Kavitha, G (2013) Effectiveness of Foot Massage upon the Level of Blood Pressure among Elderly Hypertensive Clients. Masters thesis, Apollo College of Nursing, Chennai.
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Abstract
A Quasi Experimental Study to Assess the Effectiveness of Foot Massage upon the Level of Blood Pressure among Elderly Hypertensive Clients at Selected Old Age Homes, Chennai. OBJECTIVES: 1. To assess the level of blood pressure in control and experimental group of elderly hypertensive clients before and after administration of foot massage. 2. To evaluate the effectiveness of foot massage by comparing the level of blood pressure in control and experimental group of elderly hypertensive clients before and after administration of foot massage. 3. To determine the level of satisfaction among experimental group of elderly hypertensive clients regarding administration of foot massage. 4. To find out the association between selected demographic variables and the level of blood pressure in control group and experimental group of elderly hypertensive clients before and after administration of foot massage. 5. To find out the association between selected clinical variables and the level of blood pressure in control group and experimental group of elderly hypertensive clients before and after administration of foot massage. The conceptual frame work for this study is based on Modified King’s goal attainment model. An extensive review literature and guidance by the experts formed foundations to the development of the tool . The investigator used the Demographic variable proforma, Clinical variable proforma, observational check list to assess the blood pressure, and rating scale for the level of satisfaction of foot massage to collect the data. The data collection tools were validated and reliability was established. After the pilot study, the data for the main study was collected. The collected data was tabulated and analyzed using descriptive and inferential statistics. An experimental approach with pre-test, post test quasi experimental design was used. This study was carried out at Little drops home for the aged at Paraniputhur (Experimental group), and St. Thomas Home for senior citizens at Vyasarpathi, Chennai (Control group) upon 60 elderly with hypertension who were collected randomly assigned to control (30) and experimental (30) groups. The data were collected by using the study instruments such as demographic variable proforma, Clinical variable proforma, observational check list to assess the blood pressure, and rating scale for the level of satisfaction of foot massage. The data collection tools were validated and reliability was established. After the pilot study, the data for the main study was collected. The data was tabulated and analyzed by using descriptive and inferential statistics. MAJOR FINDINGS OF THE STUDY: • The study finding reveals that significant percentage of the elderly hypertensive clients were in the age group of >75 years (50%, 20%), the duration of stay in old age home were <1 year (20%, 40%) and number of children were two (33.3%, 30%). Most of them females (53.3%, 56.7%), were illiterate (63.4%, 40%), belongs to Hindu religion (60%, 73.3%) and were in joint family (70%, 43.3%). Majority of the hypertensive clients were widowers (90%, 60%), with nil monthly income (100%, 100%), with spouse not alive (93.3%, 70%) and no spouse resides in same home (100%, 96.7%) in control and experimental group respectively. • Most of the elderly hypertensive clients had height 151-160cm (36.7%,70%), had weight 46-60kg (60%, 46.7%), had BMI of <25 (56.7%, 56.6%), were consuming non vegetarian diet once in a week (44.4%, 64%), duration of chewing tobacco for more than 10 years (57%, 25%), duration of consuming alcohol (88.9%, 62.5%) and moderate workers (60%, 46.7%). Majority of the elderly hypertensive clients had no habit of chewing tobacco (76.7%, 86.7%), were smokers (70%, 70%), no habit of consuming alcohol (70%, 73.3%), were non vegetarians (90%, 83.3%), were taking drugs (100%,66.7%) and were not on any other complementary therapy (100%, 100%). Significant client has been suffering from hypertension for 1-5 years (36%, 66.7%) and had no family history of hypertension (33.4%, 53.3%) in control and experimental group respectively. • Significant number of elderly hypertensive clients had mild to moderate systolic blood pressure (40%, 50% & 46.7%, 43.3%) and diastolic blood pressure were mild (60%, 56.4%) before foot massage in control and experimental group respectively. Whereas in experimental group majority of client had normal systolic blood pressure (73.4%) and normal diastolic blood pressure (96.7%) after foot massage. • The mean and standard deviation of systolic blood pressure were (160.4, 157.7 & 14.64, 11.369) and diastolic blood pressure were (92.2, 92.2 & 5.66, 6.033) before foot massage in control and experimental group respectively. Where as in experimental group after foot massage there was a great reduction in mean and standard deviation, systolic blood pressure were (132.6, 11.10), (p<0.001) and diastolic blood pressure were (81.2, 2.60), p < 0.001. • The study results indicates that most of the elderly hypertensive clients were highly satisfied with foot massage (83.3%) and (16.6%) of them were satisfied. • Chi square test was used to find out the association between selected variables and the level of blood pressure. There was no significant association between the selected demographic variables such as age, gender, education, type of family, marital status, no of children, spouse alive, duration of stay in old age home and pre-test and post test level of blood pressure in the control and experimental group in both systolic and diastolic blood pressure. Null hypothesis Ho2 was accepted. • The study results indicates that there is association between selected clinical variable such as history of hypertension (χ2= 6.428, df=1), (p<0.05) in pre-test level of diastolic blood pressure in the control group. Hence the null hypothesis Ho3 is partially rejected with history of hypertension. • The present study reveals that there is significant association between the selected clinical variable such as history of consuming alcohol (χ2= 5.116, df=1), (χ2= 4.223, df=1), (p<0.05) in pre-test level of systolic blood pressure and diastolic blood pressure in experimental group. Hence the null hypothesis Ho3 is partially rejected with regard to history of consuming alcohol. • The study results indicates that there is significant association between selected clinical variable such as history of other associated disease (χ2= 6.315, df=1), (p<0.05) in post test level of systolic blood pressure in experimental group. Hence the null hypothesis Ho3 is partially rejected with regard to other associated diseases. RECOMMENDATIONS: The researcher recommends the following studies in the field of nursing research, • The same study could be conducted on larger samples for better generalization. • The study could be replicated in different settings. • A comparative study can be conducted to evaluate the effectiveness of foot massage with other non pharmacological agents and alternative therapies. • Structured teaching programme can be conducted for the elderly to improve their knowledge. • A study can be conducted to assess the effectiveness of foot massage in different age group. • A study can be conducted on the quality of life among hypertensive clients. • A similar study can be conducted for one month to assess the effectiveness of foot massage. • A study can be conducted to evaluate the effectiveness of foot massage in the management of cancer pain and post operative pain.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 30116602 |
| Uncontrolled Keywords: | Foot Massage ; Blood Pressure ; Elderly Hypertensive Clients. |
| Subjects: | NURSING > Medical Surgical Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 02 Jan 2019 02:07 |
| Last Modified: | 02 Jan 2019 07:33 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/10300 |
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