Effect of Swedish Hand Massage on Pain in Patients Undergoing CABG Surgery

NCT06688617 | Completed DMC

• 1 other identifier: 3435-19
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

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.

Conditions

Coronary Artery Bypass Graft Surgery (CABG); Pain; Pain Management; Nursing; Massage; Hand Massage

Keywords

Coronary Artery Bypass Graft; Hand Massage; Swedish Massage; Pain; Nursing

Outcome Measures

Primary Outcomes (4)

• 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 Outcomes (5)

• Systolic blood pressure

  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.

• Oxygen saturation

  Evaluated with a patient monitor before and after the massage at 5, 30, 60, 90, 90 and 120 minutes.

Study Arms (2)

Swedish hand massage

EXPERIMENTAL

Swedish hand massage was applied to patients who were extubated after the first 4 hours after surgery, were not under the effect of pharmacological or non-pharmacological analgesia, and were in the intensive care period after the first expression of pain.

Other: Swedish Hand Massage

Control

NO INTERVENTION

Patients who were extubated within the first 4 hours after surgery, who were not under the effect of pharmacological or nonpharmacological analgesia, and who were admitted to the intensive care unit with the first pain symptom were followed up during the follow-up periods.

Interventions

Swedish Hand Massage OTHER

Swedish technique hand massage: Effleurage-petrissage-friction-tapotement,-vibration-effleurage

Swedish hand massage

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients who underwent CABG surgery,
• Stated that they were in pain,
• 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,

You may not qualify if:

• 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),

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead
• Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital: collaborator

Study Sites (1)

Istanbul University-Cerrahpaşa

Istanbul, Şişli, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Pain; Agnosia

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Perceptual Disorders; Neurobehavioral Manifestations; Nervous System Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Model Details: Randomized Controlled Trial

Study Record Dates

• First Submitted: November 12, 2024
• First Posted: November 14, 2024
• Study Start: April 30, 2018
• Primary Completion: April 30, 2019
• Study Completion: April 30, 2019
• Last Updated: November 14, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)