Effects of Massage in Reducing the Pain and Anxiety of the Cardiac Surgery Critically Ill—a Randomized Controlled Trial

Boitor, Mădălina; Martorella, Géraldine; Maheu, Christine; Laizner, Andréa Maria; Gélinas, Céline

doi:10.1093/pm/pny055

Cited by 45 publications

(27 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Efficacy of individual modalities has been studied to an extent in randomized trials with specific patient populations. [7][8][9][10][11][12] A 2004 study observationally assessed the effectiveness of massage on pain in for IM delivered clinically in the inpatient setting, 30 and a 2016 protocol described an effectiveness study of acupuncture provided as part of routine inpatient care for pain and symptom management. 31 A strength of this study is the inclusion of patients across the hospital, and an individualized IM approach rather than specific modalities provides a valuable practice-based perspective.…”

Section: Discussionmentioning

confidence: 99%

“…2 Although much research on integrative medicine (IM) modalities (e.g., massage, acupuncture, meditation) has been conducted in outpatient populations, 3 meta-analyses [4][5][6] and randomized controlled studies suggest that acupuncture, massage, and mind-body therapies, as provided adjunctively to conventional pain management, result in reduced pain for specific populations of inpatients, primarily postsurgical populations. [7][8][9][10][11][12] While assessment of efficacy via randomized trials provides valuable evidence for how well various IM modalities work in controlled settings, these studies do not capture the more variable contexts appropriate for clinical practice. Effectiveness research, that is, using observational study designs, is appropriate for practice-based research in realworld settings where interventions already have been implemented and/or are subjected to inherent variability and flexibility.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Significant Pain Reduction in Hospitalized Patients Receiving Integrative Medicine Interventions by Clinical Population and Accounting for Pain Medication

Dusek

Rivard

Griffin

et al. 2021

The Journal of Alternative and Complementary Medicine

View full text Add to dashboard Cite

Background: Prior research has reported that integrative medicine (IM) therapies reduce pain in inpatients, but without controlling for important variables. Here, the authors extend prior research by assessing pain reduction while accounting for each patient's pain medication status and clinical population.Methods: The initial data set consisted of 7,106 inpatient admissions, aged ‡18 years, between July 16, 2012, and December 15, 2014. Patients' electronic health records were used to obtain data on demographic, clinical measures, and pain medication status during IM.Results: The final data set included first IM therapies delivered during 3,635 admissions. Unadjusted average pre-IM pain was 5.33 (95% confidence interval [CI]: 5.26 to 5.41) and post-IM pain was 3.31 (95% CI: 3.23 to 3.40) on a 0-10 scale. Pain change adjusted for severity of illness, clinical population, sex, treatment, and pain medication status during IM was significant and clinically meaningful with an average reduction of -1.97 points (95% CI: -2.06 to -1.86) following IM. Adjusted average pain was reduced in all clinical populations, with largest and smallest pain reductions in maternity care (-2.34 points [95% CI: -2.56 to -2.14]) and orthopedic (-1.71 points [95% CI: -1.98 to -1.44]) populations. Pain medication status did not have a statistically significant association on pain change. Decreases were observed regardless of whether patients were taking narcotic medications and/or nonsteroidal anti-inflammatory drugs versus no pain medications.Conclusions: For the first time, inpatients receiving IM reported significant and clinically meaningful pain reductions during a first IM session while accounting for pain medications and across clinical populations. Future implementation research should be conducted to optimize identification/referral/delivery of IM therapies within hospitals.Clinical Trials.gov #NCT02190240.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Significant Pain Reduction in Hospitalized Patients Receiving Integrative Medicine Interventions by Clinical Population and Accounting for Pain Medication

Dusek

Rivard

Griffin

et al. 2021

The Journal of Alternative and Complementary Medicine

View full text Add to dashboard Cite

show abstract

“…The results showed that back massage can be effective in reducing anxiety components (physical, cognitive and behavioral). Similarly, the study by Boitor et al showed that massage is effective in reducing pain and anxiety in patients after [25]. In the study of Atashi et al and also in the study of Mohammadpour et al, the effect of Slow Stroke Back Massage (SSBM) on reducing anxiety in patients with stroke and patients undergoing cataract surgery has been mentioned [28,29].…”

Section: Discussionmentioning

confidence: 99%

“…One of the massage techniques is Swedish massage A therapy, which was used to reduce anxiety [22]. The anxiolytic effects of massage have been confirmed in a variety of cases, including primiparous women, post-operative cardiac surgery patients, and patients with heart failure [24][25][26]. Since the effect of massage on reducing anxiety of mothers with preterm infants has not been investigated so far, this study aimed to investigate this issue.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Back Massage on Anxiety Components of Mothers With Preterm Infants

2020

View full text Add to dashboard Cite

Objective Upon hospitalization of a premature infant immediately after giving birth, mothers would experience high levels of anxiety. One of the essential non-pharmacological interventions to control the anxiety is massage. The purpose of this study was to investigate the effect of massage on the anxiety of mothers with preterm infants. Methods In this experimental research, 140 samples were selected based on inclusion criteria using a convenience sampling method and then put in two groups of back massage and one control group. The tools for collecting the data were demographic questionnaire and Lehrer & Woolfolk's somatic, cognitive, and behavioral anxiety inventory. The data were analyzed using descriptive (Mean±SD) and inferential statistics tests (Chi-square, independent t-test, paired t-test, Fisher, and covariance analysis) by SPSS V. 13. Results The mean scores of somatic, cognitive, and behavioral anxiety components showed significant differences before and after the intervention in the massage group (P<0.05). There was also a significant difference between the mean anxiety after the intervention (P<0.05). Conclusion The obtained results indicate that the back massage method is effective in reducing the components of somatic, cognitive, and behavioral anxiety. Hence, this method may be utilized to reduce the anxiety of mothers with premature infants.

show abstract

“…3 Massage therapy, when done consistently, has been shown to reduce visual numeric pain scores by up to 2 points. [33][34][35] Massage is typically paired with decreasing sensory stimuli such as dimming lights and either muting alarms or decreasing the volume and providing earplugs or an eye mask to the patient. 3 This is often seen as a barrier to implementation of a massage protocol, given frequent disruptions in an ICU setting.…”

Section: Massage Therapymentioning

confidence: 99%

Current Perspectives on the Assessment and Management of Pain in the Intensive Care Unit

Nordness¹,

Hayhurst²,

Pandharipande³

2021

JPR

View full text Add to dashboard Cite

Critical illness is often painful, both from the underlying source of illness, as well as necessary procedures performed for the monitoring and care of these patients. Pain is often under-recognized in the critically ill, especially among those who cannot self-report, so accurate assessment and management continue to be major consideration in their care. Pain management in the intensive care unit (ICU) is an evolving practice, with a focus on accurate and frequent pain assessment, and targeted pharmacologic and non-pharmacologic treatment methods to maximize analgesia and minimize sedation. In this review, we will evaluate several validated methods of pain assessment in the ICU and present management options. We will review the evidence-based recommendations put forth by the largest critical care societies and several high-quality studies related to both the in-hospital approach to pain, as well as the short- and long-term consequences of untreated pain in ICU patients. We conclude with future directions.

show abstract

Effects of Massage in Reducing the Pain and Anxiety of the Cardiac Surgery Critically Ill—a Randomized Controlled Trial

Abstract: Findings suggest that a 20-minute hand massage in addition to routine postoperative pain management can concomitantly reduce pain intensity, pain unpleasantness, and anxiety by two points on average on a 0-10 scale.

Cited by 45 publications

References 49 publications

Significant Pain Reduction in Hospitalized Patients Receiving Integrative Medicine Interventions by Clinical Population and Accounting for Pain Medication

Significant Pain Reduction in Hospitalized Patients Receiving Integrative Medicine Interventions by Clinical Population and Accounting for Pain Medication

The Effect of Back Massage on Anxiety Components of Mothers With Preterm Infants

Current Perspectives on the Assessment and Management of Pain in the Intensive Care Unit

Contact Info

Product

Resources

About