THERAPEUTIC TOUCH & SURGICAL PATIENTS STRESS REACTIONS

该项目的目的是测试治疗的有效性 触摸减少患者的某些应激反应 他们接受了重大的选择性手术，因此， 病人从手术中恢复过来。 具体而言，该项目是 旨在测试治疗触摸将 减少术前焦虑;减少术后紧张- 焦虑、疲劳、疼痛和需要止痛药物;以及 增加术后活力和准备就绪的感觉 出院当天出院。 设计是为了一个 比较临床试验采用等效的实验和 对照组和重复治疗和措施， 围手术期 156名男性和女性患者的样本 计划进行重大选择性腹部或盆腔手术 将被招募为实验对象。 随机区组化程序 将用于将受试者分配至三个治疗组之一： 接受治疗触摸的实验组， 对照组接受模拟治疗触摸，或标准 对照组接受标准护理，无研究 治疗。 受试者将接受分配的研究治疗 手术前一晚和手术期间的七次 术后时期。 焦虑将被测量前后 STAI-Y1状态手术前一晚的治疗 焦虑问卷。 疼痛将被测量之前和四 一次联合给药后的间隔 一个P.R.N.术后第一天使用止痛剂， 视觉上的时间尺度，和时间流逝，直到收到下一个 镇痛药，计算。 剂量的数量和数量 术后期间接受的镇痛药物将 被计算。 紧张-焦虑，疲劳和活力将 在手术前的晚上和早上测量 术后前三天的晚上， 情绪状态的形式。 准备就绪的感觉 出院当天将使用目视检查仪测量出院情况。 Angloman Scale. 将使用阶乘检验假设 方差分析，协方差分析，重复 协方差分析技术。

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.