The Effects of Hand Massage on Stress and Agitation Among People with Dementia in a Hospital Setting: A Pilot Study.

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State: Public
Version: Final published version
License: Not specified
Serval ID
serval:BIB_A529CB5ED27A
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
The Effects of Hand Massage on Stress and Agitation Among People with Dementia in a Hospital Setting: A Pilot Study.
Journal
Applied psychophysiology and biofeedback
Author(s)
Schaub C., Von Gunten A., Morin D., Wild P., Gomez P. (co-last), Popp J.
ISSN
1573-3270 (Electronic)
ISSN-L
1090-0586
Publication state
Published
Issued date
12/2018
Peer-reviewed
Oui
Volume
43
Number
4
Pages
319-332
Language
english
Notes
Publication types: Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Agitation in people with dementia is a growing concern as it causes distress for both patients and their nurses and may contribute to relational disorders. Previous studies involving patients with dementia living in long-term care facilities have reported decreased agitation following massage. The objective of this pilot study was to investigate the effect of hand massage on agitation and biological markers of stress in patients with dementia hospitalized in an acute geriatric psychiatry service. In this randomized controlled trial we included 40 agitated patients with dementia with an intervention group and a control group. The study is designed to test the effect of seven hand massages over three continuous weeks on agitation and levels of salivary cortisol (sC) and alpha-amylase (sAA). Compared to the control group, the intervention group exhibited larger increases in sC and sAA at week 1 from before to after the massage, but larger decreases at week 2 and 3, with a significant group effect for sAA at week 2. Agitation scores were not significantly different between the groups but tended to decrease more in the intervention group than the control group. This study provides first encouraging results suggesting that hand massage might have beneficial effects on stress and agitation in hospitalized patients with dementia. It also highlights the challenges associated with conducting such studies with this complex patient population. Further studies are needed to confirm these findings and the benefits of hand massage as part of routine care for patients with dementia.
Keywords
Aged, Aged, 80 and over, Biomarkers, Dementia/complications, Dementia/rehabilitation, Female, Humans, Male, Massage/methods, Pilot Projects, Psychomotor Agitation/etiology, Psychomotor Agitation/rehabilitation, Saliva/metabolism, Stress, Psychological/etiology, Stress, Psychological/metabolism, Stress, Psychological/rehabilitation, Agitation, Dementia, Hand massage, Salivary biomarkers, Stress
Pubmed
Web of science
Open Access
Yes
Create date
20/09/2018 11:08
Last modification date
21/02/2020 7:19
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