, Tasha M.;Xavier, Stacy;Henderson, Kristen;Suarez, Marie L.;Yao, Yingwei;Wilkie, Diana J.
专业按摩可以减轻癌症患者的症状，但价格昂贵。将这种疗法纳入临终关怀常规的一种具有成本效益的方法是教家庭护理人员将按摩作为他们护理活动的一部分。然而，护理人员的负担是未知的，可能会抵消患者的利益或节省的成本。试点研究的目的是探讨有关的可行性问题，有执照的按摩治疗师培训照顾者在家里给按摩，给临终关怀患者每天四次按摩的负担，以及有关培训和按摩服务的反馈。在这项前测/后测研究中，照顾者完成了照顾者反应评估（CRA），接受了有执照的按摩治疗师的标准化按摩技术培训，并在第二天评估了他们的熟练程度。护理人员每天按摩3天，然后完成CRA。然后，一名研究人员采访了这对夫妇，以获得有关培训和按摩服务的反馈。我们使用配对t检验来评估CRA评分和访谈数据的内容分析。39名护理人员（平均年龄=46岁，69%为女性）完成了研究。培训后，除三名护理人员外，所有人都提供每日按摩。一些护理人员报告说，在按摩服务和记录、相互满意、放松和温柔的时刻（从笑声和故事分享到关闭活动）方面存在轻微的后勤挑战。平均CRA分数没有显着差异，前测后测。我们的结论是，重复剂量的按摩，由照顾者死于癌症的患者是可行的，是值得进一步研究，以确定按摩治疗的好处，照顾者和患者的经验，照顾者的负担。
Professional massages reduce symptoms experienced by cancer patients, but are costly. A cost-effective way to include this therapy routinely in hospice care is to teach family caregivers to give massages as part of their caregiving activities. However, the burden on caregivers is unknown and might offset patient benefits or cost savings. The pilot study aim was to explore feasibility issues related to licensed massage therapists training caregivers to give massages at home, the burden of giving four daily massages to hospice patients, and feedback about the training and massage delivery. In this pretest/posttest study, caregivers completed the Caregiver Reaction Assessment (CRA), received training on standardized massage techniques from a licensed massage therapist who evaluated their proficiency the following day. Caregivers gave daily massages for 3 days and afterward completed the CRA. Then a researcher interviewed the dyad for feedback about the training and massage delivery. We used paired t tests to evaluate CRA scores and content analysis of interview data. Thirty-nine caregivers (mean age=46 years, 69% female) completed the study. After training, all but three caregivers provided daily massages. Some caregivers reported minor logistical challenges in massage delivery and documentation, mutual satisfaction, relaxation, and tender moments ranging from laughter and story sharing to closure activities. Mean CRA scores were not significantly different pretest to posttest. We conclude that repeated-dose massages by caregivers to patients dying of cancer is feasible and is worthy of further study to determine the benefits of massage therapy, caregiver and patient experiences, and caregiver burden.
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影响因子：
3.1
作者：
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通讯作者：
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影响因子：
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影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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