Tactile touch in intensive care: Nurses' preparation, patients' experiences and the effect on stress parameters

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MARC

Henricson, Maria,1972-Högskolan i Borås,Karlstads universitet,Avdelningen för omvårdnad,University College of Borås. School of Health Sciences,Institutionen för Vårdvetenskap (author)

Tactile touch in intensive care : Nurses' preparation, patients' experiences and the effect on stress parameters

BookEnglish2008

Publisher, publication year, extent ...

Borås :Karlstads universitet,2008
91 s.
electronicrdacarrier

Numbers

LIBRIS-ID:oai:DiVA.org:kau-1636
ISBN:9789185659159
https://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-1636URI
https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-17138URI
https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-3467URI

Supplementary language notes

Language:English
Summary in:English

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SwePubSwePub

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Subject category:vet swepub-contenttype
Subject category:dok swepub-publicationtype

Series

Skrifter från Högskolan i Borås,0280-381X ;11

Notes

Borås: Högskolan i Borås, Institutionen för vårdvetenskap. Karlstad: Karlstads Universitet, Avdelningen för omvårdnad.
För avläggande av filosofie doktorsexamen i omvårdnad, som medtillstånd av Fakultetsnämnden vid Fakulteten för samhälls- och livsvetenskaper vidKarlstads universtitet framläggs till offentlig granskning fredagen den 18 april 2008 kl.10:00M204, Högskolan i Borås.
Aim: The overall aim of this thesis was to acquire knowledge about whether tactile touch as a complementary method can (i) promote comfort and (ii) reduce stress reactions during care in an intensive care unit (ICU) Method: In Paper I, five nurses with a touch therapist training were interviewed about their experiences of preparation before giving tactile touch in an ICU. To analyse the meaning of preparation as a phenomenon, Giorgi’s descriptive phenomenological approach was used. In Paper II and III a randomised controlled trial was set up to investigate the effects of a five-day tactile touch intervention on patients’ oxytocin levels in arterial blood (II), on patients’ blood pressure, heart rate and blood glucose level, and on patients’ levels of anxiety, sedation and alertness (III). Forty-four patients were randomised to either an intervention group (n = 21) or a control group (n = 23). Data were analysed with non-parametric statistics. In Paper IV, six patients who had received the tactile touch intervention were interviewed to illuminate the experience of receiving tactile touch during intensive care. To gain a deeper understanding of the phenomenon and to illuminate the meaning, Ricoeur’s phenomenological hermeneutical method, developed by Lindseth and Norberg, was used. Findings: The nurses need four constituents (inner balance, unconditional respect for the patients’ integrity, a relationship with the patient characterized by reciprocal trust and a supportive environment) to be prepared and go through the transition from nurse to touch therapist (I). In the intervention study, no significant differences were shown for oxytocin levels between intervention and control group over time or within each day (II). There were significantly lower levels of anxiety for patients in the intervention group. There were no significant differences between the intervention and control groups for blood pressure, heart rate, the use of drugs, levels of sedation or blood glucose levels (III). The significance of receiving tactile touch during intensive care was described as the creation of an imagined room along with the touch therapist. In this imagined room, the patients enjoyed tactile touch and gained hope for the future (IV). Conclusion: Nurses needed internal and external balance to be prepared for providing tactile touch. Patients did not notice the surroundings as much as the nurses did. Patients enjoyed the tactile touch and experienced comfort. The impact on stress parameters were limited, except for levels of anxiety which declined significantly. The results gave some evidence for the benefit of tactile touch given to patients in intensive care.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Anestesi och intensivvård hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Anesthesiology and Intensive Care hsv//eng
Tactile touch
intensive care
stress
oxytocin
complementary method
nursing
preparation
randomised controlled trial
comfort
lifeworld research
narratives
Nursing
Omvårdnad
Nursing Science
Omvårdnad

Added entries (persons, corporate bodies, meetings, titles ...)

Fridlund, Bengt,ProfessorJönköping University, HHJ, Avdelningen för omvårdnad (opponent)
Segesten, Kerstin (thesis advisor)
Berglund, Anna-Lena (thesis advisor)
Määttä, Sylvia (thesis advisor)
Karlstads universitetAvdelningen för omvårdnad (creator_code:org_t)

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