Uma, R (2011) Effectiveness of two Back Massage Techniques on the level of pain and anxiety among patients subjected to Cardiac Surgery. Masters thesis, Vel R.S. Medical College - College of Nursing, Chennai.
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Abstract
Pain is an unpleasant sensory and emotional experiences associated with actual or potential tissue damage. Pain motivates us to withdraw from potentially damaging situations, protect a damaged body part while it heals and avoid those situations in the future. It is initiated by stimulation of nociceptors in the peripheral nervous system or malfunction of the peripheral or central nervous system. The transmission cells and the inhibitory cells are present in the dorsal horn of the spinal cord. Anxiety is a psychological and physiological state characterized by cognitive, somatic, emotional and behavioral components. These components combine to create an unpleasant feeling. Massage is one of non-pharmacological methods of reducing pain and anxiety. Massage is the manipulation of superficial layers of muscles and connective tissue to enhance the function, promote relaxation and well being. ❖ A study was conducted to evaluate the effectiveness of two Back massage techniques on the level of pain and anxiety among patients subjected to cardiac surgery at Vijaya Heart Foundation, Vadapalani, Chennai during 2010- 2011. ❖ The study was conducted by adopting a quasi experimental research design. Sixty patients subjected to cardiac surgery who have fulfilled the inclusion criteria were selected by using the non-probability purposive sampling technique. The hypothesis formulated states that there is no significant difference between the therapeutic back massage group and the back massage group on the level of pain and anxiety among patients subjected to cardiac surgery Therapeutic back massage group received Therapeutic back massage and the Back massage group received Back massage. The conceptual framework adopted was based on Wiedenback‟s Helping Art of clinical nursing theory. 20 minutes of Therapeutic back massage was given to the Therapeutic back massage group and 20 minutes of Back massage was given to the Back massage group for four days from the second post operative day to fifth post operative day. Pre and post test level of pain was assessed each day using the Numerical pain rating scale. Pre test level of anxiety was assessed on the first day and the post test level of anxiety was assessed on the fourth day, using self administered Modified Spielberger State Anxiety Inventory Scale. Comparison of pre test and post test level of pain among the patients subjected to cardiac surgery was done by using repeated “ANOVA” test. Comparison of pre test and post test level of anxiety among the patients subjected to cardiac surgery was done by using paired “t” test. ❖ Analysis revealed that, by comparing the overall post test level of pain between the Therapeutic back massage group and Back massage group, in the Therapeutic back massage group there was decrease in mean level of pain each day from 6.26 to 1.60 and standard deviation from 0.78492 to 0.62146 and the “t‟ value were 2.254, 2.368, 3.965, 2.327 was found to be highly significant at p= 0.028, p=0.021, p= <0.001, p= 0.023 level of significance. Considering the anxiety the mean was 29.46 and standard deviation was 5.69 and “t” value was 7.043 found to be highly significant at p < 0.001 level of significance. ❖ In the Back massage group there was decrease in mean level of pain each day from 6.70 to 2.03 and the standard deviation from 0.70221 to 0.80872 and the “t” value were 2.254, 2.368, 3.965, 2.327 was found to be highly significant at p=0.028, p=0.021, p=<0.001, p=0.023 level of significance. Considering the anxiety the mean value was 38.36 and standard deviation was 7.13 and the “t” value 7.043 which was found to be highly significant at p< 0.001 level of significance. ❖ Administration of Therapeutic back massage to Therapeutic back massage group and Back massage to Back massage group among patients subjected to cardiac surgery enhances the reduction of pain and anxiety. When we compare the effectiveness between these two techniques, Therapeutic back massage and back massage were effective in reduction of pain and anxiety. Therefore massage can be incorporated in a busy cardiac care unit on reduction of pain and anxiety.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Effectiveness, two Back Massage Techniques, level of pain and anxiety, patients, Cardiac Surgery. |
| Subjects: | NURSING > Medical Surgical Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 16 Aug 2020 03:00 |
| Last Modified: | 16 Aug 2020 03:00 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/12829 |
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