Feasibility and acceptability of hand massage therapy for pain management of postoperative cardiac surgery patients in the intensive care unit

Martorella, Géraldine; Boitor, Mădălina; Michaud, Cécile; Gélinas, Céline

doi:10.1016/j.hrtlng.2014.06.047

Cited by 31 publications

(25 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…While the administration of pleasant and potentially beneficial interventions [42] can help minimize attrition rates in the experimental and active control groups, the use of standard care with rest only could cause higher withdrawals in this group and subsequently increase the risk of attrition bias. In order to counter such bias and as an incentive to make participation in the study more attractive, patients will be informed that hand massage can be offered to those assigned to the active or passive control groups at the end of data collection, if desired.…”

Section: Discussionmentioning

confidence: 99%

“…Nurses and other ICU clinicians will also be masked to patients’ group assignment. The similarity of the hand massage and hand-holding therapy characteristics serves to mask study participants and clinicians with regard to the specific intervention received as observed in a feasibility and acceptability study where patients receiving hand-holding referred to the intervention as massage [42]. Conversely, patients in the rest group are less likely to be masked to the group assigned.…”

Section: Methodsmentioning

confidence: 99%

“…Additionally, the interventionist will be trained on the assessment of muscle tension. To enhance rigor, standardized hand massage and hand-holding will be ensured by training the interventionist on the administration of these therapies and by using a camera to monitor the consistency and fidelity with which each of these interventions is delivered [42]. …”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

The Effectiveness of Hand Massage on Pain in Critically Ill Patients After Cardiac Surgery: A Randomized Controlled Trial Protocol

et al. 2016

Self Cite

View full text Add to dashboard Cite

BackgroundPostoperative pain is common in the intensive care unit despite the administration of analgesia. Some trials suggest that massage can be effective at reducing postoperative pain in acute care units; however, its effects on pain relief in the intensive care unit and when pain severity is highest remain unknown.ObjectiveThe objective is to evaluate the effectiveness of hand massage on the pain intensity (primary outcome), unpleasantness and interference, muscle tension, anxiety, and vital signs of critically ill patients after cardiac surgery.MethodsA 3-arm randomized controlled trial will be conducted. A total of 79 patients who are 18 years or older, able to speak French or English and self-report symptoms, have undergone elective cardiac surgery, and do not have a high risk of postoperative complications and contraindications to hand massage will be recruited. They will be randomly allocated (1:1:1) to standard care plus either 3 20-minute hand massages (experimental), 3 20-minute hand holdings (active control), or 3 20-minute rest periods (passive control). Pain intensity, unpleasantness, anxiety, muscle tension, and vital signs will be evaluated before, immediately after, and 30 minutes later for each intervention administered within 24 hours postoperatively. Peer-reviewed competitive funding was received from the Quebec Nursing Intervention Research Network and McGill University in December 2015, and research ethics approval was obtained February 2016.ResultsRecruitment started in April 2016, and data collection is expected to be complete by January 2017. To date, 24 patients were randomized and had data collection done.ConclusionsThis study will be one of the first randomized controlled trials to examine the effect of hand massage on the pain levels of critically ill patients after cardiac surgery and to provide empirical evidence for the use of massage among this population.ClinicalTrialClinicalTrials.gov NCT02679534; https://clinicaltrials.gov/ct2/show/NCT02679534 (Archived by WebCite at http://www.webcitation.org/6l8Ly5eHS)

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

The Effectiveness of Hand Massage on Pain in Critically Ill Patients After Cardiac Surgery: A Randomized Controlled Trial Protocol

et al. 2016

Self Cite

View full text Add to dashboard Cite

show abstract

“…19 Interpersonal touch or massage is a powerful means of modulating emotion, triggering neuroendocrine and immune effects, vagal stimulation, and a reduction in stress, pain, and depression. 21 Recent evidence 22 suggests that nonpharmacological interventions for pain, such as hand massage, may be feasible and acceptable in critical care settings. Moreover, both families of ICU patients and nurses seem to regard nonpharmacological interventions as relevant and feasible approaches for relief of ICU pain.…”

Section: Literature Review and Definitionsmentioning

confidence: 99%

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

View full text Add to dashboard Cite

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 ...

show abstract

“…While the benefits of touch extend to touch interventionists such as family members (Prichard & Newcomb, ), who may be well placed to deliver touch interventions (Hill, ), we restricted the review to patient outcomes following stakeholder opinion that relatives would be more motivated to use the intervention on the basis of evidence supporting patient benefits. We chose not to focus on intervention duration because we considered that short interventions (e.g., 10 min) would be preferable to minimize clinical interruptions (Martorella, Boitor, Michaud, & Gélinas, ). Additionally, while recognizing that light and moderate pressure touch activate different neurophysiological pathways (Olausson et al, ), because of stakeholder concerns about safety, we chose not focus on pressure because forceful massage techniques are associated more frequently with serious, although rare, adverse events (Ernst, ; Posadzki & Ernst, ).…”

Section: Designmentioning

confidence: 99%

Interpersonal touch interventions for patients in intensive care: A design‐oriented realist review

et al. 2018

View full text Add to dashboard Cite

Aim To develop a theoretical framework to inform the design of interpersonal touch interventions intended to reduce stress in adult intensive care unit patients. Design Realist review with an intervention design‐oriented approach. Methods We searched CINAHL, MEDLINE, EMBASE, CENTRAL, Web of Science and grey literature sources without date restrictions. Subject experts suggested additional articles. Evidence synthesis drew on diverse sources of literature and was conducted iteratively with theory testing. We consulted stakeholders to focus the review. We performed systematic searches to corroborate our developing theoretical framework. Results We present a theoretical framework based around six intervention construction principles. Theory testing provided some evidence in favour of treatment repetition, dynamic over static touch and lightening sedation. A lack of empirical evidence was identified for construction principles relating to intensity and positive/negative evaluation of emotional experience, moderate pressure touch for sedated patients and intervention delivery by relatives versus healthcare practitioners.

show abstract

Feasibility and acceptability of hand massage therapy for pain management of postoperative cardiac surgery patients in the intensive care unit

Cited by 31 publications

References 24 publications

The Effectiveness of Hand Massage on Pain in Critically Ill Patients After Cardiac Surgery: A Randomized Controlled Trial Protocol

The Effectiveness of Hand Massage on Pain in Critically Ill Patients After Cardiac Surgery: A Randomized Controlled Trial Protocol

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

Interpersonal touch interventions for patients in intensive care: A design‐oriented realist review

Contact Info

Product

Resources

About