Effects of Therapeutic Touch on Anxiety, Vital Signs, and Cardiac Dysrhythmia in a Sample of Iranian Women Undergoing Cardiac Catheterization (original) (raw)
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Journal of Holistic Nursing, 2012
To investigate the effects of Therapeutic Touch (TT) on anxiety, vital signs, and cardiac dysrhythmia in women undergoing cardiac catheterization. Design: It was a quasi-experimental study. The participants had no history of hallucination, anxiety, or other psychological problems. Participants had to be conscious and have attained at least sixth-grade literacy level. Participants were randomly assigned into an intervention group (n = 23; received 10-15 minutes TT), a placebo group (n = 23; received 10-15 minutes simulated touch), and a control group (n = 23; did not receive any therapy). Data were collected using Spielberger's anxiety test, cardiac dysrhythmia checklist, and vital signs recording sheet. Statistical analyses were considered to be significant at α = .05 levels. Findings: Sixty-nine women ranging in age from 35 to 65 years participated. TT significantly decreased state anxiety p < 0.0001 but not trait anxiety (p = .88), decreased the incidence of all cardiac dysrhythmias p < 0.0001 except premature ventricular contraction (p = .01), and regulated vital signs p < 0.0001 in the intervention group versus placebo and control group. Conclusions: TT is an effective approach for managing state anxiety, regulating vital signs, and decreasing the incidence of cardiac dysrhythmia during stressful situations, such as cardiac catheterization, in Iranian cardiac patients.
Iranian journal of nursing and midwifery research, 2010
Currently healthy heart word considered to be the objective of community health applications in many countries of the world because cardiovascular diseases are the most important factor in mortality of humans, worldwide. Coronary artery bypass graft surgery is one of the most common surgery procedures for these patients. The purpose of this study is to assess the impact of therapeutic touch on medical vital signs of patients before coronary artery bypass graft surgery. The present study is a clinical trial with 44 samples that were selected by easy sampling method and based on two separate lists of random numbers for both men and women; they were divided into two groups. In the therapeutic touch group, intervention therapy was applied on patents for 20 minutes. Data was analyzed using descriptive and inferential statistics. Test results showed that there was a significant difference between the mean pulse rate before and after intervention in both groups (p < 0.001). Results also...
2014
The research project is a “Quasi experimental study to evaluate the effectiveness of tactile stimulation on anxiety and selected physiological parameter (HR) among patient admitted in Intensive Care Units (ICUs) of Government Rajaji Hospital at Madurai”. Pre test post test non equivalent control group research design was adopted. The total sample size was 60 out of which 30 samples were in the experimental group and 30 samples were in the control group. This study was carried out by administration of tactile stimulation twice a day for 3 days continuously, and by checking Apical heart rate per minute with the help of stethoscope. The tool used to assess the level of anxiety was modified anxiety part of CINT questionnaire in which 15 items were related in a four point likert type scale. The data obtained were analyzed by inferential and descriptive statistics. The major findings of the study were the mean post level of anxiety of patients admitted in ICU who received tactile stimulat...
Complementary Therapies in Clinical Practice, 2014
Objective: This study aimed to evaluate the effectiveness of massage with or without guided imagery in reducing anxiety prior to cardiac catheterization. Method: A total of 55 inpatients and outpatients received massage, guided imagery, or massage with guided imagery prior to cardiac catheterization. Self-reported anxiety levels and blood pressure (BP) and heart rate (HR) were evaluated in participants and a matched comparison group. Results: Massage with and without guided imagery resulted in significant reductions in self-reported anxiety (p < 0.0001). Patients receiving intervention had lower diastolic BP and HR vs. the comparison group (p < 0.0001 and p < 0.05). Conclusions: Massage with or without guided imagery immediately reduced self-reported anxiety. This pilot study has certain limitations: a non-randomized, convenience sample and a matched control group that was created retrospectively. However, the study indicates a benefit to providing massage or massage with guided imagery prior to anxiety-inducing medical procedures such as cardiac catheterization.
Whole body massage for reducing anxiety and stabilizing vital signs of patients in cardiac care unit
Medical journal of the Islamic Republic of Iran, 2014
Patients admitted in coronary care units face various stressors. Ambiguity of future life conditions and unawareness of caring methods intensifies the patients' anxiety and stress. This study was conducted to assess the effects of whole body massage on anxiety and vital signs of patients with acute coronary disorders. A randomized controlled trial was conducted on 120 patients. Patients were randomly allocated into two groups. The intervention group received a session of whole body massage and the control group received routine care. The levels of State, Trait and overall anxiety and vital signs were assessed in both groups before and after intervention. Independent sample t-test, paired t-test, Chi-square and Fischer exact tests were used for data analysis. The baseline overall mean score of anxiety was 79.43±29.34 in the intervention group and was decreased to 50.38±20.35 after massage therapy (p=0.001). However, no significant changes were occurred in the overall mean anxiety...
Reducing anxiety: the employment of Therapeutic Touch as a nursing intervention
Complementary Therapies in Nursing and Midwifery, 1997
Patient anxiety is frequently associated with admission and treatment in Critical Care Units. In Critical Care, one aim is the promotion of comfort so that anxiety experienced by patients can be reduced. In this article, a quasi-experimental design which attempted to determine the effectiveness of Therapeutic Touch as a nursing intervention is described. It was hypothesized that Therapeutic Touch would promote comfort and reduce anxiety. Before implementation of the project, a semi-structured interview was conducted amongst nurses (n = 18) from an Intensive Care Unit in a District General Hospital in East London. Interviews were conducted in order to determine the nurses' perceptions of the effectiveness of Therapeutic Touch as a complementary therapy. Initial findings of nurse interviews, a nurse's personal experiences of administering Therapeutic Touch and a case study indicate there may be a place for Therapeutic Touch as an intervention for promoting comfort and reducing anxiety in Critical Care. ... one of the ahns of tztlrshzg is the promotion of comfort so that atpciety can be reduced...
Background: The rate of anxiety and pain in coronary artery patients before angiography is significantly higher. Aim: This study aimed to examine the effect of foot massage on physiological and psychological parameters among patients undergone cardiac catheterization. Design: A quasi-experimental research design was utilized. Setting: The current study was conducted in cardiac catheterization unit of Menoufia University Hospital. Subjects: 120 patients undergone cardiac catheterization assigned randomly into two equal groups, 60 patients for each group: Studied group (I) received foot massage therapy besides the routine hospital care while control group (II) received routine hospital care only .Three tools were used by the researcher for collecting the necessary data; Structured Interview Questionnaire, State Anxiety Inventory (SAI) and Visual Analogue pain scale (VAS). Results: There was a statistically significant difference related to pain level between study and control groups post-intervention with p-value =0.02, also there was a highly statistically significance difference related to anxiety level between study and control groups post-intervention with p-value ≤ 0.001 and a highly statistically significance difference related to systolic and diastolic blood pressure as well as heart rate between study and control groups post-intervention. Conclusions: Foot massage has a positive effect in reducing anxiety and pain level as well as heart rate and blood pressure among patients undergone cardiac catheterization. Recommendations: Foot massage should be applied for patients before cardiac catheterization.
Effects of Therapeutic Touch to Reduce Anxiety As a Complementary Therapy: A Systematic Review
KnE Life Sciences, 2019
Background: The use of complementary and alternative medicine techniques has developed. The National Center for Complementary and Alternative Medicine places Therapeutic Touch in the bio field energy category. The literature review aims to critically evaluate data from clinical trials about testing the effectiveness of therapeutic touch as a comprehensive care in patients to reduce anxiety. Methods:For the purpose of the study, we employed the English articles in complementary therapy (Therapeutic Touch) area published within, 2001-2018. This Systematic Review used electronic databaseincluding (EBSCO PubMed/Medline, Elsevier Science Direct, Google Scholar and Cochrane Library, Web of knowledge) from 2001 to 2018 to find out the literatures with the keywords: 'Therapeutic Touch' OR 'Anxiety' , 'Healing Therapy' OR 'Complementary Therapy' OR 'Non-Pharmacological Therapy ' , and ' Nursing Therapy'. Finally, The search resulted 30 articles obtained were related to therapeutic touch. However, 23 articles were out of the inclusion criteria and were carried out on animals. The articles were evaluated based on a standard checklist presented by the Cochrane database. The articles were presented based on PRISMA format. Result:A total of 6 articles were in the final dataset in which it was found several positive effects of therapeutic touch on anxiety, pain, nausea, fatigue, and patients' quality of life that were supported by observations of biochemical parameters. Conclusion: Based on the reviewed articles, that the use of Therapeutic Touch, as a non-invasive intervention and complementary therapy, can improve health status of patients experiencing anxiety in various diseases such as cancer, heart diseases, stroke hypertension, anxiety and depression.
Journal of Nursing Education and Practice
Background and objective: Admission to the cardiac care unit may cause physiological and psychological problems in patients. This study aimed to investigate the effect of hand reflexology on anxiety and physiological variables among female patients with acute coronary syndrome hospitalized in the cardiac care unit.Methods: This randomized placebo controlled clinical trial was conducted on 90 female patients hospitalized in the cardiac care unit in an urban area of Iran. The patients were chosen using a convenient sampling method and then were randomly assigned into intervention (n = 45) and placebo (n = 45) groups. While the intervention group received hand reflexology for 20 minutes, the placebo group received a simple touch of hand without the stimulation of reflexology points. Demographic data was collected at the beginning of the study using face-to-face interviews with the patients. The anxiety level was assessed using the Spielberger’s State-Trait Anxiety Inventory (STAI) imm...