A randomized trial of massage therapy after heart surgery

Albert, Nancy M.; Gillinov, A. Marc; Lytle, Bruce W.; Feng, Jingyuan; Cwynar, Roberta E.; Blackstone, Eugene H.

doi:10.1016/j.hrtlng.2009.03.001

Cited by 64 publications

(59 citation statements)

References 41 publications

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“…The decrease in SAP is in accordance with reports [47][48][49][50][51][52][53] of interventions consisting of music or massage. The intervention did not evoke unfavorable hemodynamic effects; SAP and MAP were maintained within the normal reference range.…”

Section: Discussionsupporting

confidence: 91%

Effects of an Integrative Nursing Intervention on Pain in Critically Ill Patients: A Pilot Clinical Trial

Papathanassoglou¹,

Hadjibalassi²,

Miltiadous³

et al. 2018

Am J Crit Care

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Background Pain, a persistent problem in critically ill patients, adversely affects outcomes. Despite recommendations, no evidence-based nonpharmacological approaches for pain treatment in critically ill patients have been developed. Objectives To investigate the effects of a multimodal integrative intervention on the incidence of pain and on secondary outcomes: intensity of pain, hemodynamic indices (systolic and mean arterial pressure, heart rate), anxiety, fear, relaxation, optimism, and sleep quality. Methods A randomized, controlled, double-blinded repeated-measures trial with predetermined eligibility criteria was conducted. The intervention included relaxation, guided imagery, moderate pressure massage, and listening to music. The primary outcome was incidence of pain (score on Critical Care Pain Observation Tool > 2). Other outcomes included pain ratings, hemodynamic measurements, self-reported psychological outcomes, and quality of sleep. Repeated-measures models with adjustments (baseline levels, confounders) were used. Results Among the 60 randomized critically ill adults in the sample, the intervention group experienced significant decreases in the incidence (P = .003) and ratings of pain (P < .001). Adjusted models revealed a significant trend for lower incidence (P = .002) and ratings (P < .001) of pain, systolic arterial pressure (P < .001), anxiety (P = .01), and improved quality of sleep (P = .02). Conclusion A multimodal integrative intervention may be effective in decreasing pain and improving painrelated outcomes in critically ill patients. (American Journal of Critical Care. 2018; 27:172-185) EFFECTS OF Unrelieved pain is common among ICU patients and may compromise outcomes, by contributing to unstable hemodynamic parameters, hypercatabolism, hyperglycemia, infections, delirium, and posttraumatic stress. 2 Pain in ICU patients may also be part of a vicious circle implicating anxiety 3 and insomnia. 4 Moreover, pain has been linked to the post-ICU syndrome 5 and may become chronic in survivors, a situation associated with poor quality of life and poor psychological and physiological outcomes. 6Management of pain in patients with a critical illness is challenging.7 Opioids, the drug class of choice, are associated with marked side effects, including respiratory depression, hypotension, decreased gastrointestinal motility, delirium, and higher costs due to increased use of resources and prolonged stay in the ICU.8 Nociception, the perception of painful stimuli, entails a complex interaction among sensory, affective, and social components.9 Moreover, anxiety, fear, and negative expectations are common in critically ill patients and may contribute to heightened perception of pain.10 Thus, the multifactorial nature of ICU pain calls for approaches that address both physiological and psychosocial responses to pain. Current guidelines highlight the need to test and implement nonpharmacological strategies for pain treatment in critically ill patients.2 Interventions that elicit a relaxation ...

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Section: Discussionsupporting

confidence: 91%

Effects of an Integrative Nursing Intervention on Pain in Critically Ill Patients: A Pilot Clinical Trial

Papathanassoglou¹,

Hadjibalassi²,

Miltiadous³

et al. 2018

Am J Crit Care

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“…19 Breathing rate had no significant change. 30 Albert et al 16 found no marked change in anxiety levels. Outcomes of physiological indicators showed disparities.…”

Section: Discussionmentioning

confidence: 95%

“…15 However, a randomized clinical study demonstrated that 30-minute massage therapy sessions after cardiac surgery did not improve psychometrics (e.g., anxiety and depression) or physical condition (e.g., heart rate and BP). 16 While there have been multiple studies examining the effects of massage on the treatment of various medical conditions, there has been no research done to investigate whether back massage reduces anxiety and improves physiologic response in patients with CHF. The aims of this study were to investigate whether back massage could alleviate anxiety and discomfort, and improve physiologic indicators in patients with CHF (BP, heart beat, breathing rate, oxygen saturation) and whether gender and the severity of CHF influenced the effectiveness of back massage.…”

Section: Introductionmentioning

confidence: 99%

Effect of Back Massage Intervention on Anxiety, Comfort, and Physiologic Responses in Patients with Congestive Heart Failure

Chen

Liu

Yeh

et al. 2013

The Journal of Alternative and Complementary Medicine

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Background: Patients suffering from congestive heart failure (CHF) frequently feel physical suffering and anxiety. Objectives: The researchers investigated whether back massage could reduce anxiety, discomfort, and physical suffering in patients with CHF. The effects of gender and severity-dependent response of back massage on anxiety and discomfort in patients were also analyzed. Design: The study used a quasi-experimental design with one group pretest and posttest. Participants: Sixty-four participants were recruited in southern Taiwan. Outcome measures: The modified State Anxiety Inventory, the discomfort Visual Analogue Scale, electronic blood pressure (BP) gauges, stethoscopes and the pulse oximetry were used in this study. Results: The participants' systolic BP (F (3, 189) = 18.91, p < 0.01), diastolic BP (F (3, 189) = 13.40, p < 0.01), heart rate (F (3, 189) = 26.28, p < 0.01), and respiratory rates (F (3, 189) = 5.77, p < 0.01) were significantly decreased after back massage. Oxygen saturation levels showed significant increases (F (3, 189) = 42.82, p < 0.01). Male participants revealed a more significant reduction in anxiety than the female participants (F (1, 50) = 7.27, p = 0.01). Those with more severe heart failure and greater levels of anxiety (F (2, 61) = 4.31, p = 0.02) and systolic BP (F (2, 61) = 3.86, p = 0.03) demonstrated significantly greater responses to back massage. Conclusions: Back massage significantly reduced anxiety in the study population. Systolic BP decreased to a greater degree in the male participants, particularly in those with severe heart failure and greater levels of anxiety and higher systolic BP. This study was conducted without a control group. Randomized clinical trials are needed to validate the effectiveness of back massage on patients with CHF.

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“…The results of Mirzaei et al, study (2008), which was conducted on prenatal women, showed that reflexology led to anxiety reduction in the intervention group 12 . The results of Sadat Hosseini et al, study (2010) confirmed the impact of massage on pre-anxiety disorder in children aged 7 -11 years 13 ; both studies turned out to be significant with the findings of the present study.…”

Section: Discussionmentioning

confidence: 96%

Untitled

2018

IJPSR

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Introduction: Based on the results of formerly conducted studies, the application of invasive methods, such as blood transfusion, for the treatment of children with thalassemia cause distress and anxiety symptoms in these children; therefore, it is attempted to apply non-invasive, non-pharmacological, simple, and inexpensive nursing practice to improve these deficiencies. Thus, the present study was conducted to investigate the effect of foot reflexology massage on anxiety caused by blood transfusion in children with Thalassemia. Methodology: The present quasi-experimental study was carried out on 60 children with thalassemia who qualified according to inclusion criteria. Patients were randomly divided into three groups of intervention (recipient of reflexology massage), placebo (common massage), and control. The anxiety level of the patients with the anxiety scale was evaluated based on the obsessive-compulsive disorder (osbd-r) 20 minutes before transfusion. Patients of intervention group received 10 minutes of reflexology massage and those categorized in placebo group received 10 minutes of common massage. After transfusion, the anxiety level of the patients was measured; collected data was analyzed through SPSS22, paired t-test and ANOVA. Findings: There was a significant difference between the mean anxiety score of the patients in the intervention and placebo groups before and after the intervention (P < 0.05). However, in the control group, the anxiety score of the patients before and after intervention was not significantly different (P > 0.05). There was no significant difference between the mean score of anxiety in the three groups before intervention (P > 0.05). Subsequently, there was a significant difference between the mean score of anxiety in the three groups after intervention (P < 0.05). Conclusion: based on the findings of the present study, foot reflexology and common massage are quite helpful in reducing the anxiety of children with blood thalassemia. It is easy and cost-free to use this method to educate them on the parents of children with thalassemia, an effective step to reduce the anxiety of these children and for any other patient who might be suffering from anxiety for any miscellaneous reasons.

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A randomized trial of massage therapy after heart surgery

Cited by 64 publications

References 41 publications

Effects of an Integrative Nursing Intervention on Pain in Critically Ill Patients: A Pilot Clinical Trial

Effects of an Integrative Nursing Intervention on Pain in Critically Ill Patients: A Pilot Clinical Trial

Effect of Back Massage Intervention on Anxiety, Comfort, and Physiologic Responses in Patients with Congestive Heart Failure

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