{"title":"触觉按摩对改善长期护理机构老年居民心理健康的影响：随机对照试验","authors":"Pi-Hua Huang, Wan-Pin Chien, Ya-Chun Lin, Min-Huey Chung, Pi-Chu Lin, Yueh-Kuei Lin, Yeu-Hui Chuang","doi":"10.1111/opn.12652","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Loneliness, anxiety and depressive symptoms are common among older residents in long-term care facilities (LTCFs), which can negatively impact their quality of life and increase mortality rates. Addressing these psychological health issues is an important task for nursing staff. There is a need for easy and accessible interventions to improve older residents' negative emotions. Tactile massage (TM) is a form of touch therapy that induces oxytocin, which can help individuals feel relaxed, experience pleasure and reduce anxiety. TM can also provide a sense of security and care for individuals.</p>\n </section>\n \n <section>\n \n <h3> Objective</h3>\n \n <p>This study aimed to evaluate the effects of TM in improving older residents' psychological health in LTCFs.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>In this study, we applied a two-arm randomised controlled trial research design.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>We used convenience sampling to enrol 55 older residents in three long-term care facilities who were randomly assigned to an intervention group and a comparison group. The intervention group received TM by research assistants on both hands for 15 min per time, twice a week for 4 weeks and the comparison group received regular care. Data were collected before and after the intervention. Generalised estimating equations (GEEs) were used to evaluate the effectiveness of the intervention.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>There were no significant differences in loneliness, anxiety, depressive symptoms, happiness, ear temperature, heart rate or diastolic blood pressure between the two groups after the intervention. However, the intervention group had significant improvements in comfort (<i>B =</i> 0.86, <i>p</i> < 0.001), relaxation (<i>B</i> = 1.00, <i>p</i> < 0.001), respiratory rate (<i>B</i> = −0.16, <i>p</i> = 0.021) and systolic blood pressure (<i>B =</i> − 4.17, <i>p</i> = 0.002) compared to the control group.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>TM can help older residents who live in LTCFs feel relaxed and comfortable.</p>\n </section>\n \n <section>\n \n <h3> Implications for Practice</h3>\n \n <p>TM can be easily implemented as it requires no tools. We recommend that nursing staff and healthcare professionals incorporate TM as part of their care routines. They also can encourage family members to perform TM on residents during their visits to enhance residents' comfort and relaxation.</p>\n </section>\n \n <section>\n \n <h3> Reporting Method</h3>\n \n <p>The Consolidated Standards of Reporting Trials (CONSORT) checklist was used for this paper.</p>\n </section>\n \n <section>\n \n <h3> Trial Registration</h3>\n \n <p>ClinicalTrials.gov (NCT05052138)</p>\n </section>\n </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 5","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effects of Tactile Massage in Improving Older Residents' Psychological Health in Long-Term Care Facilities: A Randomised Controlled Trial\",\"authors\":\"Pi-Hua Huang, Wan-Pin Chien, Ya-Chun Lin, Min-Huey Chung, Pi-Chu Lin, Yueh-Kuei Lin, Yeu-Hui Chuang\",\"doi\":\"10.1111/opn.12652\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Loneliness, anxiety and depressive symptoms are common among older residents in long-term care facilities (LTCFs), which can negatively impact their quality of life and increase mortality rates. Addressing these psychological health issues is an important task for nursing staff. There is a need for easy and accessible interventions to improve older residents' negative emotions. Tactile massage (TM) is a form of touch therapy that induces oxytocin, which can help individuals feel relaxed, experience pleasure and reduce anxiety. TM can also provide a sense of security and care for individuals.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>This study aimed to evaluate the effects of TM in improving older residents' psychological health in LTCFs.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design</h3>\\n \\n <p>In this study, we applied a two-arm randomised controlled trial research design.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>We used convenience sampling to enrol 55 older residents in three long-term care facilities who were randomly assigned to an intervention group and a comparison group. The intervention group received TM by research assistants on both hands for 15 min per time, twice a week for 4 weeks and the comparison group received regular care. Data were collected before and after the intervention. Generalised estimating equations (GEEs) were used to evaluate the effectiveness of the intervention.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>There were no significant differences in loneliness, anxiety, depressive symptoms, happiness, ear temperature, heart rate or diastolic blood pressure between the two groups after the intervention. However, the intervention group had significant improvements in comfort (<i>B =</i> 0.86, <i>p</i> < 0.001), relaxation (<i>B</i> = 1.00, <i>p</i> < 0.001), respiratory rate (<i>B</i> = −0.16, <i>p</i> = 0.021) and systolic blood pressure (<i>B =</i> − 4.17, <i>p</i> = 0.002) compared to the control group.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>TM can help older residents who live in LTCFs feel relaxed and comfortable.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Implications for Practice</h3>\\n \\n <p>TM can be easily implemented as it requires no tools. We recommend that nursing staff and healthcare professionals incorporate TM as part of their care routines. They also can encourage family members to perform TM on residents during their visits to enhance residents' comfort and relaxation.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Reporting Method</h3>\\n \\n <p>The Consolidated Standards of Reporting Trials (CONSORT) checklist was used for this paper.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Trial Registration</h3>\\n \\n <p>ClinicalTrials.gov (NCT05052138)</p>\\n </section>\\n </div>\",\"PeriodicalId\":48651,\"journal\":{\"name\":\"International Journal of Older People Nursing\",\"volume\":\"19 5\",\"pages\":\"\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2024-09-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Older People Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/opn.12652\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Older People Nursing","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/opn.12652","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
Effects of Tactile Massage in Improving Older Residents' Psychological Health in Long-Term Care Facilities: A Randomised Controlled Trial
Background
Loneliness, anxiety and depressive symptoms are common among older residents in long-term care facilities (LTCFs), which can negatively impact their quality of life and increase mortality rates. Addressing these psychological health issues is an important task for nursing staff. There is a need for easy and accessible interventions to improve older residents' negative emotions. Tactile massage (TM) is a form of touch therapy that induces oxytocin, which can help individuals feel relaxed, experience pleasure and reduce anxiety. TM can also provide a sense of security and care for individuals.
Objective
This study aimed to evaluate the effects of TM in improving older residents' psychological health in LTCFs.
Design
In this study, we applied a two-arm randomised controlled trial research design.
Methods
We used convenience sampling to enrol 55 older residents in three long-term care facilities who were randomly assigned to an intervention group and a comparison group. The intervention group received TM by research assistants on both hands for 15 min per time, twice a week for 4 weeks and the comparison group received regular care. Data were collected before and after the intervention. Generalised estimating equations (GEEs) were used to evaluate the effectiveness of the intervention.
Results
There were no significant differences in loneliness, anxiety, depressive symptoms, happiness, ear temperature, heart rate or diastolic blood pressure between the two groups after the intervention. However, the intervention group had significant improvements in comfort (B = 0.86, p < 0.001), relaxation (B = 1.00, p < 0.001), respiratory rate (B = −0.16, p = 0.021) and systolic blood pressure (B = − 4.17, p = 0.002) compared to the control group.
Conclusions
TM can help older residents who live in LTCFs feel relaxed and comfortable.
Implications for Practice
TM can be easily implemented as it requires no tools. We recommend that nursing staff and healthcare professionals incorporate TM as part of their care routines. They also can encourage family members to perform TM on residents during their visits to enhance residents' comfort and relaxation.
Reporting Method
The Consolidated Standards of Reporting Trials (CONSORT) checklist was used for this paper.
期刊介绍：
International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.
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