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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Pilot study evaluating the effect of massage therapy on stress, anxiety and aggression in a young adult psychiatric inpatient unit.
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Pilot study evaluating the effect of massage therapy on stress, anxiety and aggression in a young adult psychiatric inpatient unit.

机译：初步研究评估了按摩疗法对年轻成人精神病住院患者的压力，焦虑和攻击性的影响。

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OBJECTIVE: The aim of the present pilot study was to examine the effectiveness of a relaxation massage therapy programme in reducing stress, anxiety and aggression on a young adult psychiatric inpatient unit. METHOD: This was a prospective, non-randomized intervention study comparing treatment as usual (TAU) with TAU plus massage therapy intervention (MT) over consecutive 7 week blocks (May-August 2006). MT consisted of a 20 min massage therapy session offered daily to patients during their period of hospitalization. The Kennedy Nurses' Observational Scale for Inpatient Evaluation (NOSIE), the Symptom Checklist-90-Revised (SCL-90-R), the State-Trait Anxiety Inventory (STAI) and stress hormone (saliva cortisol) levels were used to measure patient outcomes at admission and discharge from the unit. The Staff Observation Aggression Scale-Revised (SOAS-R) was used to monitor the frequency and severity of aggressive incidents on the unit. RESULTS: There was a significant reduction in self-reported anxiety (p< 0.001), resting heart rate (p < 0.05) and cortisol levels (p < 0.05) immediately following the initial and final massage therapy sessions. Significant improvements in hostility (p = 0.007) and depression scores (p < 0.001) on the SCL-90-R were observed in both treatment groups. There was no group x time interaction on any of the measures. Poor reliability of staff-reported incidents on the SOAS-R limited the validity of results in this domain. CONCLUSIONS: Massage therapy had immediate beneficial effects on anxiety-related measures and may be a useful de-escalating tool for reducing stress and anxiety in acutely hospitalized psychiatric patients. Study limitations preclude any definite conclusions on the effect of massage therapy on aggressive incidents in an acute psychiatric setting. Randomized controlled trials are warranted.
机译：目的：本实验研究的目的是研究放松按摩疗法在减轻年轻成人精神病住院患者的压力，焦虑和攻击性方面的有效性。方法：这是一项前瞻性，非随机干预研究，比较了连续7周（2006年5月至2006年8月）的常规治疗（TAU）与TAU加按摩治疗干预（MT）的比较。 MT包括在住院期间每天为患者提供20分钟的按摩疗法。使用肯尼迪护士住院评估观察量表（NOSIE），症状清单90修订版（SCL-90-R），状态特质焦虑量表（STAI）和应激激素（唾液皮质醇）水平来衡量患者入院和出院时的结局。修订后的员工观察攻击量表（SOAS-R）用于监视设备上侵略性事件的发生频率和严重性。结果：在最初和最终的按摩治疗之后，自我报告的焦虑（p <0.001），静息心率（p <0.05）和皮质醇水平（p <0.05）显着降低。在两个治疗组中，SCL-90-R的敌对性（p = 0.007）和抑郁评分（p <0.001）均有显着改善。在任何度量上都没有组x时间交互。工作人员报告的事件在SOAS-R上的可靠性差，限制了该领域结果的有效性。结论：按摩疗法对焦虑相关措施具有直接的有益效果，并且可能是减轻急性住院精神病患者压力和焦虑的有用的降级工具。研究的局限性排除了在急性精神病患者中按摩疗法对侵略性事件影响的任何明确结论。随机对照试验是必要的。

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