THE EFFECT OF HAND AND BACK MASSAGE ON PAIN, SLEEP AND SELF-CARE IN WOMEN UNDERGOING HYSTERECTOMY

Çukurova University

Status: Invitation-only

Conditions: Self Efficacy; Pain; Sleep

Treatments: Other: hand massage

Study type: Interventional

Funder types: Other

Identifiers

NCT06403566

139-43

Details and patient eligibility

About

Postoperative incision pain is an acute pain that begins with the stimulation of neuroreceptors from surgical trauma and usually resolves within a few days. Today, the physiology of acute pain is better understood and new approaches to pain management are emerging. However, studies conducted in recent years have reported that postoperative pain management is inadequate, and therefore approximately 50-80% of patients still experience moderate to severe pain

Full description

Self-care is the realization of health activities to maintain one's health, life and well-being (14). Self-care power is at different levels in each person and perceptual, cognitive, interpersonal and psychomotor characteristics are needed for an effective self-care power to be formed. Therefore, self-care power varies according to the ability and health status of the individual (12). According to Orem, the development and maintenance of health are the results to be obtained through self-care. Orem's theory also "values personal responsibility for health and indicates that nursing services may have a key role in prevention and health education". Since self-care is a learnable behavior, nurses can encourage and support people's self-care efforts and increase the individual's participation by providing health education (12).

When the literature is examined, there are a limited number of studies examining the effect of back massage on pain in women undergoing hysterectomy surgery. There are studies examining the effect of reiki on pain in different fields (13,14). Pain is a condition that affects all dimensions of the individual including biophysiologic, psychological, sociocultural and political-economic. Although analgesics are indispensable to alleviate postoperative pain, undesirable effects may occur when overused. Therefore, nurses' use of non-drug methods in addition to pharmacologic methods will increase the effectiveness of pharmacologic methods (15). Pharmacology

Enrollment: 102 estimated patients

Sex: Female

Ages: 25 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age range 25-65,
• Elective surgery,
• Lying in the hospital for at least 2 days after surgery,
• Operated under general anesthesia

Exclusion criteria

• No serious complications developed after surgery,
• Never had a back or hand massage before,
• Cognitive, effective and without any problem preventing communication,
• No psychiatric problems,
• Patients receiving a single type of analgesic drug (non-narcotic analgesics) to ensure homogeneity of the groups and to increase the reliability of the study results,
• Patients not using Patient Controlled Analgesia (PCA) will be included in the sample.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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102 participants in 3 patient groups

hand massage application

Experimental group

Description:

hand massage will be applied before and after surgery

Treatment:

Other: hand massage

back massage application

Active Comparator group

Description:

back massage will be applied before and after surgery

Treatment:

Other: hand massage

control group

No Intervention group

Description:

no intervention will be made