Back Massage to Decrease State Anxiety, Cortisol Level, Blood Prsessure, Heart Rate and Increase Sleep Quality in Family Caregivers of Patients with Cancer: A Randomised Controlled Trial (original) (raw)
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Applied Nursing Research, 2013
This quasi-experimental and cross-sectional study was carried out to determine the efficacy of back massage, a nursing intervention, on the process of acute fatigue developing due to chemotherapy and on the anxiety level emerging in cancer patients receiving chemotherapy during this process. The study was conducted on 40 patients. To collect the data, the Personal Information Form, the State Anxiety part of Spielberger State-Trait Anxiety Inventory and the Brief Fatigue Inventory were used. In our study, it was determined that mean anxiety scores decreased in the intervention group patients after chemotherapy. The level of fatigue in the intervention group decreased statistically significantly on the next day after chemotherapy (p = .020; effect size = 0.84). At the same time, the mean anxiety scores of the patients in the intervention group decreased right after the massage provided during chemotherapy (p = .109; effect size = 0.37) and after chemotherapy. In line with our study findings, it can be said that back massage given during chemotherapy affects anxiety and fatigue suffered during the chemotherapy process and that it significantly reduces state anxiety and acute fatigue. Therefore, the effective use of back massage in the process of chemotherapy by oncology nurses who have a key role in cancer treatment and care can make it more modulated.
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
Role of Massage Therapy in Cancer Care
The Journal of Alternative and Complementary Medicine, 2008
The care of patients with cancer not only involves dealing with its symptoms but also with complicated information and uncertainty; isolation; and fear of disease progression, disease recurrence, and death. Patients whose treatments require them to go without human contact can find a lack of touch to be an especially distressing factor. Massage therapy is often used to address these patients' need for human contact, and findings support the positive value of massage in cancer care. Several reviews of the scientific literature have attributed numerous positive effects to massage, including improvements in the quality of patients' relaxation, sleep, and immune system responses and in the relief of their fatigue, pain, anxiety, and nausea. On the basis of these reviews, some large cancer centers in the United States have started to integrate massage therapy into conventional settings. In this paper, we recognize the importance of touch, review findings regarding massage for cancer patients, describe the massage therapy program in one of these centers, and outline future challenges and implications for the effective integration of massage therapy in large and small cancer centers. 209 REVIEW OF RESEARCH FINDINGS Several reviews and overviews of the scientific literature have attributed important benefits to massage, including enhanced relaxation 7-9 ; improved sleep quality 7,9 ; decreased fatigue 7,9-11 ; relief of pain, 7-9,11-13 anxiety, 7-9,11,13 nausea 7-9,11,13 ; and improvements in immune system response. 7,8 However, just two of these articles 12,13 described their search criteria and assessed research quality.
Massage Therapy for Patients with Metastatic Cancer: A Pilot Randomized Controlled Trial
Journal of Alternative and Complementary Medicine, 2013
Objectives: The study objectives were to determine the feasibility and effects of providing therapeutic massage at home for patients with metastatic cancer. Design: This was a randomized controlled trial. Settings/location: Patients were enrolled at Oncology Clinics at a large urban academic medical center; massage therapy was provided in patients' homes. Subjects: Subjects were patients with metastatic cancer. Interventions: There were three interventions: massage therapy, no-touch intervention, and usual care. Outcome measures: Primary outcomes were pain, anxiety, and alertness; secondary outcomes were quality of life and sleep. Results: In this study, it was possible to provide interventions for all patients at home by professional massage therapists. The mean number of massage therapy sessions per patient was 2.8. A significant improvement was found in the quality of life of the patients who received massage therapy after 1-week follow-up, which was not observed in either the No Touch control or the Usual Care control groups, but the difference was not sustained at 1 month. There were trends toward improvement in pain and sleep of the patients after therapeutic massage but not in patients in the control groups. There were no serious adverse events related to the interventions. Conclusions: The study results showed that it is feasible to provide therapeutic massage at home for patients with advanced cancer, and to randomize patients to a no-touch intervention. Providing therapeutic massage improves the quality of life at the end of life for patients and may be associated with further beneficial effects, such as improvement in pain and sleep quality. Larger randomized controlled trials are needed to substantiate these findings.
ISRN Nursing, 2011
A considerable number of cancer patients use complementary medicine therapies in order to alleviate different symptoms such as pain, anxiety, and depression, occurring in connection with cancer. This paper explores the question to what extent massage therapies are able to reduce the amount of pain, anxiety, and depression. For this purpose, a systematic literature analysis was carried out in the electronic databases and specialist journals. There is already evidence that massage therapies can influence the symptoms of pain, anxiety, and depression in a positive way.
The effectiveness of Chair Massage on Stress and Pain in Oncology
2021
There is a high prevalence of moderate-to-high levels of chronic stress among nurses, as well as an occurrence of musculoskeletal disorders. To evaluate the effectiveness of chair massage to reduce chronic stress and musculoskeletal pain in the Oncology Nursing team. Two teaching cancer hospitals, one public and the other private, in São Paulo city, Brazil. A total of 60 women from the Oncology Nursing team. A randomized controlled trial divided into two groups: chair massage and control without intervention. The massage group received two chair massage sessions lasting 15 minutes, twice a week, for three weeks. Reduction of stress and pain measured by the List of Signs and Symptoms (LSS) and the Brief Pain Inventory (BPI), respectively. The average age was 32 (± 5.3) years. There was a reduction of stress measured by the LSS with a statistical difference in the group-time interaction (p < .001), with a Cohen's d value of 1.21 between groups. The BPI analysis showed a statist...
Archives of Womens Mental Health, 2010
To investigate the efficacy of classical massage on stress perception and mood disturbances, 34 women diagnosed with primary breast cancer were randomized into an intervention or control group. For a period of 5 weeks, the intervention group (n = 17) received biweekly 30-min classical massages. The control group (n = 17) received no additional treatment to their routine health care. The Perceived Stress Questionnaire (PSQ) and the Berlin Mood Questionnaire (BSF) were used and the patients’ blood was collected at baseline (T1), at the end of the intervention period (T2), and 6 weeks after T2 (T3). Compared with control group, women in the intervention group reported significantly lower mood disturbances, especially for anger (p = 0.048), anxious depression (p = 0.03) at T2, and tiredness at T3 (p = 0.01). No group differences were found in PSQ scales, cortisol and serotonin concentrations at T2 and T3. However, perceived stress and cortisol serum levels (p = 0.03) were significantly reduced after massage therapy (T2) compared with baseline in the intervention group. Further research is needed to validate our findings.