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1.
J Altern Complement Med ; 25(12): 1156-1162, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31638407

RESUMO

Objectives: The main purpose of this study was to measure the effect of a single session of Reiki on physical and psychological health in a large nonclinical sample. Design: The study design was a single arm effectiveness trial with measures at pre-and postintervention. Settings: The study took place at private Reiki practices across the United States. Subjects: Reiki practitioners were recruited from an online mailing list to participate in the study with their Reiki clients. A total of 99 Reiki practitioners met the inclusion criteria and participated in the study. Reiki practitioners were instructed to give a flyer to each of their Reiki clients that contained information about the study and invited the client to complete a survey before and after their Reiki session. Interventions: Trained and certified Reiki Masters conducted the Reiki sessions in person, with each session lasting between 45 and 90 min. Outcome measures: The well-validated 20-item Positive and Negative Affect Schedule was used to assess affect, and brief, single-item self-report measures were used to assess a wide range of physical and psychological variables immediately before (pre) and after (post) the Reiki session. Results: A total of N = 1411 Reiki sessions were conducted and included in the analysis. Statistically significant improvements were observed for all outcome measures, including positive affect, negative affect, pain, drowsiness, tiredness, nausea, appetite, shortness of breath, anxiety, depression, and overall well-being (all p-values <0.001). Conclusions: The results from this large-scale multisite effectiveness trial suggest that a single session of Reiki improves multiple variables related to physical and psychological health.


Assuntos
Toque Terapêutico , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Ansiedade , Apetite , Depressão , Dispneia , Estudos de Viabilidade , Feminino , Promoção da Saúde/economia , Promoção da Saúde/métodos , Promoção da Saúde/estatística & dados numéricos , Humanos , Masculino , Saúde Mental , Pessoa de Meia-Idade , Manejo da Dor/economia , Manejo da Dor/estatística & dados numéricos , Projetos de Pesquisa , Inquéritos e Questionários , Toque Terapêutico/economia , Toque Terapêutico/estatística & dados numéricos , Resultado do Tratamento , Adulto Jovem
2.
Complement Ther Med ; 46: 116-122, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31519267

RESUMO

Massage therapy (MT) may be more effective for certain subgroups of advanced cancer patients, but this is not well-studied. Psychological symptoms are one potential moderator of MT outcomes, as they occur frequently in MT patients. Therefore, we conducted a secondary analysis of data from a multi-site study which compared MT to simple touch in 380 adults with advanced cancer. We examined whether the presence of depression or baseline psychological symptom frequency moderated outcomes of change in pain, interference of pain, quality of life, 60-second heart and respiratory rates, and physical distress. We found significant main effects of depression and baseline psychological symptom frequency on changes in pain, 60-second heart and respiratory rates, quality of life, and physical distress for both MT and simple touch, but did not find differential responses between groups in moderator analyses. Results imply that psychological interventions could be targeted to patients with cancer who are receiving any type of touch therapy to improve outcomes.


Assuntos
Massagem/psicologia , Estresse Psicológico/psicologia , Idoso , Depressão/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/psicologia , Dor/psicologia , Manejo da Dor/psicologia , Estudos Prospectivos , Qualidade de Vida/psicologia , Método Simples-Cego , Toque Terapêutico/psicologia , Resultado do Tratamento
3.
NeuroRehabilitation ; 45(1): 125-134, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31450520

RESUMO

BACKGROUND: Physical exercise combined with occupational therapy (OT) can lead to a global improvement in personal well-being. OBJECTIVE: To assess in PD patients: 1) if a rehabilitation program involving OT, Nordic walking (NW) and therapeutic touch (TT) yields motor/non-motor benefits; 2) if the time collocation of OT within the program influences results. METHODS: This is a pilot study on 17 PD patients undergoing a 10-week rehabilitation program consisting of OT, NW and TT. Patients were randomized to receive OT in the first [Group 1, n = 8] vs. last five weeks [Group 2, n = 9] of the program. Scales (MMSE, FAB, BDI, UPDRS II and III, PDQ39 and AES-S) and 6MWT, Gait speed and length were assessed at three time-points. RESULTS: Thirteen out of 17 patients were analyzed. 6MWT, Gait speed and length improved in time without between-group differences (p < 0.05) as did UPDRII, UPDRSIII, FAB and PDQ39 (p < 0.05). Baseline UPDRS II and III significantly determined Δ6MWT (adjusted R2 = 0.6738) and ΔGAIT speed (R2 = 0.6746) at multiple regression, while ΔGAIT length showed the best regression (adjusted R2 = 0.8247) with impact of age, gender and baseline PDQ39 (ADL and cognition dimensions). CONCLUSIONS: Multidisciplinary rehabilitation including OT can improve motor and non-motor conditions in PD patients. The OT time-collocation at beginning or end of the rehabilitation program does not significantly affect results.


Assuntos
Terapia por Exercício/métodos , Terapia Ocupacional/métodos , Doença de Parkinson/reabilitação , Toque Terapêutico/métodos , Velocidade de Caminhada , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Caminhada
4.
BMJ Support Palliat Care ; 9(4): 434-438, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30948444

RESUMO

The use of complementary and alternative therapies is growing year after year, and Reiki therapy takes a place of choice. Reiki therapy, classed as a biofield energy therapy, raises the question of validity when applied to patients, especially in palliative care. The purpose of this review is to highlight the effects of Reiki therapy on pain, anxiety/depression and quality of life of patients, specifically in palliative care. The current article indicates that Reiki therapy is useful for relieving pain, decreasing anxiety/depression and improving quality of life in several conditions. Due to the small number of studies in palliative care, we were unable to clearly identify the benefits of Reiki therapy, but preliminary results tend to show some positive effects of Reiki therapy for the end-of-life population. These results should encourage teams working in palliative care to conduct more studies to determine the benefits of Reiki therapy on pain, anxiety/depression and quality of life in palliative care.


Assuntos
Ansiedade/psicologia , Ansiedade/terapia , Manejo da Dor/métodos , Dor/psicologia , Qualidade de Vida , Toque Terapêutico/métodos , Terapias Complementares , Humanos , Cuidados Paliativos , Assistência Terminal
5.
Complement Med Res ; 26(3): 195-205, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30947178

RESUMO

BACKGROUND: Intentional Touch (InTouch) refers to a soft physical touch with the aim to ease complaints and enhance well-being. Central questions were perception of InTouch by nurses and patients and possible effects on pain perception. PATIENTS AND METHODS: InTouch was developed by stakeholder involvement. Nurses working in geriatric care received expert training in InTouch. Semi-structured interviews and participant observation (including video recording) were conducted with nurses applying and patients with chronic pain receiving InTouch after the beginning of the intervention and after 4 weeks. Interviews were analyzed based on Qualitative Content Analysis and video recordings based on Qualitative Visual Analysis. RESULTS: Six elderly patients with chronic pain and 6 nurses were included. Nurses and patients equally described relaxation, well-being, and a sensation of warmth during the intervention. Patients reported no pain during the intervention. After the intervention, 3 patients each experienced pain relief or no change. Patients described better drive and positive feelings, and nurses felt empowered in their nursing work. Empathetic attention had special importance for improving the therapeutic relationship. CONCLUSION: The results of this study suggest that InTouch promoted relaxation, well-being, and pain relief for elderly people suffering from chronic pain and may contribute positively to the therapeutic relationship.


Assuntos
Dor Crônica/enfermagem , Dor Crônica/terapia , Enfermagem Geriátrica/estatística & dados numéricos , Toque Terapêutico/normas , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Alemanha , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Percepção da Dor , Projetos Piloto , Toque Terapêutico/enfermagem , Toque Terapêutico/psicologia
7.
Biol Res Nurs ; 21(3): 296-306, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30722675

RESUMO

BACKGROUND: Infants with complex congenital heart disease (CCHD) often develop neurodevelopmental disabilities. Cognitive abilities are associated with vagally mediated autonomic function. Skin-to-skin contact (SSC) interventions enhance infant neurodevelopment and autonomic function in other high-risk populations. AIM: To examine the effects of a neonatal SSC intervention on learning and autonomic function in 3-month-old infants: infants with CCHD who received neonatal SSC ( n = 10), typically developing (TD) infants ( n = 16), and infants with CCHD without SSC ( n = 10). METHODS: This secondary data analysis measured cognitive function using the mobile paradigm (MP), a classic measure of learning based on operant conditioning. Autonomic function was assessed with heart rate (HR) and HR variability (HRV). Data were analyzed with repeated-measures general linear mixed modeling with α = .10 for this exploratory study. RESULTS: Learning rates were TD = 75%, cardiac-SSC = 70%, and cardiac-control = 40%. Learners demonstrated significant reductions in HRV during the MP; nonlearners exhibited no change. TD and cardiac-SSC groups exhibited increases in HR and reductions in HRV during the MP. No significant changes occurred in the cardiac-control group. Nonlinear HRV during the MP differed only in the TD group. CONCLUSIONS: Findings suggest improvements in cognitive and autonomic development in 3-month-old infants with CCHD who received neonatal SSC. Learning and autonomic function results in infants with CCHD who had not received SSC suggest reduced capacity to muster the physiologic resources to carry out this cognitive task. Findings provide preliminary evidence in support of implementation of SSC with infants with CCHD and support additional research.


Assuntos
Sistema Nervoso Autônomo/fisiologia , Desenvolvimento Infantil/fisiologia , Cardiopatias/congênito , Cardiopatias/terapia , Frequência Cardíaca/fisiologia , Método Canguru , Toque Terapêutico/métodos , Adulto , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Relações Mãe-Filho
9.
J Holist Nurs ; 37(2): 148-162, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30170509

RESUMO

PURPOSE: Pain is a problem for individuals undergoing hemodialysis. Renal disease, comorbidities, concurrent symptoms, and dialysis procedures pose barriers to adequate pain management. The purpose of this study was to evaluate feasibility, examine construct validity of The Patient-Reported Outcomes Measurement Information System (PROMIS) computerized adaptive testing (CAT) instruments, and explore pain benefits of Reiki sessions conducted during hemodialysis. DESIGN: A one group, repeated-measures design was used. METHOD: Fifteen participants received Reiki for 20 minutes, twice a week for 4 weeks. Pain, fatigue, and depression were evaluated using established symptom scales and PROMIS CAT instruments. FINDINGS: Participants reported general relaxation feelings with Reiki and acceptability of using a touch-screen device to respond to web-based measures. Although staff were initially reluctant to engage patients for Reiki, they reported Reiki did not interfere with workflow and thought Reiki could be integrated into the practice setting. Significant, strong correlations with established symptom scales support construct validity of PROMIS CAT instruments. There was a significant decrease in mean symptom scores after four weeks of Reiki. Effect size values suggest a range of practical significance. CONCLUSIONS: Findings suggest Reiki provides symptom relief for individuals receiving hemodialysis, and randomized clinical trials to establish Reiki's pain benefits in this population are warranted.


Assuntos
Manejo da Dor/normas , Diálise Renal/efeitos adversos , Toque Terapêutico/métodos , Adulto , Depressão/psicologia , Depressão/terapia , Fadiga/psicologia , Fadiga/terapia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Minnesota , Dor/etiologia , Manejo da Dor/métodos , Medição da Dor/métodos , Diálise Renal/métodos , Toque Terapêutico/normas
10.
Pain Manag Nurs ; 20(1): 75-81, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30425012

RESUMO

BACKGROUND: Chronic back pain affects many aspects of everyday life and is a common reason for medical visits, leading to high direct and indirect health care costs. Innovative and cost-effective nonpharmacologic pain management methods should be promoted to ensure adequate treatment. AIMS: The aim of this pilot study was to investigate the pain-relieving effect of Therapeutic Touch in adult neurologic patients with back pain. DESIGN: A pretest-post-test randomized controlled trial. SETTINGS: A university hospital in Austria. PARTICIPANTS/SUBJECTS: Patients with back pain diagnosis (N = 29) on hospital admission. METHODS: A pilot study was conducted for 3 months. The control group (n = 14) received the pharmacologic pain management recommended by the World Health Organization; patients in the intervention group (n = 15) received additionally four Therapeutic Touch treatments on 4 consecutive days. The Quebec Back Pain Disability Scale and the Numeric Pain Rating Scale were used as outcome measures to evaluate activity domains affected by back pain and pain intensity. RESULTS: Pain improvement was found in the intervention group according to the mean score of the Quebec Back Pain Disability Scale (day 1: 72.53, standard deviation [SD] ± 14.10; day 4: 39.47, SD ± 8.77; p < .001). The Numerical Pain Rating Scale score averaged 4.33 points (SD ± 2.09) on the first day and 2.47 points (SD ± 1.12) on the fourth day. The long-term effect of Therapeutic Touch was significant and indicated a major effect (Pillai's trace = .641, F(3.12) = 7.1, p = .005, ηp2 = .641). CONCLUSIONS: Therapeutic Touch seems to be a noninvasive nursing intervention for back pain management to provide more professional patient care.


Assuntos
Dor nas Costas/terapia , Toque Terapêutico/normas , Adulto , Idoso , Áustria , Dor nas Costas/psicologia , Dor Crônica/psicologia , Dor Crônica/terapia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermagem em Neurociência/métodos , Enfermagem em Neurociência/normas , Manejo da Dor/métodos , Manejo da Dor/normas , Medição da Dor/métodos , Quartos de Pacientes/organização & administração , Projetos Piloto , Qualidade de Vida/psicologia , Quebeque , Inquéritos e Questionários , Toque Terapêutico/métodos
11.
Rev. enferm. UFPE on line ; 13: [1-8], 2019. ilus, tab
Artigo em Português | BDENF - Enfermagem | ID: biblio-1051940

RESUMO

Objetivo: avaliar como as mulheres grávidas com diabetes compreendem e aceitam o uso de práticas integrativas e complementares na saúde, especialmente o Reiki, durante o atendimento pré-natal. Método: trata-se de um estudo qualitativo, descritivo, exploratório, de gestantes diabéticas atendidas num Centro de Investigação do Diabetes Perinatal em um centro terciário, por meio de entrevistas semiestruturadas com 12 gestantes. Audiogravaram-se e transcreveram-se as entrevistas para posterior análise cujos dados foram submetidos à técnica de Análise de Conteúdo. Resultados: demonstrou-se, pela maioria das mulheres gestantes diagnosticadas com diabetes, o conhecimento de algumas práticas integrativas e complementares na saúde. Receber-se-iam, além disso, por um grande número de entrevistadas, tais terapias se essas fossem disponíveis no Sistema Único de Saúde (SUS), porém, a terapia Reiki mostrou ser desconhecida entre as pacientes. Conclusão: serve-se este estudo como ponto de partida para profissionais de saúde introduzirem as terapias integrativas e complementares na saúde pública brasileira. Tornam-se necessários estudos adicionais em outras populações para obter uma visão mais profunda e detalhada do perfil das pacientes em diferentes regiões.(AU)


Objective: to evaluate how pregnant women with diabetes understand and accept the use of integrative and complementary health practices, especially Reiki, during prenatal care. Method: this is a qualitative, descriptive, exploratory study of diabetic pregnant women seen at a Perinatal Diabetes Research Center in a tertiary center, through semi-structured interviews with 12 pregnant women. The interviews were audio recorded and transcribed for later analysis whose data were submitted to the Content Analysis technique. Results: it was demonstrated, by most pregnant women diagnosed with diabetes, the knowledge of some integrative and complementary practices in health. In addition, a large number of respondents would receive such therapies if they were available in the Unified Health System (UHS), but Reiki therapy was unknown to patients. Conclusion: this study serves as a starting point for health professionals to introduce integrative and complementary therapies in Brazilian public health. Further studies in other populations are needed to gain a deeper and more detailed view of patients' profiles in different regions.(AU)


Objetivo: evaluar cómo las mujeres embarazadas con diabetes entienden y aceptan el uso de prácticas de salud integradoras y complementarias en salud, especialmente el Reiki, durante la atención prenatal. Método: este es un estudio cualitativo, descriptivo, exploratorio de mujeres embarazadas diabéticas atendidas en un Centro de Investigación de Diabetes Perinatal en un centro terciario, a través de entrevistas semiestructuradas con 12 mujeres embarazadas. Las entrevistas se grabaron en audio y se transcribieron para un análisis posterior cuyos datos fueron sometidos a la técnica de Análisis de Contenido. Resultados: la mayoría de las mujeres embarazadas diagnosticadas con diabetes demostraron el conocimiento de algunas prácticas integradoras y complementarias en salud. Además, un gran número de encuestados recibiría tales terapias si estuvieran disponibles en el Sistema Único de Salud (SUS), pero la terapia de Reiki era desconocida para los pacientes. Conclusión: este estudio sirve como punto de partida para que los profesionales de la salud introduzcan terapias integradoras y complementarias en la salud pública brasileña. Se necesitan más estudios en otras poblaciones para obtener una visión más profunda y detallada de los perfiles de los pacientes en diferentes regiones.(AU)


Assuntos
Humanos , Feminino , Gravidez , Adulto , Gravidez em Diabéticas , Cuidado Pré-Natal , Terapias Complementares , Aceitação pelo Paciente de Cuidados de Saúde , Toque Terapêutico , Gestantes , Epidemiologia Descritiva , Pesquisa Qualitativa
12.
Niterói; s.n; 2019. 80 p.
Tese em Português | LILACS, BDENF - Enfermagem | ID: biblio-1052737

RESUMO

Nos últimos anos os transtornos de ansiedade têm sido cada vez mais comuns e causam impactos sobre o bem-estar e nas atividades de vida diária das pessoas bem como representa um dos problemas que mais afetam os trabalhadores que atuam na área de saúde. A Enfermagem através da Sistematização da Assistência de Enfermagem reconhece a ansiedade como diagnóstico de enfermagem e, nesse estudo, propõe-se como intervenção de enfermagem o Reiki aliado ao cuidado de enfermagem à pessoa com ansiedade. O Reiki consiste na prática de imposição de mãos que usa a aproximação ou o toque sobre o corpo com a finalidade de estimular os mecanismos naturais de recuperação da saúde visando fortalecer os locais onde se encontram bloqueios, "nós energéticos", eliminando as toxinas, e equilibrando o pleno funcionamento celular, de forma a restabelecer o fluxo de energia vital. O estudo tem como objetivos: Propor um instrumento de consulta de enfermagem com uso de Reiki para profissionais de saúde, com relato de ansiedade, atuantes em uma unidade de saúde da família (USF), identificar as características definidoras e os fatores relacionados à ansiedade em profissionais de saúde, com relato de ansiedade, atuantes em uma unidade de saúde da família e descrever as reações desses profissionais, antes e após aplicação do Reiki. Trata-se de estudo de natureza qualitativa de intervenção, do tipo antes e depois, realizado com 10 profissionais de saúde, com relato de ansiedade, atuantes em uma unidade de Saúde da Família, localizado no Município de Maricá-RJ. A produção de dados ocorreu nas seguintes etapas: entrevista semi estruturada, gravadas em aparelho digital, e aplicação de um instrumento para identificação das características definidoras e fatores relacionados à ansiedade antes e após a ultima sessão de reiki, sessões de Reiki, semanais, por um período de 3 meses, agendadas segundo disponibilidade dos participantes, com depoimentos gravados em aparelho digital, antes e após cada sessão. Após análise dos dados os resultados mostraram que os participantes apresentaram como principais relatos antes das sessões de Reiki medo de perder o controle, cansaço e fadiga e, após as sessões de Reiki, todos referiram sensação de bem estar, tranquilidade, calma e leveza. Conclui-se que o Reiki, aliado ao cuidado de enfermagem aos participantes da pesquisa contribuiu para aliviar a ansiedade por meio de um espaço de relaxamento, autoconhecimento e reflexão que favoreceu o restabelecimento da energia reduzindo os níveis de estresse, promovendo melhoria do autocontrole e da autoestima


Assuntos
Ansiedade , Atenção Primária à Saúde , Saúde do Trabalhador , Toque Terapêutico , Cuidados de Enfermagem
13.
Cogitare enferm ; 24: e56694, 2019. tab, graf
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1019737

RESUMO

RESUMO Objetivo verificar o uso do Reiki no alívio dos sinais e dos sintomas biopsicoemocionais relacionados à quimioterapia. Método revisão integrativa norteada pela pergunta: A utilização do Reiki pode aliviar alguns sinais e sintomas induzidos pela quimioterapia? A busca foi realizada nas bases de dados Biblioteca Virtual em Saúde (BVS), CINAHL, Cochrane, Embase, PubMed e Scopus sem período de restrição até setembro de 2018. Sete artigos atenderam aos critérios de inclusão. Resultados reviram-se quatro ensaios clínicos, dois quase-experimentais e um estudo de caso. Os sinais e sintomas mais estudados foram ansiedade, dor, fadiga, estresse, depressão, humor e bem-estar. Pacientes que receberam Reiki relataram melhoria do bem-estar geral, qualidade de vida, dor, depressão, ansiedade, fadiga e humor quando comparados ao grupo controle. Conclusões as pesquisas analisadas apresentam evidências que o Reiki pode ser benéfico no alivio dos efeitos colaterais da quimioterapia, o que contribui para mais uma ferramenta para o alívio dos efeitos da quimioterapia.


RESUMEN Objetivo verificar el uso del Reiki en el alivio de los señales y síntomas biopsicoemocionales relacionados a la quimioterapia. Método revisión integradora orientada por la pregunta: ¿La utilización del Reiki logra aliviar algunos señales y síntomas inducidos por la quimioterapia? La búsqueda fue ejecutada en las bases de datos Biblioteca Virtual en Salud (BVS), CINAHL, Cochrane, Embase, PubMed y Scopus sin período de restricción hasta septiembre de 2018. Siete artículos cumplieron con los criterios de inclusión. Resultados fueron revistos cuatro ensayos clínicos, dos casi-experimentales y un estudio de caso. Los señales y síntomas más estudiados fueron ansiedad, dolor, fatiga, estrés, depresión, humor y bienestar. Pacientes que recibieron Reiki relataron mejora del bienestar general, calidad de vida, dolor, depresión, ansiedad, fatigue y humor cuando comparados al grupo de control. Conclusiones las investigaciones analizadas presentan evidencias de que el Reiki puede ser benéfico en el alivio de los efectos colaterales de la quimioterapia, lo que contribuye hacia una herramienta adicional para aliviar los efectos de la quimioterapia.


ABSTRACT Objective verify the use of Reiki in the relief of chemotherapy-related biopsychoemotional signs and symptoms. Method integrative review guided by the question: Can the use of Reiki relieve some chemotherapy-induced signs and symptoms? The search was undertaken in the databases Virtual Health Library (VHL), CINAHL, Cochrane, Embase, PubMed and Scopus without a restriction period until September 2018. Seven articles complied with the inclusion criteria. Results four clinical trials, two quasi-experimental studies and one case study were reviewed. The most frequent signs and symptoms mentioned were anxiety, pain, fatigue, stress, depression, mood and well-being. The patients who received Reiki reported improved general well-being, quality of life, pain, depression, anxiety, fatigue and mood in comparison with the control group. Conclusions the studies presented evidence that Reiki can exert beneficial effects in the relief of the side effects of chemotherapy, contributing with yet another tool to relieve the effects of the chemotherapy.


Assuntos
Humanos , Terapias Complementares , Toque Terapêutico , Oncologia , Cuidados de Enfermagem , Revisão
14.
Complement Ther Clin Pract ; 33: 170-176, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30396617

RESUMO

BACKGROUND AND PURPOSE: Existing research suggests that both massage and essential oils may have analgesic and anti-inflammatory benefits. We investigate the benefits of the AromaTouch Hand Technique® (ATHT), a procedure that combines a moderate pressure touch with the application of essential oils to the hand, in individuals with hand arthritis. METHODS AND MATERIALS: Thirty-six participants with rheumatoid arthritis, osteoarthritis, and/or chronic inflammation received ATHTs with either a 50/50 preparation of Deep Blue® and Copaiba oil or a coconut oil placebo twice daily for 5 consecutive days. Changes in maximum flexion in finger and thumb joints, items from the Arthritis Hand Function Test, and hand pain scores were evaluated. RESULTS: Participants treated with the essential oil preparation required significantly less time to complete dexterity tasks and showed about 50% decrease in pain scores, increased finger strength, and significantly increased angle of maximum flexion compared to subjects treated with coconut oil. CONCLUSION: The ATHT with Copaiba and Deep Blue may have ameliorative effects on hand arthritis.


Assuntos
Artralgia/terapia , Artrite/terapia , Fabaceae , Massagem/métodos , Óleos Voláteis/uso terapêutico , Óleos Vegetais/uso terapêutico , Analgésicos/uso terapêutico , Anti-Inflamatórios/uso terapêutico , Artralgia/etiologia , Artrite/classificação , Artrite/fisiopatologia , Feminino , Articulação da Mão/efeitos dos fármacos , Humanos , Masculino , Pessoa de Meia-Idade , Análise e Desempenho de Tarefas , Toque Terapêutico , Resultado do Tratamento
15.
Artigo em Inglês | MEDLINE | ID: mdl-30274160

RESUMO

We clarified the physiological effects of tactile stimulation of the soles of the feet with the wood of the Hinoki cypress (Chamaecyparis obtusa) based on measurements of prefrontal cortex and autonomic nervous activities. Nineteen female university-attending students (age: 21.2 ± 0.3 years) were included. Oxy-hemoglobin (oxy-Hb) concentrations in the prefrontal cortex were determined by using near-infrared time-resolved spectroscopy. The high frequency (HF) indicating parasympathetic nervous activity and the ratio of low frequency (LF)/HF indicating sympathetic nervous activity were measured using heart rate variability. To evaluate the psychological effects caused by contact with the materials, the modified semantic differential method was used. The soles of the participants' feet were touched to a 600 × 600-mm plate made of Hinoki, which was finished in non-coating and brushing for 90 s. A marble plate served as the control. Next, subjective evaluation tests were administered to the participants. Compared with touching marble, touching Hinoki significantly (1) decreased the oxy-Hb concentrations in the left and right prefrontal cortices, which indicates decreased prefrontal cortex activity, (2) increased ln(HF), which indicates increased parasympathetic nervous activity, (3) decreased ln(LF/HF) ratio, which indicates decreased sympathetic nervous activity. Additionally, (4) according to subjective evaluations, the participants perceived themselves as being more "comfortable," "relaxed," "natural," "warm," "uneven," "dry," and "soft" after touching Hinoki. Thus, our cumulative findings indicate that touching Hinoki with the soles of the feet induces physiological relaxation.


Assuntos
Chamaecyparis , Frequência Cardíaca/fisiologia , Córtex Pré-Frontal/fisiologia , Relaxamento/fisiologia , Relaxamento/psicologia , Toque Terapêutico/métodos , Madeira , Adulto , Feminino , Humanos , Estudantes , Adulto Jovem
16.
J Altern Complement Med ; 24(9-10): 968-973, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30247960

RESUMO

OBJECTIVES: To establish and compare the effectiveness of Healing Touch (HT) and Oncology Massage (OM) therapies on cancer patients' pain. DESIGN: pretest/post-test, observational, retrospective study. SETTINGS/LOCATION: Outpatient oncology setting at an academic hybrid, multisite, community-based cancer institute. SUBJECTS: n = 572 cancer outpatients. INTERVENTIONS: Patients reported pain before and after receiving a single session of either HT or OM from a certified practitioner. OUTCOME MEASURES: Pain scores from 0 = no pain to 10 = worst possible pain. RESULTS: Two hundred ninety-one patients (50.9%) receiving HT and 281 (49.1%) receiving OM reported pretherapy and post-therapy pain. Pretherapy mean pain was higher in HT patients (M = 5.1, ±2.2) than OM (M = 4.4, ±2.2), p < 0.001; post-therapy mean pain remained higher in HT patients (M = 2.6, ±2.1) than OM (M = 2.0, ±1.8), p < 0.001. Both HT (p < 0.01) and OM (p < 0.01) significantly reduced pain. Unadjusted rates of clinically significant pain improvement (defined as ≥2-point reduction in pain score) were 0.68 HT and 0.71 OM. Adjusted for pretherapy pain, OM was associated with increased odds of pain improvement (odds ratio [OR] 1.49 95% confidence interval (1.02-2.19); p = 0.041). For patients with severe pretherapy pain, OM was not more effective in yielding clinically significant pain reduction (p = 0.236) when adjusting for pretherapy pain score. CONCLUSIONS: Both HT and OM provided immediate pain relief. Future research should explore the duration of pain relief, patient attitudes about HT compared with OM, and how this may differ among patients with varied pretherapy pain levels.


Assuntos
Dor do Câncer/terapia , Massagem , Manejo da Dor/métodos , Toque Terapêutico , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos
19.
J Bodyw Mov Ther ; 22(2): 308-312, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29861224

RESUMO

Therapeutic touch is emphasized by healthcare professionals for improvement of neonates' growth and development. However, inconsistencies exist regarding effects and methods of massage in neonates. The purpose of this clinical trial is to assess and comprise intervention and control groups regarding the effects of tactile-kinesthetic stimulation (TKS) by mothers on growth indices of healthy term neonates. Sixty healthy term neonates were randomly assigned into intervention and control groups. Mothers of neonates in the experimental group were trained to perform TKS for their newborns at home before feeding for at least 28 consecutive days, two times a day, and 15 min each time. Neonates in the control group were not required to receive this intervention. The neonates' growth indices were measured within 24 h after birth, and then at days 14 and 28. During the study and the three consecutive measurements, no significant difference was found between the mean weights, heights, and head circumferences of the neonates in the two groups (p > 0.05).


Assuntos
Desenvolvimento Infantil/fisiologia , Mães , Toque Terapêutico/métodos , Adulto , Feminino , Humanos , Recém-Nascido , Masculino , Adulto Jovem
20.
Pediatr Crit Care Med ; 19(7): e358-e366, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29659416

RESUMO

OBJECTIVES: To examine the feasibility and acceptability of a PICU Soothing intervention using touch, reading, and music. DESIGN: Nonblinded, pilot randomized controlled trial. SETTING: The PICU and medical-surgical wards of one Canadian pediatric hospital. PATIENTS: Twenty PICU patients age 2-14 years old and their parents, randomized to an intervention group (n = 10) or control group (n = 10). INTERVENTION: PICU Soothing consisted of: 1) parental comforting (touch and reading), followed by 2) a quiet period with music via soft headbands, administered once daily throughout hospitalization. MEASUREMENTS AND MAIN RESULTS: Acceptability and feasibility of the intervention and methods were assessed via participation rates, observation, measurement completion rates, semistructured interviews, and telephone calls. Psychological well-being was assessed using measures of distress, sleep, and child and parent anxiety in the PICU, on the wards and 3 months post discharge. Forty-four percent of parents agreed to participate. Seventy percent and 100% of intervention group parents responded positively to comforting and music, respectively. Most intervention group parents (70%) and all nurses felt children responded positively. All nurses found the intervention acceptable and feasible. Measurement completion rates ranged from 70% to 100%. Pilot data suggested lower intervention group child and parent anxiety after transfer to hospital wards. CONCLUSIONS: PICU Soothing is acceptable and feasible to conduct. Results support the implementation of a full-scale randomized controlled trial to evaluate intervention effectiveness.


Assuntos
Atitude do Pessoal de Saúde , Estado Terminal/terapia , Pais/psicologia , Conforto do Paciente/métodos , Adolescente , Ansiedade/terapia , Criança , Pré-Escolar , Estado Terminal/psicologia , Feminino , Humanos , Unidades de Terapia Intensiva Pediátrica , Masculino , Musicoterapia/métodos , Projetos Piloto , Toque Terapêutico/métodos
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