{"title":"伴侣椅按摩对围产期情绪、焦虑和疼痛影响的初步研究","authors":"R. Thomas","doi":"10.3822/IJTMB.V12I2.437","DOIUrl":null,"url":null,"abstract":"Background Women worldwide experience perinatal mood, anxiety, and pain contributing to pregnancy and birth challenges, maternal and infant bonding, and childhood development. Perinatal women seek massage therapy for relaxation, pain management, and emotional support, but may encounter socioeconomic barriers. Prior studies demonstrated improved perinatal health by teaching partners of pregnant women a side-lying massage. Purpose This study examined health effects to perinatal mood, anxiety, and pain, by teaching partners of pregnant (PG) women a chair massage. Setting Participant’s homes in Tucson, Arizona, USA. Participants Twelve PG women with minor mood, anxiety, and pain: 67% white, 33% Hispanic, college educated, married, aged 32 years (± 3.86 SD), 67% expecting a first child, annual incomes ≤ $50,000 (33%), > $50,000 (67%). Research Design A pre/postintervention pilot study in a single group for eight weeks. Intervention Twice weekly partner-delivered chair massage and its relation to perinatal mood, anxiety, and pain. Main Outcome Measures Pre/poststudy perinatal massage effects were measured with the Edinburgh Depression Scale (mood), the STAI-AD (anxiety), and the VAS (pain). Weekly text messaging tracked dose and frequency, follow-up surveys measured sustainability, and birth outcomes were acquired by texting. Results Study retention was 86%, protocol compliance 94%, with couples averaging 10-minute, twice weekly chair massage over the eight-week study period. Paired-sample t tests indicated statistically significant improvements to perinatal mood and anxiety, Cohen’s d, a large strength of effect size (p = .012, d = 0.87; p = .004, d = 1.03). A trend was observed for reduced pain, with a medium strength of effect size (p = .071; d = 0.58). Follow-up surveys indicated most couples were sustaining at least weekly massage. Birth outcomes showed healthy infants with no complications, mean birth weight of 7.26 pounds, and mean gestation of 39 weeks. Conclusion This is the first evidence of partner chair massage as safe and effective complementary home management of perinatal mood, anxiety, and pain.","PeriodicalId":39090,"journal":{"name":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","volume":"12 1","pages":"3 - 11"},"PeriodicalIF":0.0000,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3822/IJTMB.V12I2.437","citationCount":"6","resultStr":"{\"title\":\"A Pilot Study of Partner Chair Massage Effects on Perinatal Mood, Anxiety, and Pain\",\"authors\":\"R. Thomas\",\"doi\":\"10.3822/IJTMB.V12I2.437\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background Women worldwide experience perinatal mood, anxiety, and pain contributing to pregnancy and birth challenges, maternal and infant bonding, and childhood development. Perinatal women seek massage therapy for relaxation, pain management, and emotional support, but may encounter socioeconomic barriers. Prior studies demonstrated improved perinatal health by teaching partners of pregnant women a side-lying massage. Purpose This study examined health effects to perinatal mood, anxiety, and pain, by teaching partners of pregnant (PG) women a chair massage. Setting Participant’s homes in Tucson, Arizona, USA. Participants Twelve PG women with minor mood, anxiety, and pain: 67% white, 33% Hispanic, college educated, married, aged 32 years (± 3.86 SD), 67% expecting a first child, annual incomes ≤ $50,000 (33%), > $50,000 (67%). Research Design A pre/postintervention pilot study in a single group for eight weeks. Intervention Twice weekly partner-delivered chair massage and its relation to perinatal mood, anxiety, and pain. Main Outcome Measures Pre/poststudy perinatal massage effects were measured with the Edinburgh Depression Scale (mood), the STAI-AD (anxiety), and the VAS (pain). Weekly text messaging tracked dose and frequency, follow-up surveys measured sustainability, and birth outcomes were acquired by texting. Results Study retention was 86%, protocol compliance 94%, with couples averaging 10-minute, twice weekly chair massage over the eight-week study period. Paired-sample t tests indicated statistically significant improvements to perinatal mood and anxiety, Cohen’s d, a large strength of effect size (p = .012, d = 0.87; p = .004, d = 1.03). A trend was observed for reduced pain, with a medium strength of effect size (p = .071; d = 0.58). Follow-up surveys indicated most couples were sustaining at least weekly massage. Birth outcomes showed healthy infants with no complications, mean birth weight of 7.26 pounds, and mean gestation of 39 weeks. Conclusion This is the first evidence of partner chair massage as safe and effective complementary home management of perinatal mood, anxiety, and pain.\",\"PeriodicalId\":39090,\"journal\":{\"name\":\"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice\",\"volume\":\"12 1\",\"pages\":\"3 - 11\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2019-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.3822/IJTMB.V12I2.437\",\"citationCount\":\"6\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3822/IJTMB.V12I2.437\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Health Professions\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3822/IJTMB.V12I2.437","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Health Professions","Score":null,"Total":0}
引用次数: 6
摘要
世界各地的妇女都会经历围产期情绪、焦虑和疼痛,从而导致妊娠和分娩挑战、母婴结合和儿童发育。围产期妇女寻求按摩治疗放松,疼痛管理和情感支持,但可能会遇到社会经济障碍。先前的研究表明,通过教孕妇的伴侣侧躺按摩,可以改善围产期健康。目的:本研究探讨了座椅按摩对孕妇伴侣围生期情绪、焦虑和疼痛的影响。设置参与者在美国亚利桑那州图森市的家。参与者:12名患有轻微情绪、焦虑和疼痛的PG女性:白人67%,西班牙裔33%,受过大学教育,已婚,32岁(±3.86标准差),期待第一个孩子的67%,年收入≤50,000美元(33%),bb0 $50,000美元(67%)。研究设计一项干预前/干预后的试点研究,在一组中进行,为期八周。干预:每周两次由伴侣提供的椅子按摩及其与围产期情绪、焦虑和疼痛的关系。研究前/研究后围生期按摩的效果用爱丁堡抑郁量表(情绪)、STAI-AD(焦虑)和VAS(疼痛)进行测量。每周发短信跟踪剂量和频率,后续调查衡量可持续性,并通过发短信获得分娩结果。研究保留率为86%,方案依从性为94%,在为期八周的研究期间,夫妻平均每周进行两次10分钟的椅子按摩。配对样本t检验显示,围产期情绪和焦虑的改善具有统计学意义,Cohen 's d,效应量大(p = 0.012, d = 0.87;P = 0.004, d = 1.03)。观察到疼痛减轻的趋势,中等强度的效应量(p = 0.071;D = 0.58)。后续调查显示,大多数夫妇每周至少会进行一次按摩。出生结果显示婴儿健康,无并发症,平均出生体重为7.26磅,平均妊娠期为39周。结论:伴侣椅按摩是安全有效的围产期情绪、焦虑和疼痛辅助家庭管理的第一个证据。
A Pilot Study of Partner Chair Massage Effects on Perinatal Mood, Anxiety, and Pain
Background Women worldwide experience perinatal mood, anxiety, and pain contributing to pregnancy and birth challenges, maternal and infant bonding, and childhood development. Perinatal women seek massage therapy for relaxation, pain management, and emotional support, but may encounter socioeconomic barriers. Prior studies demonstrated improved perinatal health by teaching partners of pregnant women a side-lying massage. Purpose This study examined health effects to perinatal mood, anxiety, and pain, by teaching partners of pregnant (PG) women a chair massage. Setting Participant’s homes in Tucson, Arizona, USA. Participants Twelve PG women with minor mood, anxiety, and pain: 67% white, 33% Hispanic, college educated, married, aged 32 years (± 3.86 SD), 67% expecting a first child, annual incomes ≤ $50,000 (33%), > $50,000 (67%). Research Design A pre/postintervention pilot study in a single group for eight weeks. Intervention Twice weekly partner-delivered chair massage and its relation to perinatal mood, anxiety, and pain. Main Outcome Measures Pre/poststudy perinatal massage effects were measured with the Edinburgh Depression Scale (mood), the STAI-AD (anxiety), and the VAS (pain). Weekly text messaging tracked dose and frequency, follow-up surveys measured sustainability, and birth outcomes were acquired by texting. Results Study retention was 86%, protocol compliance 94%, with couples averaging 10-minute, twice weekly chair massage over the eight-week study period. Paired-sample t tests indicated statistically significant improvements to perinatal mood and anxiety, Cohen’s d, a large strength of effect size (p = .012, d = 0.87; p = .004, d = 1.03). A trend was observed for reduced pain, with a medium strength of effect size (p = .071; d = 0.58). Follow-up surveys indicated most couples were sustaining at least weekly massage. Birth outcomes showed healthy infants with no complications, mean birth weight of 7.26 pounds, and mean gestation of 39 weeks. Conclusion This is the first evidence of partner chair massage as safe and effective complementary home management of perinatal mood, anxiety, and pain.
期刊介绍:
The IJTMB is a peer-reviewed journal focusing on the research (methodological, physiological, and clinical) and professional development of therapeutic massage and bodywork and its providers, encompassing all allied health providers whose services include manually applied therapeutic massage and bodywork. The Journal provides a professional forum for editorial input; scientifically-based articles of a research, educational, and practice-oriented nature; readers’ commentaries on journal content and related professional matters; and pertinent news and announcements.