A study to assess the effectiveness of therapeutic back massage in promotion of sleep and reduction of pain among post CABG patients admitted in Sree Mookambika Medical College Hospital, Kulasekharam

Abstract

INTRODUCTION: Sleep and rest are human needs essential to all individual physical and physiological wellbeing. Pain, stress anxiety, and sleep disorders are common after surgery. Poor level of sleep on the post operative period may be due to several factors including pain from surgical incision, presence of thoracic drain, pain caused by prolonged time in bed, and high anxiety levels. Massage therapy (MT) is a technique that promotes the manual mobilization of several structures from both muscle and subcutaneous tissue, by applying mechanical force to tissues. This mobilization improves lymph movement and venous return, reduces swelling, and mobilizes muscle fibers, tendons and skin. Thus, massage therapy may be used to promote muscle relaxation and to reduce pain, stress and anxiety, which help patients improve their level of sleep and speed the recovery. OBJECTIVE: To assess the effectiveness of therapeutic back massage in promotion of sleep and reduction of pain among post CABG patients in experimental group. HYPOTHESES: H1- There is a significant improvement on level of sleep among post CABG patients in experimental group than in control group. H2-There is a significant reduction in the level of pain among post CABG patients in experimental group than in control group. H3-There is significant association between the level of sleep and the selected demographic variables like age, sex, number of post op days, habits, duration of sleep, bed time rituals H4- There is a significant association between level of pain and the selected demographic variables like age, sex, number of post op days, duration of sleep, habits, bed time rituals. RESEARCH METHODOLOGY: The researcher adopted a quantitative approach with two group pre test and post test design .The study was conducted among 60 clients admitted in Sree Mookambika Medical College Hospital, Kulasekharam. In this study, independent variable is therapeutic back massage applied to post operative patients who had undergone CABG and dependent variable is level of sleep and level of sleep. The subjects were selected by purposive sampling technique 30 were allotted in Experimental group and 30 in Control group. For experimental group therapeutic back massage was given for 20 minutes for 3 days .whereas control group received routine nursing care.post test was conducted after back massage in experimental and control group by using sleep diary and surgical pain scale. The collected data were analyzed based on the above mentioned objectives using the descriptive and inferential statistics. STUDY FINDINGS: The study identified that the level of sleep was improved in the experimental group than the control group. It was found that there was a significantly improvement in the level of sleep among clients in experimental group after therapeutic back massage than in the control group. The ‘t’ value compared for the same also reveal significant difference t= 14.22 [p<0.05]. The study identifies that the level of pain was reduced in the experimental group than the control group. It was found that there was a significantly reduction in the level of Pain among clients in experimental group after therapeutic back massage than in the control group. The mean reduction of experimental group was statistically significant The ‘t’ =10.63. The mean reduction of control group was not statistically significant The ‘t’=1. CONCLUSION: The researcher found that Therapeutic back massage very much effective nursing intervention in improving level of sleep and reduction of pain among post CABG patients. Patient satisfaction is very much higher in this intervention. There is no side effects of therapeutic back massage when comparing with other pharmacological treatment