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The Effect of Hand Reflexology Massage on Pain and Anxiety After Coronary Artery Bypass Graft Surgery: A Double-Blind, Randomized, Placebo-Controlled Trial.

The Journal of cardiovascular nursing
January 1, 1970
Gizem Göktuna et al. (3 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether hand reflexology massage could reduce pain and anxiety in patients immediately after coronary artery bypass graft (CABG) surgery compared to placebo stroking massage.

Results Summary

Reflexology significantly reduced pain scores compared to placebo and significantly lowered anxiety scores at 60 minutes post-intervention. The study concluded that hand reflexology was effective for pain and anxiety relief in postoperative CABG patients.

Population

Patients in the intensive care unit who had just undergone CABG surgery and were newly extubated.

Effective Dosage

20-minute hand-reflexology massage.

Duration

Single 20-minute session.

Interactions

None mentioned.

Extracted Claims (2)
InterventionDirectionEndpointPopulationDosageImpactClaim #
reflexology hand massage
decrease
pain scores
patients in the immediate postoperative period after CABG
-
significantly reduced
#1
reflexology hand massage
decrease
anxiety scores
patients in the immediate postoperative period after CABG
-
significantly reduced
#2
Abstract

BACKGROUND: Pain and anxiety are common postoperative problems that impair recovery and quality of life in patients undergoing coronary artery bypass graft (CABG) surgery. Reflexology is a nonpharmacologic method used to control pain and anxiety. OBJECTIVE: The aim of this study was to examine the effects of reflexology hand massage and stroking massage on pain and anxiety in patients in the immediate postoperative period after CABG. METHODS: In this double-blind, randomized, placebo-controlled study, we compared the effects of a 20-minute hand-reflexology massage to placebo stroking massage on pain and anxiety in newly extubated patients in the intensive care unit who had undergone CABG surgery. Pain was measured by visual analog scale and anxiety by the State-Trait Anxiety Inventory before and at 5, 30, and 60 minutes post intervention. RESULTS: A total of 48 patients were enrolled: 24 in the intervention group and 24 in the placebo. Mean pain scores were significantly reduced in the group who received reflexology compared with the placebo group ( F = 36.569, P = .000). Mean anxiety scores were significantly reduced at 60 minutes for the reflexology group compared with the control group ( P = .000). CONCLUSIONS: We found that hand reflexology massage was effective in reducing pain and anxiety in patients during the immediate postoperative period after CABG.

Medical Subject Headings (MeSH)
HumansCoronary Artery BypassMassageDouble-Blind MethodFemaleMaleAnxietyPain, PostoperativeMiddle AgedAgedHandPain Measurement
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations5
Citations/Year5.0
Research Impact Scores
APT Score0.75
Weight Score1.57
Normalized Score0.70
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