UNASSIGNED: Few studies have investigated the utility of massage therapy in the general ICU setting, and even fewer have done so in the neurological ICU (NeuroICU).
UNASSIGNED: If massage therapy was determined to improve objective outcomes-or even subjective outcomes in the absence of harm-massage may be more readily employed as a complementary therapy, particularly in the ICU setting or in patients with acute neurological injury.
UNASSIGNED: This pilot study aimed to assess the safety of massage in the neurocritical care unit and its impact on patient vital signs, subjective pain assessment, and other clinical outcomes.
UNASSIGNED: Twenty-one patients who received massage therapy during admission to the neurocritical care service were compared to matched controls in a retrospective case control study design.
UNASSIGNED: We found a statistically significant reduction in pain scores among patients with acute neurological injury who received massage therapy. There was no statistical difference in hospital length of stay, discharge destination, in-hospital mortality, adverse events, or incidence/duration of delirium between patients who received massage therapy and those who did not. No adverse events were ascribed to the massage therapy when evaluated by blinded neurocritical care specialists.
UNASSIGNED: This study found that massage therapy may be safe for many patients in the NeuroICU and may offer additional subjective benefits.
■很少有研究调查按摩疗法在一般ICU环境中的效用,在神经科ICU(NeuroICU)中这样做的更少。
■如果确定按摩疗法可以改善客观结果,甚至在没有伤害的情况下改善主观结果,则按摩可能更容易用作补充疗法,特别是在ICU或急性神经损伤患者中。
■这项初步研究旨在评估神经重症监护病房按摩的安全性及其对患者生命体征的影响,主观疼痛评估,和其他临床结果。
■在一项回顾性病例对照研究设计中,将21名在神经重症监护服务期间接受按摩疗法的患者与匹配的对照组进行了比较。
■我们发现,在接受按摩疗法的急性神经损伤患者中,疼痛评分显著降低。住院时间无统计学差异,排放目的地,住院死亡率,不良事件,接受按摩疗法和未接受按摩疗法的患者之间谵妄的发生率/持续时间。由盲目的神经重症监护专家评估时,没有不良事件归因于按摩疗法。
■这项研究发现,按摩疗法对NeuroICU中的许多患者可能是安全的,并且可能提供额外的主观益处。