Short-term Effect of Foot Massage on the Values of Arterial Oxygen Saturation in Neurosurgical Patients Admitted to ICU

Document Type : Original Article

Authors

1 Master of Science in Critical Care, School of Nursing and Midwifery, kermanshah University of Medical Sciences,Kermanshah, Iran

2 Master of Science in Psychiatric Nursing, Faculty of Nursing and Midwifery, kermanshah University of Medical Sciences, Kermanshah, Iran

3 Assistant Professor and PhD in Biostatistics, Faculty member of Kermanshah university of Medical Sciences, Kermanshah, Iran

4 Associate Professor of Physical Medicine , Faculty member of Kermanshah university of Medical Sciences, Kermanshah, Iran

Abstract

Purpose:
Massage is performed in order to adjust the vital signs of patients in the ICU that needs long-term hospitalization. The aim of the study was to determine the short-term impact of foot massage on patients' arterial blood oxygen saturation values that hospitalized at ​​Hospital of Imam Reza (AS) in Kermanshah.
Methods:
The present study is a quasi-experimental study to investigate the short time effect of massage on the feet on arterial oxygen saturation in patients admitted to the neurosurgical intensive care unit. After the pilot study subjects, 78 patients were selected by simple sampling. 39 patients were allocated in the intervention group and 39 patients in the control group. Forms and questionnaires and checklists were used for data collection and methods of data collection were interviews and physiological measurements. The patient's blood oxygen saturation in the first and fifth minutes before the massage was measured in both groups (from the monitor to the patient's bedside). Then, researcher gave 5 min foot massage and blood oxygen saturation values ​​were recorded. Immediately after the massage, arterial oxygen saturation values in the first and fifth minutes in both groups were recorded respectively and the results evaluated.
Results:
Results showed that the Spo2 in the intervention group was increased after the first and fifth minutes of foot massage (p = 0.023 and p = 0.019). It should be noted that the Spo2 levels in the control group were not significant when compared before and after the massage.
Conclusion:
Results showed that a significant increase in Spo2 level is a result of foot massage. It may be concluded that changes in metabolism occurred after foot massage is followed by decreased oxygen consumption and thus the value of massage increases.

Keywords

Main Subjects


1. Shaban m, Hajiamiri p, Kahrari s, Mehran a. The quick effect of foot massage on vital signs of critical care patients.Journal of hayat 2004; 10(20): 71-9. [Persian]
2. Imani a, Moshtagheshgh z, Alihosseini t, Alavimajd h. The evaluation of foot massages on phiziological indices of women with brain stroke in critical care units. Journal of yazdshahidsadoughi medical sciences 1998; 17(2): 76-82. [Persian]
3. Khoust n, Moshtagheshgh z, Imani a, Alavimajd h. evaluation of foot massage on O2 saturation of women with brain stroke in critical care units. Journal of yazd shahid sadoughi medical sciences. 2006; 14(3): 69-75. [Persian]
4. Haji hosseini f, Avazeh a, Elahi n, Shariati a, Souri h. The evaluation of massage on vital signs of comatose patients in critical care units. Journal of Babol University of medical sciences 2006; 21-8. [Persian]
5. Nikravanmofrad m. Principals of patient management dougas. 2nd ed. Tehran. Golban publication; 2010. [Persian]
6. Zakerimoghaddam m, Ali ashghar pour m. Critical care nursing in ICU, CCU and dialysis. 3rd. Tehran. Andishehrafie publication 2010; 11-19. [Persian]
7. Rahmanianaraki h, Abdollahi a, Nasiri h, Vakili m. The effect of back massage on some phiziological indices of critical care patients. Journal of gorgan university of medical sciences 2001; 3(8): 51-8. [Persian]
8. Hayes j, cox c. immediate effect of five minute foot massage on patients in critical care. Intensive and Critical care Nursing 1999; 15: 77-82.
9. Victor Maurice, Ropper   Allan   H. Adams and Victors Principles of Neurology 2001. Seventh edition. Mc graw hill publishing 2001.USA. 655- 1106
10. Eslami f. [translation of internal medicine]. Harisson H (author). Tehran. Hayyan publication 2009; 185, 485. [Persian]
11. Salemi s, Najafi t. [translation of Nursing principals and techniques]. Potter, Perry (author). Tehran. Jameenegar publications. 6th ed. 2007; 7: 528. [Persian]
12. Rezaei f. [translation of Brief psychiatric of capplan and sadouk]. Sadoukbj, sadouk v. Tehran.Arjomand publications 2009; 13-36. [Persian]
13. Sami p. [translation of The ICU book]. Marino p (author). Tehran. Boshra publications 2010; 168,524. [Persian]
14. Nikravanmofrad m, Shiri h. critical care in ICU. Nouredanesh publications. Tehran. 10th ed. 2007; 2,171. [Persian]
15. Vaillant J, Rouland A; Martigne P, Braujou R. Massage and mobilization of the feet and ankles in elderly adults: Effect on clinical balance performance. Elsevier, Manual therapy 2009; 14: 661- 664.
16. Golchin m. [translation of massage therapy]. Veiss r (author). Tehran. Shahre ab publications 2009؛ 3-5, 48. [Persian]
17. Shiri m. massage therapy. Tehran. Aeij publications. 1st ed. 2010; 15,234. [Persian]
18. Hsiao-Lan W; Juanita F. K. Foot and Hand Massage as an Intervention for Postoperative Pain. Pain Management Nursing 2009; 5: 59-65.
19. Hatta J, King L, Griffitshs P. the impact of foot massage and guided relaxation following cardiac surgery: arandomized controlled trial. Journal of advanced nursing 2002; 37: 199-207.
20. Holland B,Pokorny M. slow stroke back massage: its effect on patients in rehabilitation setting. Rehabilitation Nursing 2001; 5: 182-185.
21. Combron JA, Dexheimer J, Coe P. changes in blood pressure after various forms of therapeutic massage: A preliminary study. Journal of alternative & complementary Medicine 2006; 12(1): 65-70.
22. Lee R, Balick MJ.  Micronesion massage oil; Ancient practice and contemporary medical therapy. Alternative therapies in health and medicine 2002; 8(2): 107-109.
23. Vahabi s. The effect of music and meditation on anexiety of cardiac patients admitted to critical care units. Journal of Behavior 2002; 8(3): 77-80. [Persian]
24. Ejindu, A. The effects of foot and facial massage on sleep induction, blood pressure, pulse and respiratory rate: Crossover pilot study. Elsevier. Complementary Therapies in Clinical Practice 2007; 13: 266-275.
25. Susanne M. Cutshall, Laura J. Wentworth, Deborah Engen, Thoralf M. Sundt, Ryan F. Kelly, Brent A. Bauer, Effect of massage therapy on pain, anxiety, and tension in cardiac surgical patients: A pilot study.Elsevier. Complementary Therapies in Clinical Practice 2005; 16: 92–95.
26. Rose Adams, Barb White, Cynthia Beckett.   The Effects of Massage Therapy on Pain Management in the Acute Care Setting.   International Journal of Therapeutic Massage and Bodywork 2010; 3: 150.
27. William E. Lafferty,Lois Downey, Rachelle L. McCarty ,Leanna J. Standish , Donald L. Patrick. Evaluating CAM treatment at the end of life: A review of clinical trials for massage and meditation. Elsevier. Complementary Therapies in Medicine 2004; 14: 100-112.
28. Amy T. Wang,Thoralf, Susanne M. Cutshall,,Brent A. Bauer. Massage Therapy after Cardiac Surgery. Semin Thoracic Surgery 2010; 22: 225-229.
29. Gail Dudley, Kerry N. McGrath, AlfredM. Pheley. Length of stay and medication use in hysterectomy patients treated with a single massage treatment. Journal of Body work and Movement Therapies October 2003; 22: 225-229.
30. Albert Moraska, Robin A. Pollini, Karen Boulanger, Marissa Z. Brooks, Lesley Teitlebaum. Physiological Adjustments to Stress Measures Following Massage Therapy: A Review of the Literature. eCAM 2010; 7(4): 409–418.
31.Kaur j, Kaur S, Bhardwaj N. Effect of foot massage and reflexology on physiological parameters of critically ill patients. Nusrsing and Midwifery Research Journal  2012; 8: 223-232.