Anxiety
Conditions
Keywords
Anxiety, intensive care, mechanical ventilation, touch massage
Brief summary
Anxiety is a common problem encountered in a about 43 % of critically ill patients. Its occurrence can be related to several causes, mainly dominated by invasive procedures. anxiety management is typically based on a combination of prevention, evaluation, and therapeutic agents. However, it appears important to develop adjuvant approaches. Touch massage is one of them and that has been evaluated in various medical conditions. The aim of our study is to evaluate the anxiolytic effect of touch massage in critically ill patients during potentially painful nursing procedures.
Interventions
PROCEDUREtouch massage
Patients will have a touch massage session during 30 minutes the intervention will take place remotely (1 h) of all events that can generate anxiety
Sponsors
Versailles Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All adult patients (age≥18 years) hospitalized in Intensive Care Unit \> 24 h * Requiring mechanical ventilation or not * Securité Sociale affiliated * Patient with accessible zone for touch massage (head-face, arms-hands, feet, legs and back) * No significant event (invasive procedure, diagnostic ad, CAT,MRI) before enrollment
Exclusion criteria
* Pregnant * Legal guardianship * Neurological failure : stroke ischemic or hemorrhagic, meningitis, status epilepticus,polytrauma( including head trauma),meningo encephalitis, meningism, * Patient with upper limbs neuromuscular disorders * Cutaneous lesion (zone of touch massage) * Temperature ≥ 38,5°C * A positive score of CAM ICU scale * Patient refuse to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Measure the anxiolytic value of touch massage to critically ill patient, awake, communicating | 60 minutes | Total score variation of the Spielberger STAI Y-A anxiety scale (short form) before and after the touch massage session (score 6-24) or standard care ICU. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Measure the correlation between the Spielberger STAI Y-A (short form) anxiety scale and the Anxiety Visual Anxiety Scale (EVA-A). | 60 minutes | Patient anxiety will be evaluated by the score of anxiety measured in millimeters from 0 to 100 using a Visual analogue scale of anxiety (EVA - A) before and after touch massage session or standard care ICU. |
| Measure the analgesic effect of touch massage to critically ill patient awake, communicating | 60 minutes | Pain will be evaluated by the pain score measured in millimeters of 0 and 100 with scale visual analog pain (EVA) before and touch massage session or standard care ICU. |
Countries
France
Outcome results
None listed