关键词: anxiety breast cancer manual therapy massage therapy pain

来  源:   DOI:10.1177/27536130241245099   PDF(Pubmed)

Abstract:
UNASSIGNED: Massage therapy is an effective non-pharmacological intervention in treating pain and anxiety of patients with cancer. Prior studies have reviewed the benefits of massage therapy in patients with breast cancer undergoing chemotherapy, radiation, and other patient-specific cancer treatments. What has yet to be examined is the effects of massage therapy on the pain and anxiety of patients with breast cancer after surgery.
UNASSIGNED: : The purpose of this systematic review and meta-analysis was to examine the effect of massage therapy on post-surgical pain and anxiety in patients with breast cancer.
UNASSIGNED: Systematic searches were performed using databases PubMed, CINAHL, and Medline (EBSCO), with no date constraint through September 30, 2023, to identify randomized control trials, randomized pilot, and quasi-experimental studies. The database searches retrieved 1205 titles, and after screening, 7 studies were chosen for full analysis using Cohen\'s d, 95% Confidence Interval (CI), and effect size. The heterogeneity of the studies was calculated in the meta-analysis using Cochran\'s Q equation.
UNASSIGNED: Massage therapy techniques reported were massage therapy, classic massage, reflexology, myofascial release, and myofascial therapy, and were performed at day 0 up to 16 weeks post-surgery. Massage therapy decreased pain and anxiety for patients in the massage group. Analyses showed a positive effect size using massage therapy as an intervention for pain and anxiety in women with breast cancer post-surgery. Overall effect size for pain was 1.057 with a P-value of <.0001, and overall effect size for anxiety was .673 with a P-value of <.0001.
UNASSIGNED: The current evidence in this study reflects that massage therapy is effective as a non-pharmacological tool in decreasing post-surgical pain and anxiety in women with breast cancer.
摘要:
按摩疗法是治疗癌症患者疼痛和焦虑的有效非药物干预措施。先前的研究已经回顾了按摩疗法在接受化疗的乳腺癌患者中的益处,辐射,和其他针对患者的癌症治疗。尚待研究的是按摩疗法对乳腺癌患者术后疼痛和焦虑的影响。
:本系统综述和荟萃分析的目的是检查按摩治疗对乳腺癌患者术后疼痛和焦虑的影响。
使用数据库PubMed,CINAHL,和Medline(EBSCO),在2023年9月30日之前没有日期限制,以确定随机对照试验,随机飞行员,和准实验研究。数据库搜索检索到的1205个标题,经过筛选,选择了7项研究进行全面分析,使用科恩的d,95%置信区间(CI)和效果大小。在荟萃分析中使用Cochran的Q方程计算了研究的异质性。
报道的按摩疗法技术是按摩疗法,经典按摩,反射疗法,肌筋膜释放,和肌筋膜治疗,并在手术后第0天至16周进行。按摩疗法减轻了按摩组患者的疼痛和焦虑。分析表明,使用按摩疗法对乳腺癌术后女性的疼痛和焦虑进行干预具有积极的效果。疼痛的总效应大小为1.057,P值<.0001,焦虑的总效应大小为.673,P值<.0001。
本研究中的当前证据表明,按摩疗法作为一种非药物工具可有效减少乳腺癌女性的术后疼痛和焦虑。
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