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Author Topic: Effect of therapeutic touch on sleep quality and anxiety in individuals with chr  (Read 110 times)

YanTing

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Complement Ther Clin Pract. 2021 Nov;45:101481
Effect of therapeutic touch on sleep quality and anxiety in individuals with chronic obstructive pulmonary disease: A randomized controlled trial

Mehmet Ali Çaliskan, Birgül Cerit

Bolu Abant Izzet Baysal University, Health Sciences Faculty Nursing Department, 14030, Bolu, Turkey.

Abstract

Purpose: The purpose is to determine the effect of therapeutic touch (TT) on the sleep quality and anxiety of individuals with chronic obstructive pulmonary (COPD) disease.
Methods: 103 patients were randomized in to the two groups: the experimental group, and the control group. In this randomized control study, the patients with COPD in the experimental group were given TT for 10 min between 18:00 and 20:00, one session every day for three consecutive days.
Results: When the experimental group was compared to control group following the intervention, the decrease in the levels of anxiety (p < 0.001) and increase in the sleep quality (p < 0.001) were found to be significant.
Conclusion: As a result of the study, it was determined that TT reduced anxiety level and improved sleep quality in individuals with chronic obstructive pulmonary disease.

https://www.sciencedirect.com/science/article/abs/pii/S1744388121001808

Excerpts:

"Therapeutic touch is an energy transfer process based on the assumption that every living organism in the universe has an energy field, and these energy fields interact with each other and can be changed by practices made with volitional and certain intent [16,17]. TT is an independent nursing practice first applied and developed by nurses Dora Kunz and Dolores Krieger in 1972 [18]. TT is also an art of concentration in which the therapist focuses on consciousness to create balance and coordination in the mutual energy fields of the patient and the environment and using their hands to transfer energy [19]. The fact that TT is easy to use, is non-invasive, has no known side effects, is low cost, and its recent increasing frequency of use among nurses shows that it is a powerful alternative to other CAT methods [18,20]. While there are studies that in different patient groups are showing that TT reduces anxiety [21,22], relieves nausea and vomiting [23,24], relieves pain and fatigue [18,25], improves sleep quality [26,27], and increases hemoglobin and hematocrit levels [28], there are no studies conducted patients with COPD."

"As a matter of fact, the premise is that TT, which has been proven to be effective with anxiety and sleep quality in other patient groups, can also be effective in patients with COPD."

"The patients in the experimental group were taken to a quiet room (along with her relative if they were willing to be present in the room) for TT application. The patient was asked to sit on a chair, close her eyes, and start taking deep breaths slowly without thinking of anything. Then, TT application was carried out by the first researcher who had a TT practice certificate. As a result of the literature review, since it was accepted as the most appropriate time to examine the effect of TT on sleep quality, the patients with COPD in the experimental group were applied TT for 10 min between 18:00 and 20:00, one session every day for three consecutive days [21,[34], [35], [36]]."

"Routine nursing care of chest diseases clinic was provided to the patients in the experimental and control groups by the nurses working in the chest diseases clinic."

"It is thought that the positive effect of TT on anxiety may have emerged as a reflection of the individual's calming, relaxation, mental and physical relief, and increased comfort after TT application."

"In this study, a significant difference was found between the groups in terms of average sleep quality scores after TT application, and the sleep quality of the individuals in the experimental group showed a significant increase compared to the individuals in the control group."

"Based on the results obtained from this research, it can be said that nurses can use TT as a method to help patients with COPD."

"It is clearly seen that TT has more positive effects on the target group when applied more than once. In this respect, it can be said that it would be more appropriate to apply TT at least three times in alleviating the symptoms of anxiety and sleep disorders in COPD patients."

"It has been determined that TT, which is among traditional and complementary therapies, is effective in reducing anxiety and improving sleep quality in patients hospitalized in the chest diseases clinic. The fact that TT has no negative effects and is a non-pharmacological intervention suggests that nurses can easily integrate it into their care activities and apply them independently. According to the results of the study, it is recommended that nurses working in chest diseases clinic use TT, in their interventions due to its effect on reducing anxiety and improving sleep quality. Nurses working in the clinic should be encouraged to introduce TT, which is new in Turkey and unknown by many people, and these nurses should receive TT training."



Comments - this paper has the usual problems:

1. There is no acknowledgment that therapeutic touch is regarded as scientifically impossible, or even that it is controversial.

2. There is no proper control group (sham therapeutic touch); the control group only got usual care. Any benefits can be attributed to placebo effects.
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