Impact of Massage Therapy on the Quality of Life of Hospice Patients and Their Caregivers: A Pilot Study.

Autor:	Havyer RD; Mayo Clinic Center for Palliative Medicine, 195110Mayo Clinic, Rochester, MN, USA.; Division of Community Internal Medicine, Department of Medicine, 384842Mayo Clinic, Rochester, MN, USA., Lapid MI; Mayo Clinic Center for Palliative Medicine, 195110Mayo Clinic, Rochester, MN, USA.; Mayo Clinic Hospice, 384842Mayo Clinic, Rochester, MN, USA.; Department of Psychiatry and Psychology, 384842Mayo Clinic, Rochester, MN, USA., Dockter TJ; Biomedical Statistics and Informatics, 384842Mayo Clinic, Rochester, MN, USA., McCue SA; Biomedical Statistics and Informatics, 384842Mayo Clinic, Rochester, MN, USA., Stelpflug AJ; Mayo Clinic Hospice, 384842Mayo Clinic, Rochester, MN, USA., Bigelow ML; Mayo Clinic Hospice, 384842Mayo Clinic, Rochester, MN, USA., Robsahm MM; Mayo Clinic Hospice, 384842Mayo Clinic, Rochester, MN, USA., Elwood T; Mayo Clinic Hospice, 384842Mayo Clinic, Rochester, MN, USA., Strand JJ; Mayo Clinic Center for Palliative Medicine, 195110Mayo Clinic, Rochester, MN, USA.; Mayo Clinic Hospice, 384842Mayo Clinic, Rochester, MN, USA., Bauer BA; Division of Integrative Medicine & Health, Department of Medicine, 384842Mayo Clinic, Rochester, MN, USA., Cutshall SM; Division of Integrative Medicine & Health, Department of Medicine, 384842Mayo Clinic, Rochester, MN, USA., Sloan JA; Biomedical Statistics and Informatics, 384842Mayo Clinic, Rochester, MN, USA., Walton MP; Department of Psychiatry and Psychology, 384842Mayo Clinic, Rochester, MN, USA., Whitford KJ; Mayo Clinic Center for Palliative Medicine, 195110Mayo Clinic, Rochester, MN, USA.; Mayo Clinic Hospice, 384842Mayo Clinic, Rochester, MN, USA.; Division of Hospital Internal Medicine, Department of Medicine, 384842Mayo Clinic, Rochester, MN, USA.
Jazyk:	angličtina
Zdroj:	Journal of palliative care [J Palliat Care] 2022 Jan; Vol. 37 (1), pp. 41-47. Date of Electronic Publication: 2020 Nov 19.
DOI:	10.1177/0825859720975991
Abstrakt:	Evidence for massage therapy (MT) in hospice patients remains limited. We conducted a prospective pilot study on MTs impact on quality of life of hospice patients and caregivers. Patient-caregiver dyads were enrolled if patients scored ≥5 on pain, depression, anxiety, or well-being using the revised Edmonton Symptom Assessment System Revised (ESAS-r). The patient received MT weekly for up to 3 massages with assessments completed at baseline, after each massage, and 1 week after the final massage for patients and at baseline and 1 week after final massage for caregivers. A satisfaction survey was completed at study completion. A pro-rated area under the curve (AUC) was utilized to assess the primary endpoints of change in ESAS-r for patient ratings of pain, depression and anxiety as well as the Linear Analogue Self-Assessment (LASA). Median difference scores (end of study value)-(baseline value) for each participant and caregiver were calculated. Of 27 patients and caregivers enrolled, 25 patients received MT. Fifteen patients completed all 3 MT sessions and were given the final symptom assessment and satisfaction survey and their caregivers completed final assessments. The proportion of patients considered success (AUC > baseline) in the primary endpoints were the following: pain 40.9%, depression 40.9%, anxiety 54.5%, LASA 54.5%. Median difference scores were largely zero indicating no significant temporal change in symptoms. Patients were highly satisfied with MT. This pilot study indicated that MT was a feasible and well-received intervention in our population of patients with inadequately controlled symptoms.
Databáze:	MEDLINE
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