THERAPEUTIC TOUCH & SURGICAL PATIENTS STRESS REACTIONS

治疗性触摸

• 批准号: 3391610
• 负责人: THERESE C MEEHAN
• 金额: $ 6.64万
• 依托单位: NEW YORK UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1988
• 资助国家: 美国
• 起止时间: 1988-09-01 至 1990-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3391610
• 关键词: analgesics; anxiety; behavioral medicine; dosage; fatigue; human subject; injury /disease stressor; nursing intervention; nursing research; nursing skill /technique; pain; postoperative state; preadmission counseling; touch

The purpose of this project is to test the efficacy of Therapeutic Touch in decreasing selected stress-related reactions in patients who undergo major elective surgery, and thereby, in facilitating patients' recovery from surgery. Specifically, this project is designed to test the hypotheses that Therapeutic Touch will decrease preoperative anxiety; decrease postoperative tension- anxiety, fatigue, pain, and need for analgesic medication; and increase postoperative vigor, and feeling of readiness for discharge on the day of discharge. The design is for a comparative clinical trial employing equivalent experimental and control groups, and repeated treatments and measures over the perioperative period. A sample of 156 male and female patients scheduled to undergo major elective abdominal or pelvic surgery will be recruited as subjects. A randomized blocking procedure will be used to assign subjects to one of three treatment groups: an experimental group receiving Therapeutic Touch, a single-blind control group receiving Mimic Therapeutic Touch, or standard control group receiving standard nursing care and no study treatments. Subjects will receive the assigned study treatment the evening before surgery and seven times during the postoperative period. Anxiety will be measured before and after treatment on the evening before surgery by the STAI-Y1 State Anxiety Questionnaire. pain will be measured before and at four intervals following one treatment administered in conjunction with a p.r.n. analgesic on the first postoperative day using a Visual Analogue Scale, and the time lapse until receiving the next analgesic, calculated. The amount and number of doses of analgesic medication received over the postoperative period will be calculated. Tension-anxiety, fatigue, and vigor will be measured on the evening before surgery and during the morning and evening of the first three postoperative days by the shortened form of the Profile of Mood States. Feeling of readiness for discharge will be measured on the day of discharge using a Visual Analogue Scale. The hypotheses will be tested using factorial analysis of variance, analysis of covariance, and repeated measures analysis of covariance techniques.

这个项目的目的是测试治疗的疗效 抚触在减少患者选择的应激相关反应中的作用 他们接受了重大的择期手术，因此，在促进 病人手术后的恢复情况。具体地说，这个项目是 旨在测试治疗性触摸将 减少术前焦虑；减少术后紧张- 焦虑、疲劳、疼痛和需要止痛药；以及 增加术后的活力和准备好的感觉 在出院当天出院。该设计是为一个 采用等效实验和对比试验的临床试验 对照组，重复治疗和措施 围手术期。156例男女患者的抽样调查 计划接受重大的择期腹部或骨盆手术 将被招募为受试者。一种随机分组方法 将被用来将受试者分配到以下三个治疗组之一： 接受治疗性触摸的试验组，单盲 对照组接受模拟治疗触摸，或标准触摸 对照组接受标准护理，不进行任何研究 治疗。受试者将接受指定的学习治疗 手术前一晚和手术期间的七次 术后一段时间。焦虑将在前后进行测量 STAI-Y1国术前一晚的救治 焦虑问卷。疼痛将在四点前和四点进行测量 一次联合治疗后的间隔时间 有一张公告牌。术后第一天使用止痛药 视觉模拟刻度，时间流逝直到收到下一个 止痛药，计算出来的。剂量和剂量 在术后期间接受的止痛药将 被计算出来。紧张-焦虑、疲惫和活力 在手术前一晚和早上测量 术后前三天傍晚由短缩 语气状态的侧写形式。为……做好准备 出院当天将使用目测仪测量出院流量 模拟天平。假设将使用阶乘进行检验。 方差分析、协方差分析和重复 计量分析的协方差技术。