Effect of Massage and Touch on Agitation in Dementia: A Meta-Analysis

IF 3.5 3区医学 Q1 NURSING Journal of Clinical Nursing Pub Date : 2025-02-04 DOI:10.1111/jocn.17674

Xiaotong Liu, Lili Zang, Qiuying Lu, Yue Zhang, Qinghui Meng

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Abstract

Aims and Objectives

To systematically assess the effects of massage and touch on agitation in patients with dementia and to determine the optimal intervention design.

Background

Agitated behaviour is the most common behavioural symptom in patients with dementia and can seriously affect the health status and quality of life of individuals with dementia and their caregivers. Massage and touch have been widely used as a non-pharmacological intervention to address the behavioural issues of dementia. However, current research findings on the effects of massage and touch on agitation in people with dementia are inconsistent.

Design

A meta-analysis of randomised controlled trials.

Methods

This meta-analysis complied with PRISMA guidelines, and relevant literature up to January 2024 was systematically retrieved from PubMed, Embase, Web of Science, the Clinical Trials Registry, Cochrane Library and four Chinese databases. Statistical evaluations were performed utilising Review Manager 5.4, and the included studies' bias risks were assessed with the Cochrane Collaboration tool.

Results

Seventeen randomised controlled trials involving 980 patients with dementia were included. The results of the meta-analysis showed that massage and touch could ameliorate agitation and behaviour problems in dementia. Subgroup analyses based on massage type showed that hand, head and foot massage significantly improved agitation. Massage and touch for ≤ 4 weeks were more effective in reducing agitated behaviour than those for > 4 weeks. Furthermore, subgroup analysis revealed that massages and touch were more effective for individuals with less severe dementia.

Conclusions

Massage and touch in the short term can effectively improve agitation in dementia patients, while hand, head and foot massage can effectively reduce agitation. Thus, clinical nursing staff and caregivers of individuals should be actively helped to apply massage and touch to their patients. However, more studies are needed to validate our results before we can give a more definitive recommendation.

Relevance to Clinical Practice

This study suggests that massage and touch can be used as complementary treatments for agitation in people with dementia and encourages nursing staff and caregivers to apply massage and touch to better cope with the agitated behaviour of older adults with dementia.

Patient or Public Contribution

No patient or public contribution.

Trial Registration

PROSPERO registration number: CRD42024507133

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按摩和触摸对痴呆患者躁动的影响：一项meta分析。

目的：系统评估按摩和触摸对痴呆患者躁动的影响，并确定最佳干预设计。背景：激动行为是痴呆患者最常见的行为症状，可严重影响痴呆患者及其照顾者的健康状况和生活质量。按摩和触摸作为一种非药物干预手段已被广泛用于解决痴呆症的行为问题。然而，目前关于按摩和触摸对痴呆患者躁动的影响的研究结果并不一致。设计：随机对照试验的荟萃分析。方法：本荟萃分析遵循PRISMA指南，系统检索PubMed、Embase、Web of Science、Clinical Trials Registry、Cochrane Library及4个中文数据库截至2024年1月的相关文献。采用Review Manager 5.4进行统计评估，采用Cochrane Collaboration工具评估纳入研究的偏倚风险。结果：纳入17项随机对照试验，涉及980例痴呆患者。荟萃分析的结果显示，按摩和触摸可以改善痴呆患者的躁动和行为问题。基于按摩类型的亚组分析显示，手部、头部和足部按摩显著改善躁动。按摩和触摸≤4周比按摩和触摸≤4周更有效地减少躁动行为。此外，亚组分析显示，按摩和触摸对痴呆程度较轻的人更有效。结论：短期内按摩和触摸可有效改善痴呆患者的躁动，而手、头、足按摩可有效减轻痴呆患者的躁动。因此，应积极帮助临床护理人员和个人护理人员对患者进行按摩和触摸。然而，在我们给出更明确的建议之前，还需要更多的研究来验证我们的结果。与临床实践的相关性：本研究表明，按摩和触摸可以作为痴呆症患者躁动的补充治疗，并鼓励护理人员和护理人员应用按摩和触摸来更好地应对老年痴呆症患者的躁动行为。患者或公众捐款：没有患者或公众捐款。试验注册：PROSPERO注册号：CRD42024507133。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Nursing 医学-护理

CiteScore

6.40

自引率

2.40%

发文量

审稿时长

2 months

期刊介绍： The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.