EFFECTIVENESS OF MASSAGE THERAPY IN REDUCING POST OPERATIVE PAIN AND IMPROVING THE QUALITY

OF SLEEP AMONG PATIENTS UNDERGONE ABDOMINAL SURGERY

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Table 4 Paired‘t’ test of pre and post test level of pain among patients underg N=100
Abstract one abdominal surgery in Experimental group.
Non-pharmacological pain therapy refers to interventions that do not involve the use of
medications to treat pain and objectives of the study are mainly to assess the pre and LEVEL pre test post test
posttest level of pain and quality of sleep and effectiveness of Hand & Foot massage Mean
OF PAIN
therapy among abdominal surgery patients. In this study one group pretest –posttest design Mean SD Mean SD ‘t’-value
difference
was adopted. Convenience sampling technique was used to select each 100 samples
.Structured interview schedule was used to collect the demographic variables. Visual analog Day-I 70 10.3 60.6 11.8 9.4 2.5***
scale and Modified Regensburg sleep assessment scale was used to assess the level of Day-II 4.3 5.3 32 10.4 27.7 4.7***
postoperative pain and quality of sleep. The results shows that post test level of pain on
Day-III 50.3 10.8 32.3 14.9 18 4.8***
Day- I,57 subjects (57%) had moderate level of pain, and on Day-III 53(53%) had mild level
of pain in the experimental group , 68 subjects (68%) had severe sleep disturbances and in
Table 5 Paired‘t’ test of pre and post test level of sleep among patients under
the post test, 47(47%) of them had low level of sleep of disturbances and there was a N=100
gone abdominal surgery in Experimental group
positive correlation (r= 0.689) between posttest level of pain and quality of sleep in
experimental group at P<0.01 level. Pre test Post test
LEVEL OF
Introduction Mean
QUALITY OF SD Mean SD
Abdominal surgery covers the surgical procedures that involve opening of the abdomen. Mean ‘t’-value
SLEEP
It includes surgeries on varies organs such as liver, kidney, stomach, intestines, pancreas, difference
etc. 1 Globally every year there are estimated more than 234 million major surgeries EXPERIMENTAL
performed. Among these the abdominal surgeries are most common surgeries either done 2.41***
as elective or emergency 30.1 1.39 4.38 3.2 25.8
GROUP
Massage therapy is the scientific manipulation of the skin and soft tissues of the body.
Massage therapy has cellular effects by mechano transduction, biomechanical effects on Results
tissues, physiological changes in tissues or organ, neurological effects by re
flex stimulation, psychological effects by increasing relationship between body and mind 2. Assess the pre test level of pain in experimental group on Day- I 62 subjects (62%)
Stephanie and Rothman stated that hypnosis, massage, reflexology and chiropractic had severe level of pain and on Day- III , 53 subjects (53%) had moderate level of pain and
manipulations have also proven beneficial for pain relief. This serves to balance the body's the post test level of pain on Day- I,57 subjects (57%) had moderate level of pain, and on
subtle energies, which, in turn, bring both emotional relaxation and pain relief to the body. Day-III 53(53%) had mild level of pain in the experimental group. To assess the pre test level
Methodology of quality of Sleep in the experimental group, 68 subjects (68%) had severe sleep
disturbances and in the post test, 47(47%) of them had low level of sleep of disturbances. the
The objectives of the study were To assess the pre and posttest level of pain and calculated ’t’ value on day-I,II,III in the experimental group were 2.5, 4.7, 4.8. was statistically
quality of sleep among patients undergone abdominal surgery , To evaluate the highly significant at p<0.001 level which clearly shows that there was a significant decrease in
effectiveness of massage therapy on the level of pain and quality of sleep among patients the level of pain among patients undergone abdominal surgery after giving hand & Foot
undergone abdominal surgery in experimental group, To correlate the level of pain with massage .The pre test mean was 30.1 whereas the post test mean was 4.3 and its mean
quality of sleep among patients undergone abdominal surgery in experimental group, Quasi- difference was 25.8 which had greater improvement than other parameters. It clearly
experimental, one group pretest–posttest design was adopted. Convenience sampling concluded that there was a significant improvement in the level of quality of sleep among
technique was used to select each 100 samples in experimental group. Structured interview patients undergone abdominal surgery and there was a positive correlation (r= 0.526)
schedule was used to collect the demographic variables. Visual analog scale and Modified between posttest level of pain and quality of sleep in experimental group at P<0.01 level. It
Regensburg sleep assessment scale was used to assess the level of postoperative pain was inferred that there is a significant improvement in quality of sleep as the pain intensity
and quality of sleep. Experimental group received intervention of massage Therapy (Hand reduced in experimental group.
& Foot massage) with routine care for 15-20 minutes twice a day for 1-3 post-operative
days. Discussion
Table 1. Pre and post test level of pain in the experimental group. N=100
The result of the study revealed that the music therapy was effective in reducing the
. DAY-I DAY-II DAY-III
LEVEL post operative pain among abdominal surgery patients from day 1 (t value 2.5) to day 2 (t
Pre Test Post Test Pre Test Post Test Pre Test Post Test value 4.7). Thus the present study showed that the music therapy was significant in
OF PAIN`
F % F % F % F % F % F % reducing the post operative pain level. This was supported by the study conducted
Gogoularadja Avinash and Satvinder Singh Bakshi9 (2020) which showed that there was
reduced postoperative pain starting from day 0 ( p  < 0.001), which continued until
No Pain - - - - - - - - - - - - postoperative day 2 ( p  < 0.001) among patient underwent massage therapy.
Jing Wang et al., (2015) conducted a study on correlations between Health-Related
Quality of sleep and Pain and Anxiety in abdominal surgery Patients in the Initial Stage of
Mild - - - - - - - - 47 47 69 69
Treatment.252 eligible participants were selected and data was obtained by validated
Chinese versions of questionnaires. Significant changes were observed in physical
function (P < 0.01), body pain (P = 0.01), and general health (P < 0.01) domains.
Moderate 38 38 57 57 64 64 50 50 53 53 31 31
Spearman correlation coefficients for SF-36 with S-AI were −0.131~−0.515 (P <0.05); SF-
36 with VAS were −0.141~−0.273 (P < 0.05), indicating significant but moderate negative
correlations between quality of recovery and pain/anxiety
Severe 62 62 43 43 36 36 50 50 - - - -
Table 2. Pre and post test level of Quality of sleep in the Experimental Conclusion
group. N=100
. EXPERIMENTAL The study findings proved that hand foot massage was very effective in reducing the
LEVEL OF GROUP level of post operative pain among patients with abdominal surgery. Nurses must learn
QUALITY OF PRE TEST POST TEST about nonpharmacological therapy to reduce pain and thereby can reduce the dose and
SLEEP % complications of pharmacological therapy
F % F

Low - - 47 47 Bibliography

Mild - - 33 33 1. Akyol Ö, Karayurt Ö &Salmond S. (2009) ‘’Experiences of pain and satisfaction with pain
management in patients undergoing abdominal surgery Nursing’’ 28(2): 79-85.
Moderate 32 32 20 20 2. Allred KD, Byers JF & Sole ML. (2010) ‘’The effect of music on postoperative pain and anxiety;
Pain Management Nursing’’ 11(1): 15-25.
Severe 68 68 - - 3. Buyukyilmaz F & Asti T (2013)’’The effect of relaxation techniques and back massage on pain
Table 3. Correlation between level of pain and quality of sleep among and anxiety in Turkish total hip or knee arthroplasty patients. Pain Management
patients undergone abdominal surgery in experimental group. N=100 Nursing’’14(3): 143-154
4. Chin, C. C. (1999)’’The effects of back massage on surgicalstress responses and
Experimental Group “r”-value postoperative pain’’Clevel and, OH: Doctoral thesis, Frances Payne Bolton School of
Nursing,Case Western Reserve University
Pre test- level of pain and quality of sleep 5. Gogoularadja, A., & Bakshi, S. S. (2020). A Randomized Study on the Efficacy of
0.653 Music Therapy on Pain and Anxiety in Nasal Septal Surgery. International archives of
Posttest- level of pain and quality of sleep 0.526 otorhinolaryngology, 24(2), e232–e236