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The effect of Therapeutic Touch on Back Pain in Adults on a Neurological Unit: An Experimental Pilot Study
Institution:1. UMIT – The Health & Life Sciences University, Department of Nursing Science and Gerontology, Tyrol, Austria;2. University Hospital Graz, Graz, Austria;1. School of Health Sciences, Wuhan University, Wuhan, Hubei, China;2. Department of General Surgery, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China;3. Department of Public Health, the Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China;1. Department of Psychiatry, SUNY Stony Brook, Stony Brook, New York;2. Benson-Henry Institute for Mind Body Medicine at Massachusetts General Hospital, Boston, Massachusetts;3. Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts;1. School of Medicine, University of Sao Paulo, Brazil;3. School of Medicine, Metropolitan Institute of Higher Education, Minas Gerais, Brazil;1. Nursing Department, Faculty of Health Sciences, Bahçeşehir University, Istanbul, Turkey;2. Pediatric Nursing Department, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpaşa, Istanbul, Turkey;3. Health Sciences University Bursa Higher Specialization Training and Research Hospital, Neonatology Department, Bursa, Turkey;1. Erciyes University, Faculty of Health Sciences, Department of Nursing, Kayseri, Kayseri, Turkey;2. Erciyes University Faculty of Medicine, Department of Internal Medicine, Kayseri, Kayseri, Turkey;3. Erciyes University Faculty of Medicine, Şahinur Dedeman Bone Marrow Transplantation and Stem Cell Therapy Center, Kayseri, Kayseri, Turkey
Abstract:BackgroundChronic 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.AimsThe aim of this pilot study was to investigate the pain-relieving effect of Therapeutic Touch in adult neurologic patients with back pain.DesignA pretest–post-test randomized controlled trial.SettingsA university hospital in Austria.Participants/SubjectsPatients with back pain diagnosis (N = 29) on hospital admission.MethodsA 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.ResultsPain 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).ConclusionsTherapeutic Touch seems to be a noninvasive nursing intervention for back pain management to provide more professional patient care.
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