Effectiveness of Light Pressure Stroking Massage Therapy on Patients' Satisfaction and Quality of Pain Control after Coronary Artery Bypass Graft Surgery

Shafiei, Z; Rafiee Vardanjani, L

Effectiveness of Light Pressure Stroking Massage Therapy on Patients' Satisfaction and Quality of Pain Control after Coronary Artery Bypass Graft Surgery

Document Type : Original Article

Authors

Z Shafiei ¹

L Rafiee Vardanjani ²

¹ Master Degree in Medical-Surgical Nursing, Isfahan University of Medical Sciences, School of Nursing and Midwifery, Isfahan, Iran

² Master of Science in Critical Care Nursing, Shahrekord University of Medical Sciences, Faculty of Nursing

Abstract

Introduction & Objective: Pain on mid-sternotomy incision site after Coronary Artery Bypass Graft Surgery (CABG) is a common problem has a negative effect on quality of life and follow-up treatment. Thus the present study aimed to determine the effect of light massage therapy by patient's Light Pressure Stroking Massage Therapy on Patients' Satisfaction and Quality of Pain Control in post-CABG patients. Materials & Methods: In this semi - experimental study, 72 post-CABG patients were randomly divided into an intervention and a control group. The intervention group received Light Pressure Stroking massage by the nurse for 20 minutes in 4 sessions. The control group received routine care. Patient’s satisfaction and quality of pain control were assessed by brief pain inventory (BPI) and Idvall quality of life questionnaire before and after the intervention. Then, the data was analyzed by student t-test, paired t-test and chi-square by SPSS software version 18. Results: Mean (SD) scores for Satisfaction and Quality of Pain Control before the intervention in the case group were 5.402±1.601 and 49.324±2.569 and in the control group were 4.452±2.123 and 48.425± 2.505 respectively, that did not show a significant difference (P > 0.05). After the intervention, Mean (SD) scores for Satisfaction and Quality of Pain Control in the case group, were 8.402±1.200 and 64.612± 2.004 and in the control group were 5.321±1.500 and 51.513±2.234 respectively, that showed a significant difference (P < 0.001). Conclusions: Regarding the finding of study, use of Light Pressure Stroking massage therapy can increase Patients' Satisfaction and Quality of Pain Control of patients after coronary artery bypass surgery and due to low cost and simplicity of this method, it can perhaps be used as a complement to drug therapy and postoperative interventions used in these patients.

Keywords

Massage

Pain

Coronary Artery Bypass Graft Surgery

1. Shafiei Z, Nourian K, Babaee S, Nazari A. Comparing Effectiveness of light pressure stroking massage on pain and fatigue of patients after coronary artery bypass graft surgery-A randomized clinical trial. Journal of Clinical Nursing and Midwifery. 2013; 2(3): 28-38.

2. Smeltzer Sc, Bare BG, Hinkle J, Cheever K. Brunner & Suddarth's textbook of medical-surgical nursing. 12th ed. Philadelphia: Lippincott Williams and Wilkins, 2010. p: 756.

3. Fatemeh M, Yazdekhasti S. A review of cardiac rehabilitation benefits on physiological aspects in patients with cardiovascular disease. Journal of research in rehabilitation sciences, 2011; 7(5):

706-15.

4. Babaee J, Keshavarz M, Haidarnia A, Shayegan M. Effect of a health education program on quality of life in patients undergoing coronary artery bypass surgery. Acta media Iranica. 2007; 45(1): 69-74.

5. Albert NM, Gillinov AM, Lytle BW, Feng J, Cwynar R, Blackstone EH. A randomized trial of massage therapy after heart surgery. Heart Lung. 2009 Nov-Dec; 38(6): 480-90.

6. Mahmood KT, Khalid A, Ali S. Management of post operative CABG Patients. Journal of pharmaceutical Science and Technology. 2011.3 (1).pp: 456-461.

7. Moghaddas T, Bagheri M, Sedghi Sabet M, Kazemnezhad Leili E. Perceived pain management quality in patients after coronary artery bypass graft. Holist Nurs Midwifery. 2012; 22 (2): 48-55.

8. Taylor L, Lemone L,Fundamental of Nursing. The art and science of Nursing care. 7^th edition. Philadelphia: Lippincott co. 2011. pp: 1102.

9. Gjeilo KH, Klepstad P, Wahba A, Lydersen S, Stenseth R. Chronic pain after cardiac surgery: a prospective study. Acta Anaesthesiologica Scandinavica. 2010 Jan; 54(1): 70-8.

10. Zoega S, Ward S, Gunnarsdottir S. Evaluating the Quality of Pain Management in a Hospital Setting: Testing the Psychometric Properties of the Icelandic Version of the Revised American Pain Society Patient Outcome Questionnaire. Pain Management Nursing. 2014; 15(1): 143-155.

11. Joolaee S, Hajibabaee F, Jafar Jalal E, Bahrani N. Assessment of Patient Satisfaction from Nursing Care in Hospitals of Iran University of Medical Sciences. Hayat. 2011; 17 (1): 35-44.

12. Elliot D, Aitken L, Chaboyer W. Critical Care Nursing. Philadelphia: Mosby. 2008, p: 155.

13. Shafiei z, Babaee A. Nazari A.The Effectiveness of Massage Therapy on Depression, Anxiety and Stress of Patients after Coronary Artery Bypass Graft Surgery. Iranian J of Surgery. 2013; 1 (21): 23-33.

14. Cutshall SM, Wentworth LJ, Engen D, Sundt TM, Kelly RF, Bauer BA. Effect of massage therapy on pain, anxiety, and tension in cardiac surgical patients: a pilot study. Complement Ther Clin Pract 2010; 16(2): 92-5.

15. Bauer B A, Cutshall S M, Wentworth L J, Engen D, Messner P K, Wood C M, et al. Effect of massage therapy on pain, anxiety, and tnsion in cardiacsurgical patients: A pilot study. Elsevier Ltd 2008, 16(2): 1-6.

16. Wilkinson, S, Lockhart K, Gambles M, Storey L. Reflexology for Symptom Relief in Patients With Cancer. Cancer Nurs 2008, 31(5): 354-36.

17. Idvall E, Hamrin E, Sjostrom B, Unosson M. Patient and nurse assessment of quality of care in postoperative pain management. Quality of Health Care. 2002; 11: 327-37.

18. Nerbass FB, Feltrim MI, Souza SA, Ykeda DS, Lorenzi-Filho G. Effects of massage therapy on sleep quality after coronary artery bypass graft surgery. Clinics. 2010; 65(11): 1105-10.