Effect of Slow Stroke Back Massage on Depression and Anxiety among Post-Stroke Geriatric Patients (original) (raw)
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The effects of slow-stroke back massage on anxiety and sleep problems in elderly stroke patients
Malahayati international journal of nursing and health science, 2023
Background: The increasing population of the elderly may cause a large burden of health problems, such as poor sleep quality and anxiety. It was reported that as many as 20 percent-50 percent of the elderly population in Indonesia experienced sleep problems, and 35 percent of the elderly who had anxiety also had the same problems. Slow Stroke Back Massage (SSBM) may be given as a non-pharmacological to increase sleep quality. Purpose: To analyze the effect of SSBM on sleep quality and anxiety in the elderly at the Tresna Wreda As-Salaam Social Institution, Cirebon City. Method: The pre-experimental design with one group pretest and posttest design. The 15 elderly was the sample, as a total sampling technique was used. The Pittsburgh Sleep Quality Index (PSQI) and Geriatric Anxiety Scale (GAS) questionnaires were used as instruments for measuring sleep quality and anxiety levels. The sleep quality was analyzed by Wilcoxon test and Paired sample t-test was used to analyze anxiety variables. Results: Before the SSBM, all the elderly (100 percent) had poor sleep quality and the majority (93,3 percent) had moderate anxiety levels. Whereas after the intervention, the majority (93,3 percent) had good sleep quality and mild anxiety levels (73,3 percent). The p-value of the Wilcoxon test was 0,001 for sleep quality, and the p-value of paired sample t-test was 0,000 for anxiety. Conclusion: This study indicated that there was a positive effect of SSBM on sleep quality and anxiety levels in the elderly. It is recommended for nurses to widely implement SSBM to help reduce the elderly's anxiety and sleep problems.
Background: Anxiety is the most prevalent psychological side effect of breast cancer and chemotherapy. This study aimed to determine the effect of slow-stroke back massage (SSBM) on the anxiety of old female patients with breast cancer undergoing chemotherapy. Methods: In this quasi-experimental study, 80 elderly women with breast cancer undergoing chemotherapy were enrolled by continuous sampling method. They were divided into two groups of experiment and control. The experiment group received three 15-min sessions of SSBM for 3 consecutive days. The data collection instrument was geriatric anxiety scale, used to measure the anxiety level of the subjects. Descriptive and inferential statistics were used to analyze the data with 95% of confidence level in SPSS 21. Results: Before the intervention, there was no significant difference between two groups in terms of anxiety and they were quite homogeneous (P=0.220). The average score of anxiety level reduced significantly from 40.97 before intervention to 30.47 after the intervention in the experiment group compared to the control group and this decrease was significant (P<0.001). Furthermore, no significant reduction was found in the average anxiety level of the control group before and after the intervention (P=0.457). There was also a significant difference between the average score of anxiety levels of two groups after the intervention (P< 0.001). Conclusion: Because of the significant reduction of anxiety in the experiment group by using SSBM, this method can be recommended as an easy, accessible, and affordable method to apply on elderly women with breast cancer undergoing chemotherapy. Also, it is recommended that SSBM be used by nurses working with this group of women
The effect of slow-stroke back massage on anxiety in female patients with heart failure
Bali Medical Journal
Introduction and Aims: Patients with heart failure experience many physical and psychological symptoms such as anxiety, which reduces their life expectancy. The use of alternative methods of therapy, including slow-stroke back massage (SSBM), can be effective in reducing the symptoms of heart failure. This study aims to investigate the effect of slow-stroke back massage on anxiety in women with heart failure. Methods: In this quasi-experimental study conducted in the Department of Cardiology of Ghaem Hospital (affiliated with the Hamedan University of Medical Sciences) in 2015, 60 patients with heart failure were randomly assigned to the control and intervention groups. Slow-stroke back massage was performed in 7 sessions for 7 consecutive days (one session per day) for 10 minutes in the intervention group. Demographic characteristics and standard anxiety questionnaires Depression, Anxiety and Stress Scales (DASS-42). were used to collect the patient data. The data were analyzed using descriptive and inferential statistics. Findings: The mean of anxiety before intervention in intervention group 28.2 ±6.04 and in control group was 27.47±5.22 and after the intervention in the intervention group was 21.37±6.24 and in control group 26.1±6.27, that showed a significant difference compared with before the intervention (p<0.001). The mean anxiety scores of all participants in the intervention group before and after the intervention was very severe, but after the intervention, its mean anxiety scores decreased. Using Paired t-test, the mean anxiety scores of the control group before and after the intervention was not significantly different (P <0.05). Conclusion: Slow-stroke back massage significantly decreased anxiety in female patients with heart failure.
A pilot randomized controlled trial of self-help relaxation to reduce post-stroke depression
Clinical Rehabilitation
Objective: To consider the potential of self-help relaxation training to treat depression after stroke. Design: Randomised controlled trial with cross-over at 3 months. Setting: Community. Participants: Twenty-one people with stroke, aged 49 to 82 years. Intervention: Autogenic relaxation CD. Main measure: Hospital Anxiety and Depression Scale-Depression sub-scale (HADS-D). Results: No difference in depression change scores was identified between the treatment and control groups, however on two follow ups significant positive differences relative to screening were found for the treatment group (at 2 months Z =-2.55, p = .011 and 12 months Z =-2.44, p = .015). A partial η 2 = .07 was identified. Conclusions: Self-help relaxation holds promise as a self-help treatment for depression after stroke. Findings from this trial, considered with others of relaxation for depression, suggests a study including a total of 80 participants would likely be sufficient to establish efficacy of the treatment, relative to controls, in those with stroke.
Background: Today, the use of complementary medicine alongside other treatments for relaxation and balancing Hemodynamic of cardiac patients is emphasized. So this study was to compare the effects of reflexologic massage and strokes massage on anxiety in patients with acute myocardial infarction. Methods: This clinical trial was done on105 patients who were randomly selected purposively on three groups, stroke massage, reflexology massage group and control group. In the intervention groups each patient massaged in the morning and evening for 15 minutes a day, each time. In the control group other than routine care and measure of anxiety we do not massage them. In the intervention group before the massage anxiety in morning and evening Twenty minutes after the Massage, measured by Spiel Berger Anxiety questionnaire. Findings: In intervention group between reflexology and stroke the anxiety was reduced with (P<0.005). Stroke massage reduces anxiety more than reflexive massage. In control group there are no significant differences in anxiety in morning and evening. Conclusion: According to the results, strokes massage more effective than reflexology massage in reducing anxiety. So use it to reduce the anxiety of the patients in critical care wards recommended.
The efficacy of traditional Thai massage in decreasing spasticity in elderly stroke patients
Clinical Interventions in Aging, 2014
To study the efficacy of traditional Thai massage (TTM) versus conventional physical therapy (PT) programs in treating muscle spasticity, functional ability, anxiety, depression, and quality of life (QoL) in Thai stroke patients. Methods: This randomized controlled trial with a blinded assessor was carried out at the Department of Rehabilitation Medicine, Siriraj Hospital (Bangkok, Thailand). The study included 50 stroke (onset 3 months) outpatients experiencing spasticity at the elbow or knee muscles at a grade of 1+ on the modified Ashworth Scale who were 50 years old and able to communicate. The subjects were randomly allocated to the treatment group receiving TTM (24 subjects) or the control group receiving the PT program (26 subjects). Both groups received treatment (either TTM or PT) twice a week for 6 weeks. Spasticity grade, functional ability, anxiety, depression, and QoL were measured at Week 0 and Week 6. Results: At Week 6, the percentage of patients whose modified Ashworth Scale score had decreased by at least one grade was not statistically significant between the two groups. Both TTM and PT groups experienced a significant increase in functional ability and QoL, but no difference was found between the groups. Anxiety and depression scores showed a decreasing trend in the TTM group. Conclusion: This preliminary report showed no evidence that TTM differed from the PT program in decreasing spasticity. However, both interventions may relieve spasticity, increase functional ability, and improve QoL after 6 weeks. Only TTM can decrease anxiety and depression scores. Further studies with adequate sample size are necessary.
International Journal of Environmental Research and Public Health
Objective: To assess the effect of therapeutic massage for improving sequelae in stroke survivors. Methods: A systematic review of the nine medical databases from January 1961 to December 2020 was carried out. The bibliography was screened to identify randomized controlled clinical trials (RCTs). Two reviewers independently screened references, selected relevant studies, extracted data and assessed the risk of bias using the PEDro scale. The primary outcome was upper and lower limb motor function and spasticity. Results: A total of 3196 studies were identified and 18 RCT were finally included (1989 individuals). A meta-analysis of RCTs in the comparison of Chinese massage (Tuina) plus conventional physiotherapy versus conventional physiotherapy was performed. The mean difference (MD) in the subacute stage on upper limb motor-function using the Fugl Meyer Assessment was 2.75; (95% confidence interval (CI) from 0.97 to 4.53, p = 0.002, I2 = 36%). The MD on upper limb spasticity using ...
Function and Disability Journal, 2024
Background and Objectives: Depression is a common problem after stroke, with a high prevalence. Multiple studies have suggested that biofeedback therapy can effectively treat depression without causing side effects. This research aims to investigate the long-term impact of biofeedback therapy on depression in stroke survivors. Methods: A quasi-experimental study was conducted with 40 stroke patients who were divided into a rehabilitation control group and a rehabilitation group that underwent long biofeedback electromyography exercises. All patients were assessed for their level of depression at the start of the study and again after two years of treatment, after completing occupational therapy sessions with and without biofeedback intervention. Statistical analysis was performed using paired t-tests and correlated t-tests with a significance level (P≤0.05). Results: In both control and intervention groups, no significant differences were observed in the level of depression between the pre-test and post-test stages. However, a crucial difference was observed between the intervention and control groups after using biofeedback. The average depression in patients who used long-term biofeedback decreased after two years compared to the control group (P≤0.05). Conclusion: Long-term utilization of biofeedback therapy impacts the depression levels of stroke patients. This method is highly recommended as a complementary approach to conventional rehabilitation.
Journal of Holistic Nursing And Midwifery, 2023
Introduction: Psychological distress is prevalent among the primary family caregivers of patients with stroke. Objective: This study evaluated the effects of acupressure on anxiety, stress, and depression among the primary family caregivers of Patient With Stroke. Materials and Methods: In this sham-controlled randomized clinical trial, 96 family caregivers of Patient with Stroke were selected and allocated to the acupressure (n=40) and sham (n=42) groups. The study data were collected using demographic questionnaires for the patients and caregivers, the Barthel index (for assessing independence in daily living activities,) and the Persian version of the Depression Anxiety Stress Scale (DASS). Participants in the acupressure group received training about acupressure on the Yin Tang and HT7 points, while participants in the sham group received training about acupressure on the CV24 and TB5 sham points. The acupressure intervention lasted for 30 consecutive days. Statistical tests, including the Kolmogorov-Smirnov test, the independent t test, the Chi-square test, the Fisher exact test, the Wilcoxon, Mann-Whitney U test, and the analysis of covariance (ANCOVA) were applied to analyze the data. Results: The mean ages of the participants were 46.1±12.1 years in the acupressure group and 42.7±11.8 years in the sham group. The mean ages of the patients in these groups were 75.1±8.1 and 76.8±9.7 years; respectively. Regarding the demographic characteristics, no significant differences were observed between the acupressure and the sham groups. Regarding the pre-test mean scores of anxieties, stress, and depression, there were no significant differences between the acupressure and the sham groups. Anxiety and stress significantly reduced after the intervention only in the acupressure group (P<0.05). However, depression did not change substantially during the study. The ANCOVA indicated significant differences between the two groups after the intervention regarding anxiety and stress. In other words, in the acupressure group, anxiety and stress significantly improved compared to the sham group (P<0.05). Conclusion: It seems that the acupressure on the Yin Tang and HT7 points can help manage anxiety and stress among the primary family caregivers of Patient With Stroke.
Systematic Reviews in Pharmacy, 2020
The elderly is susceptible to declining sleep quality. There are several causes of decreased sleep qualities such as increasing sleep latency, decreasing sleep efficiency, waking up earlier, and unable to back to sleep. One of the non-pharmacological methods, Cutaneous Stimulation: Slow Stroke Back Massage, helps the patient to increase their sleep quality. Moreover, it represents a positive experience of the individual to improve relaxation and sleep quality. This research used a quasi-experimental design. There were 32 elderly who have sleep disorders, become object research of this study. These object researches were categorized into two groups (treatment & control). This research used Total Samplings data collection method. Moreover, it used cutaneous stimulation: Slow Stroke Back Massage as an independent variable and improvement of sleep quality as the dependent variable. Besides that, this research uses the Pittsburgh Sleep Quality Index (PSQI) questionnaire to collect the d...