Abstract：
:As many as 50% of end-stage cancer patients will develop ascites and associated symptoms, including pain, tiredness, nausea, depression, anxiety, drowsiness, loss of appetite, dyspnea, perceived abdominal bloating, and immobility. Abdominal massage may stimulate lymph return to the venous system and reduce ascites-related symptoms. The purpose of this study was to test the effect of abdominal massage in reducing these symptoms and reducing ascites itself as reflected in body weight. For a randomized controlled design using repeated measures, a sample of 80 patients with malignant ascites was recruited from gastroenterology and oncology units of a medical center in northern Taiwan and randomly assigned to the intervention or the control group. A 15-minute gentle abdominal massage, using straight rubbing, point rubbing, and kneading, was administered twice daily for 3 days. The control group received a twice-daily 15-minute social interaction contact with the same nurse. Symptoms and body weight were measured in the morning for 4 consecutive days from pre- to post-test. In generalized estimation equation modeling, a significant group-by-time interaction on depression, anxiety, poor wellbeing, and perceived abdominal bloating, indicated that abdominal massage improved these four symptoms, with the greatest effect on perceived bloating. The intervention had no effect on pain, tiredness, nausea, drowsiness, poor appetite, shortness of breath, mobility limitation, or body weight. Abdominal massage appears useful for managing selected symptoms of malignant ascites.
journal_name
Res Nurs Healthjournal_title
Research in nursing & healthauthors
Wang TJ,Wang HM,Yang TS,Jane SW,Huang TH,Wang CH,Lin YHdoi
10.1002/nur.21637subject
Has Abstractpub_date
2015-02-01 00:00:00pages
51-9issue
1eissn
0160-6891issn
1098-240Xjournal_volume
38pub_type
杂志文章,随机对照试验abstract：:A step-wise description of a self-report instrument to measure interpersonal conflict between marital partners illustrates the primary aspects of the development of a psychometric tool. Definition of the construct to be measured, formulation and classification of items, and appropriate methods to establish validity an...
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