Efficacy of Precise Foot Massage Therapy on Pain and Anxiety Following Cardiac Surgery: Pilot Study.


Journal

Pain management nursing : official journal of the American Society of Pain Management Nurses
ISSN: 1532-8635
Titre abrégé: Pain Manag Nurs
Pays: United States
ID NLM: 100890606

Informations de publication

Date de publication:
08 2020
Historique:
received: 09 07 2018
revised: 18 07 2019
accepted: 16 09 2019
pubmed: 18 11 2019
medline: 28 4 2021
entrez: 18 11 2019
Statut: ppublish

Résumé

Pain is the most pervasive distressing symptom following cardiac surgery. Forty percent of postoperative cardiac patients report inadequate pain management. Undertreated acute pain results in increased anxiety, delayed wound healing, and increased chance of persistent chronic pain. Foot massage is a safe, visible complementary approach to manage acute pain following surgery. The aim of this study is to evaluate the efficacy of integrating foot massage therapy for managing postcardiac pain. A randomized placebo controlled single blinded trial comparing foot massage to placebo was conducted at a large hospital in Saudi Arabia. Thirty-one patients who had undergone cardiac surgery (16 in experimental and 15 in placebo group) participated in the study. Ten-minute foot massage was delivered to the experimental group by a nurse researcher, twice during one day, within 30 minutes after receiving an opioid pain medication. The findings of this study indicate that foot massage significantly (p < .05) decreases pain intensity and anxiety in patients who have undergone cardiac surgery compared with a placebo control group. Providing non-pharmacologic interventions for pain is the responsibility of the nursing staff. Foot massage is within the scope of nursing practice and is a safe and effective manner of improving patient care. Foot massage in conjunction with pharmacological interventions is effective in improving pain and anxiety. Future studies should consider focusing on frequency, dose, feasibility, acceptability, and participants' satisfaction.

Sections du résumé

BACKGROUND
Pain is the most pervasive distressing symptom following cardiac surgery. Forty percent of postoperative cardiac patients report inadequate pain management. Undertreated acute pain results in increased anxiety, delayed wound healing, and increased chance of persistent chronic pain. Foot massage is a safe, visible complementary approach to manage acute pain following surgery.
AIM
The aim of this study is to evaluate the efficacy of integrating foot massage therapy for managing postcardiac pain.
METHOD
A randomized placebo controlled single blinded trial comparing foot massage to placebo was conducted at a large hospital in Saudi Arabia. Thirty-one patients who had undergone cardiac surgery (16 in experimental and 15 in placebo group) participated in the study. Ten-minute foot massage was delivered to the experimental group by a nurse researcher, twice during one day, within 30 minutes after receiving an opioid pain medication.
RESULTS
The findings of this study indicate that foot massage significantly (p < .05) decreases pain intensity and anxiety in patients who have undergone cardiac surgery compared with a placebo control group.
CONCLUSION
Providing non-pharmacologic interventions for pain is the responsibility of the nursing staff. Foot massage is within the scope of nursing practice and is a safe and effective manner of improving patient care. Foot massage in conjunction with pharmacological interventions is effective in improving pain and anxiety. Future studies should consider focusing on frequency, dose, feasibility, acceptability, and participants' satisfaction.

Identifiants

pubmed: 31734151
pii: S1524-9042(18)30222-4
doi: 10.1016/j.pmn.2019.09.005
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

314-322

Commentaires et corrections

Type : ErratumIn

Informations de copyright

Copyright © 2019 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

Auteurs

Rana Alameri (R)

Department of Fundamental Nursing, College Nursing, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. Electronic address: raalamri@iau.edu.sa.

Grace Dean (G)

School of Nursing, The State University of New York, Buffalo, New York, USA.

Jessica Castner (J)

School of Nursing, The State University of New York, Buffalo, New York, USA.

Ellen Volpe (E)

School of Nursing, The State University of New York, Buffalo, New York, USA.

Yasser Elghoneimy (Y)

College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Carla Jungquist (C)

School of Nursing, The State University of New York, Buffalo, New York, USA.

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