Coronary Artery Bypass Graft Surgery
Conditions
Keywords
massage therapy, sleep quality, coronary artery bypass grafting surgery, Patients after Coronary Artery Bypass Graft Surgery
Brief summary
The purpose of this study is to evaluate the effects of Massage Therapy for improving the quality of sleep in patients on postoperative period of coronary artery bypass graft surgery (CABG).
Detailed description
Patients We evaluated patients admitted to the ward waiting for elective CABG surgery. Preoperative evaluation The preoperative clinical assessment consisted of obtaining information regarding demographics and personal characteristics. Postoperative protocol and evaluation After discharge from the intensive care unit to the ward during the postoperative period, the patients were randomized to 3 nights of sitting for 10 minutes, with no intervention (Control) or to MT. Briefly, MT consisted of massage of the neck, shoulders, and back. The massage was initiated with light manual compression and progressed to deep compression. The compression was performed with the inner region of the fingers, hand-shaped clamp, and friction (digital compression with the thumb) on trigger points, cervical traction, and mobilization in all planes (front, back, and sides). The massage was finished with light manual compression. During the study period, all patients completed a sleep diary containing the time they went to sleep, woke up, and took daytime naps. The patients completed a VAS for pain and fatigue (similar to the preoperative evaluation described previously) as well as a VAS for sleep on days 1, 2, and 3, corresponding to the morning following the intervention that was performed on the previous night.
Interventions
OTHERMassage Therapy
After discharge from the intensive care unit to the ward during the postoperative period, patients which were randomized for 3 nights to receive intervention (Massage Therapy)which were consisted of massage of the neck, shoulders, and back. The massage was initiated with light manual compression and progressed to deep compression. The compression was performed with the inner region of the fingers, hand-shaped clamp, and friction (digital compression with the thumb) on trigger points, cervical traction, and mobilization in all planes (front, back, and sides)
OTHERControl
no intervention
Sponsors
Fundação Zerbini
University of Sao Paulo
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
40 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Inclusion criteria included patients of both genders, between 40 to 80 years of age which were waiting for Coronary artery bypass graft surgery.
Exclusion criteria
* Patients with body mass index (BMI) ≥35kg/m2 * Regular alcohol consumption * Chronic use of hypnotics * A previous diagnosis of sleep disorders * Previous surgeries performed in the last 24 months * The inability to read and write. We also excluded patients who underwent valve surgery combined with CABG, the presence of a thoracic drain, and ICU stay longer than 5 days in the postoperative period
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Effects of Massage Therapy on quality of sleep | 3 days after return to the ward |
Secondary
| Measure | Time frame |
|---|---|
| Effect of massage therapy on pain and fatigue complaints | 3 days after return to the ward |
Countries
Brazil
Outcome results
None listed