Coronary Artery Bypass Graft Surgery (CABG), Hand Massage, Massage, Nursing, Pain, Pain Management
Conditions
Keywords
Coronary Artery Bypass Graft, Hand Massage, Swedish Massage, Pain, Nursing
Brief summary
Coronary Artery Bypass Grafting (CABG) surgery is performed commonly today. Heart surgery performed on more than two million individuals every year leads patients experience severe postoperative pain for causes such as cutting of intercostal nerves along the incision line, pleural irritation caused by thoracic catheters etc. Hand massage, which is one of the non-pharmacological methods, is an effective procedure that can be applied independently by nurses for pain management. The objective of this randomized controlled study is to investigate the effect of hand massage applied to the patients with CABG surgery during the postoperative intensive care process, on pain.
Interventions
OTHERSwedish Hand Massage
Swedish technique hand massage: Effleurage-petrissage-friction-tapotement,-vibration-effleurage
Sponsors
Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital
Istanbul University - Cerrahpasa
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Randomized Controlled Trial
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients who underwent CABG surgery, * Stated that they were in pain, * 18 years old and older, * Had not completed 48 hours after the surgical procedure, * Accepted to participate in the study verbally and in writing after being informed about the study, * Could understand the information given, * Could read, write and speak Turkish, * Did not have any physiological, psychological or mental problems that would prevent verbal communication, * Did not have any limb, vascular problem, wound or catheter that would prevent the application of hand massage, * were ASA classified as I and II, * Had no previous hand massage experience, * Did not participate in any other clinical studies during the same period, * Did not develop any complications during and after the surgical procedure, * Physiological parameters were within normal limits during the surgical procedure, * Received the same type of treatment in the post-surgical period, * Body mass index was within normal limits
Exclusion criteria
* Patients who have complications during or after surgical intervention, * Intubated, * Have any limb, vascular problem, wound or catheter that prevents hand massage, * Under the effect of pharmacological or non-pharmacological interventions that will affect pain, * Obese (body mass index (BMI≥30),
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sternotomy pain | Pain intensity was assessed with a visual analog scale (VAS) before and at 5, 30, 60, 90, 90 and 120 minutes after massage. |
| Drain pain | Pain intensity was assessed with a visual analog scale (VAS) before and at 5, 30, 60, 90, 90 and 120 minutes after massage. |
| Back Pain | Pain intensity was assessed with a visual analog scale (VAS) before and at 5, 30, 60, 90, 90 and 120 minutes after massage. |
| Leg incision pain | Pain intensity was assessed with a visual analog scale (VAS) before and at 5, 30, 60, 90, 90 and 120 minutes after massage. |
Secondary
| Measure | Time frame |
|---|---|
| Systolic blood pressure | Evaluated with a patient monitor before and after the massage at 5, 30, 60, 90, 90 and 120 minutes. |
| Oxygen saturation | Evaluated with a patient monitor before and after the massage at 5, 30, 60, 90, 90 and 120 minutes. |
| Diastolic blood pressure | Evaluated with a patient monitor before and after the massage at 5, 30, 60, 90, 90 and 120 minutes. |
| Pulse rate | Evaluated with a patient monitor before and after the massage at 5, 30, 60, 90, 90 and 120 minutes. |
| Respiratory rate | Evaluated with a patient monitor before and after the massage at 5, 30, 60, 90, 90 and 120 minutes. |
Countries
Turkey (Türkiye)
Outcome results
None listed