Effects of Head and Neck Massage on Anxiety, Pain and Discomfort in Hysterectomy Patient

Tuesday, 14 July 2009

Euy Soon Choi, MSN, PhD
College of Nursing, The Catholic University of Korea Songeui Campus, Seoul, South Korea
Eun Young Kim, RN, BS
Nursing, Kangnam St. Marys Hospital, Seoul, South Korea

Learning Objective 1: recognize the effects of head and neck massage as pe and post hysterectomy care.

Learning Objective 2: apply the head and neck massage in order to relief anxiety and discomfort in patients receiving surgery.

Purpose: This study was conducted to determine the effects of head and neck massage on anxiety, pain, and discomfort in hysterectomy patients.

Methods:  Subjects consisted of 48 hysterectomy patients at K hospital in Seoul. Experimental group (n=23) received head and neck massage five times for 3 days (as follows: (1) at admission; (2) before sleeping on preoperative day; (3) at 4 hours after operation; (4) before sleeping on operation day; (5) before sleeping on the first postoperative day). The massage was administered 8 minutes per once.Control group (n=25) received conventional treatment. Anxiety (state anxiety, blood pressure, pulse rate) was measured at admission and before sleeping on preoperative day. Pain and discomfort were tested at 4 hours after operation, before sleeping on operation day and on the first postoperative day. Data were analyzed using Chi2-test, Fisher’s exact test, paired t-test, unpaired t-test, repeated measures ANOVA and Bonferroni multiple comparison. The results were as follows.

Results: 1. State anxiety score, systolic blood and diastolic blood pressure at post-treatment decreased significantly in the experimental group compared to the control group.
2. The decrease of pulse rate in experimental group was larger than that in control group but there is no significant difference between two groups.
3. Pain score in experimental group was lower than that in control group but significant difference was not found between the two groups.
4. Discomfort level decreased significantly in the experimental group compared to the control group.

Conclusion: The head and neck massage could be an effective intervention for reducing preoperative anxiety and postoperative  discomfort in hysterectomy patients.