Heart & Lung ( IF 2.8 ) Pub Date : 2021-08-14 , DOI: 10.1016/j.hrtlng.2021.07.013 Mehdi Harorani 1 , Masoumeh Garshasbi 2 , Mohamad Sediqi 2 , Zohreh Farahani 3 , Danial Habibi 4 , Mahtab Farahani 2 , Nazanin Amini 5 , Zahra Velashjerdi 6
Background
Patients admitted to the intensive care units encounter many complications due to the nature of the disease and invasive medical procedures such as intubation and mechanical ventilation. Among these complications, agitation is a frequently-observed and serious problem.
Objectives
This study aimed to investigate the effect of Shiatsu massage on agitation in mechanically ventilated patients.
Methods
In this randomized controlled trial, a total of 68 mechanically ventilated patients were selected and then randomly assigned to two groups of intervention and control. Patients in the intervention group received three 5-minute periods of Shiatsu massage with a 2-minute break between them, while patients in the control group only received a touch on the area considered for the message. Data were collected before and after the intervention using the Richmond Agitation-Sedation Scale (RASS) and then analyzed using IBM SPSS Statistics for Windows, version 25.0 (IBM Corp., Armonk, N.Y., USA).
Results
The results showed that the level of agitation significantly decreased in the intervention group compared to the control group (p=.001).
Conclusion
Application of shiatsu massage seems to be effective in managing agitation in mechanically ventilated patients. Further studies with greater sample size and longer follow-up period are needed to confirm the current findings.
中文翻译:
指压按摩对机械通气患者激越的影响:一项随机对照试验
背景
由于疾病的性质和侵入性医疗程序(如插管和机械通气),入住重症监护病房的患者会遇到许多并发症。在这些并发症中,激越是一个常见且严重的问题。
目标
本研究旨在探讨指压按摩对机械通气患者激越的影响。
方法
在这项随机对照试验中,总共选择了 68 名机械通气患者,然后随机分配到干预组和对照组。干预组的患者接受了 3 次 5 分钟的指压按摩,中间有 2 分钟的休息时间,而对照组的患者只接受了对信息考虑区域的触摸。使用 Richmond Agitation-Sedation Scale (RASS) 在干预前后收集数据,然后使用 IBM SPSS Statistics for Windows,版本 25.0(IBM Corp.,Armonk,NY,USA)进行分析。
结果
结果表明,与对照组相比,干预组的激越水平显着降低 ( p=.001 )。
结论
指压按摩的应用似乎可有效控制机械通气患者的躁动。需要更大样本量和更长随访期的进一步研究来证实目前的发现。