Effects of massage on pain, mood status, relaxation, and sleep in Taiwanese patients with metastatic bone pain: A randomized clinical trial
Effects of massage on pain, mood status, relaxation, and sleep in Taiwanese patients with metastatic bone pain: A randomized clinical trial
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DOI：
10.1016/j.pain.2011.06.021
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发表时间：
2011-10-01
期刊：
影响因子：
7.4
通讯作者：
Liao, Mei-Nan
中科院分区：
文献类型：
--
作者：
Jane, Sui-Whi;Chen, Shu-Ling;Liao, Mei-Nan
到目前为止，骨转移患者仅占研究样本的一小部分，或者完全被排除在外。与无转移性癌症的患者相比，患有转移性癌症（如骨转移）的患者更有可能报告疼痛（分别为50-74%和15%）。他们的癌症疼痛导致34-45%的癌症患者的发病率和生活质量受到破坏。按摩疗法（MT）似乎对癌症患者有积极的影响;然而，MT的益处，特别是在转移性骨痛患者中，仍然未知。这项随机临床试验的目的是比较MT的疗效，社会注意力控制条件下的疼痛强度，情绪状态，肌肉松弛，和睡眠质量的样本（n = 72）台湾癌症骨转移患者。在这项研究中，MT被证明对疼痛，情绪，肌肉放松和睡眠质量具有有益的受试者内或受试者之间的影响。重复测量协方差分析的结果表明，按摩导致随着时间的推移，情绪和放松的改善呈线性趋势。更重要的是，按摩对疼痛的减轻具有统计学和临床意义，按摩对放松的影响在干预后至少持续16-18小时。此外，按摩对睡眠的影响与受试者内效应有关。未来的研究建议增加样本量，更长的干预期持续时间，以及客观和敏感的睡眠测量。总体而言，本研究的结果支持采用MT作为其他治疗的辅助治疗，以改善骨痛管理。皇冠版权所有（C）2011由Elsevier B出版。国际疼痛研究协会（International Association for the Study of Pain）All rights reserved.
To date, patients with bony metastases were only a small fraction of the samples studied, or they were entirely excluded. Patients with metastatic cancers, such as bone metastases, are more likely to report pain, compared to patients without metastatic cancer (50-74% and 15%, respectively). Their cancer pain results in substantial morbidity and disrupted quality of life in 34-45% of cancer patients. Massage therapy (MT) appears to have positive effects in patients with cancer; however, the benefits of MT, specifically in patients with metastatic bone pain, remains unknown. The purpose of this randomized clinical trial was to compare the efficacy of MT to a social attention control condition on pain intensity, mood status, muscle relaxation, and sleep quality in a sample (n = 72) of Taiwanese cancer patients with bone metastases. In this investigation, MT was shown to have beneficial within-or between-subjects effects on pain, mood, muscle relaxation, and sleep quality. Results from repeated-measures analysis of covariance demonstrated that massage resulted in a linear trend of improvements in mood and relaxation over time. More importantly, the reduction in pain with massage was both statistically and clinically significant, and the massage-related effects on relaxation were sustained for at least 16-18 hours postintervention. Furthermore, massage-related effects on sleep were associated with within-subjects effects. Future studies are suggested with increased sample sizes, a longer interventional period duration, and an objective and sensitive measure of sleep. Overall, results from this study support employing MT as an adjuvant to other therapies in improving bone pain management. Crown Copyright (C) 2011 Published by Elsevier B. V. on behalf of International Association for the Study of Pain. All rights reserved.