The Effects of Machine-Based and Manual Hand Massage on Pain, Anxiety, and Gastrointestinal Function Following Laparoscopic Cholecystectomy.
Study Goal
The researchers aimed to evaluate the impact of manual and machine-based hand massage on pain, anxiety, and gastrointestinal function following laparoscopic cholecystectomy.
Results Summary
Both manual and machine-based hand massage significantly reduced pain, anxiety, nausea intensity, and improved bowel sounds postoperatively, with manual massage showing greater effectiveness in pain reduction and bowel sound improvement. The study did not report major limitations but was limited to short-term postoperative effects (8 hours).
Population
171 patients undergoing laparoscopic cholecystectomy, divided into two intervention groups (manual and machine-based massage) and a control group.
Effective Dosage
Not specified (massage administered at 0, 4, and 8 hours postoperatively).
Duration
Acute effects measured over 8 hours postoperatively.
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
manual hand massage | decrease | severity of pain | patients following laparoscopic cholecystectomy | - | decreased statistically significantly | #1 |
manual hand massage | decrease | anxiety levels | patients following laparoscopic cholecystectomy | - | were lower | #2 |
machine-based hand massage | decrease | anxiety levels | patients following laparoscopic cholecystectomy | - | were lower | #3 |
manual hand massage | decrease | severity of nausea | patients following laparoscopic cholecystectomy | - | was lower | #4 |
machine-based hand massage | decrease | severity of nausea | patients following laparoscopic cholecystectomy | - | was lower | #5 |
manual hand massage | increase | number of bowel sounds | patients following laparoscopic cholecystectomy | - | showed a greater increase | #6 |
machine-based hand massage | increase | number of bowel sounds | patients following laparoscopic cholecystectomy | - | showed a greater increase | #7 |
manual hand massage | decrease | pain intensity | patients following laparoscopic cholecystectomy | - | was more effective than machine-based hand massage in reducing | #8 |
manual hand massage | increase | bowel sounds | patients following laparoscopic cholecystectomy | - | was more effective than machine-based hand massage in increasing | #9 |
BACKGROUND: Inadequate management of pain, anxiety, and gastrointestinal function after laparoscopic cholecystectomy can lead to an increase in the incidence of nausea and vomiting, disruption of gastric functions, delayed postoperative recovery, prolonged hospital stay, increased risk of mortality, opioid use, and unwanted side effects. To evaluate the impact of manual and machine-based hand massage following laparoscopic cholecystectomy on pain, anxiety, and gastrointestinal function. METHODS: This randomized controlled trial study was conducted with 171 patients. Patients were divided into 2 intervention (manual hand massage and machine-based hand massage) groups (n=57), and a control group (n=57). Data were collected at 0, 4, and 8 hours postoperatively using the survey form, Numerical Rating Scale, State-Trait Anxiety Inventory, and Gastrointestinal Function Monitoring Form. RESULTS: The severity of pain in the manual hand massage group decreased statistically significantly after massage ( P <0.05). Anxiety levels in the intervention groups were lower at all time intervals postoperatively ( P <0.001). The severity of nausea in the massage groups was lower at 8 hours ( P <0.05). The number of bowel sounds at 8 hours in the massage groups showed a greater increase ( P <0.05). CONCLUSION: Both manual and machine-based hand massage positively affected pain, anxiety, nausea intensity, and bowel sounds following laparoscopic cholecystectomy. Manual hand massage was more effective than machine-based hand massage in reducing pain intensity and increasing bowel sounds.