- The effective of court-type Thai massage (CTTM) in healing pressure ulcer
2007-2011 Bachelor of Nursing Science Affiliated to Mahidol Universit
2015 - Present Master of Science Program of Anti-Aging and Regenerative Medicine Faculty of Applied Science at Dhurakij Pundit University
2018 - Present Master of Nursing Science Program in Community Nurse Practitioner at Mahidol University
2011 - 2014 Bamrasnaradura Infectious Diseases Institute
2015 - Present Thai Traditional and Integrated Medicine Hospital of Department for Development of Thai Traditional and Alternative Medicine Ministry of Public Health.
“The effective of court-type Thai massage (CTTM) in healing pressure ulcer”
Background: Pressure ulcer (PC) is one of the major health problems in the hospital. Patients with impaired mobility are potentially at risk of developing a pressure ulcer. PC represents a major burden of sickness for families, hospitals and countries as it requires high treatment cost. This study aimed to explore the Thai traditional procedure that could promote the healing of PC. According to Thai Traditional medicine theory, there are major signal points that deliver blood and nerve supply to the organs. This study applied this theory to provide treatment to patients with PC.
Objective: To investigate the effectiveness of court-type Thai massage (CTTM) on the promotion of PC healing.
Study design: The randomized cross-over controlled trail was performed in 20 patients with stage 2-3 PC in elderly care centers in Bangkok and Nonthaburi. The patients were divided into 2 groups. The first group received CTTM six times, three times a week for 14 days and the no treatment period was 28 days after the first phase. The second group stated with 21 days of no treatment period and followed by CTTM for 21 days as first group. Then received CTTM six times, three times a week for 14 days after no treatment period. The healing effect was measured by Bates Jensen Wound Assessment treatment (BWAT) at day 0, 7, 14, 21, 28, 35 and 42. T-test was employed to compare healing effect between two groups whereas paired t-test was done to measure before-after effects in healing.
Study result: The first group had the higher healing scores significantly (p=0.000) in the first period which had treatment, but it was not different during day 7-14 and 14-42 (p= 0.187, 0.654 respectively). In the second group, the healing was higher significantly during day 21-28 and 28-35 (p= 0.012, 0.028 respectively) which had treatment period. Like the first group, the healing was not significant in day 0-21 (p= 0.069). The result showed that CTTM help to speed up the healing of PC.
Conclusion: CTTM help promoting healing of PC regardless of time proving CTTM because the stimulation of major signal points would reduce muscle stretch and improve blood circulation.
Key words: court-type Thai massage, pressure ulcer, BWAT