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The effects of back massage on surgi...

Chin, Chi-Chun.

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The effects of back massage on surgical stress responses and postoperative pain.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	The effects of back massage on surgical stress responses and postoperative pain./
作者:	Chin, Chi-Chun.
面頁冊數:	157 p.
附註:	Adviser: Marion Good.
Contained By:	Dissertation Abstracts International61-02B.
標題:	Health Sciences, Medicine and Surgery. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9960923
ISBN:	9780599647268

The effects of back massage on surgical stress responses and postoperative pain.
Chin, Chi-Chun.

The effects of back massage on surgical stress responses and postoperative pain. - 157 p.

Adviser: Marion Good.

Thesis (Ph.D.)--Case Western Reserve University (Health Sciences), 1999.

The purpose of this study was to examine the effects of back massage on stress responses and postoperative pain among gynecological surgical patients. With a pretest-posttest experimental design, 112 Taiwanese subjects were assigned to either the massage or the control group using permuted block randomization controlling for direction of incision (horizontal or vertical). On the day of surgery and the first postoperative day, patients in both groups were turned to a side-lying position, then the massage group received a 10-minute back massage without conversation, while the control group rested. On each day, at each time point (baseline, post-turning, pretreatment, posttreatment I and posttreatment II), stress responses and postoperative pain were measured. The indicators of stress responses included serum cortisol and beta-endorphin concentrations, electromyography (EMG) of frontalis and trapezius muscles, and self-reported physical and psychological tension measured with 0--100 scales and visual analogue scales (VAS). The sensation and distress of postoperative incisional. and muscle pain were both measured with 0--100 scales and VAS.

ISBN: 9780599647268Subjects--Topical Terms:

1017756
Health Sciences, Medicine and Surgery.

The effects of back massage on surgical stress responses and postoperative pain.
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245 1 4 $a The effects of back massage on surgical stress responses and postoperative pain.
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500 $a Source: Dissertation Abstracts International, Volume: 61-02, Section: B, page: 0776.
502 $a Thesis (Ph.D.)--Case Western Reserve University (Health Sciences), 1999.
520 $a The purpose of this study was to examine the effects of back massage on stress responses and postoperative pain among gynecological surgical patients. With a pretest-posttest experimental design, 112 Taiwanese subjects were assigned to either the massage or the control group using permuted block randomization controlling for direction of incision (horizontal or vertical). On the day of surgery and the first postoperative day, patients in both groups were turned to a side-lying position, then the massage group received a 10-minute back massage without conversation, while the control group rested. On each day, at each time point (baseline, post-turning, pretreatment, posttreatment I and posttreatment II), stress responses and postoperative pain were measured. The indicators of stress responses included serum cortisol and beta-endorphin concentrations, electromyography (EMG) of frontalis and trapezius muscles, and self-reported physical and psychological tension measured with 0--100 scales and visual analogue scales (VAS). The sensation and distress of postoperative incisional. and muscle pain were both measured with 0--100 scales and VAS.
520 $a Controlling for pretreatment scores, repeated measures ANCOVA showed no significant differences between the massage and control group in surgical stress responses, incisional pain, and distress of muscle pain across posttreatment I and II on either the day of surgery and the first postoperative day. However massage significantly reduced the VAS (and not 0--100) sensation of muscle pain on the first postoperative day, F (1, 93) = 10.67, p = .002, but not on the day of surgery. It is recommended that future researchers looking for massage effects take EMG measurement at the site of pain rather than frontalis and trapezius muscles, use a 0--100 scale on the day of surgery, increase the number of times massage is given, and use a crossover design to reduce error variance.
520 $a Distress of incisional pain was significantly and positively related to psychological tension at most time points and to physical tension at posttreatment I and II. Having the patients turn to the side did not increase sensation and distress of incisional pain, but did significantly reduce sensation of muscle pain on both days and distress of muscle pain on the day of surgery. For greater validity in the future, the effects of turning on stress and pain should be studied with an experimental design. The research findings suggest that nurses should assist surgical patients with position changes and provide back massage to relieve muscle pain when patients are on bedrest the first postoperative day.
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