Exploring the Effects of Therapeutic Massage and Patient Teaching in the Practice of Diaphragmatic Breathing on Blood Pressure, Stress and Anxiety in Hypertensive African-American Women: An Intervention Study

Wednesday, 14 July 2010: 8:30 AM

Lenetra Leiselle Jefferson, PhD, RN, LMT, (NCTMB)
Division of Nursing, Dillard University, New Orleans, LA

Learning Objective 1: Understand and apply alternative/complementary health techniques to nursing practice and research.

Learning Objective 2: Discuss techniques for recruiting and retaining minority participants.

Purpose: The purpose of this study was to determine how therapeutic chair massage and patient teaching in diaphragmatic breathing affected African American women’s blood pressure, stress, and anxiety levels over one week or six weeks time periods. Methods: Group one received the therapeutic chair massage intervention, n=17 with a set of initial measurements (blood pressure, stress [Perceived Stress Scale], and anxiety levels [State Trait Anxiety Inventory]).  A second set of measurements (blood pressure, stress and anxiety levels) was performed at six weeks post intervention.  Group two received patient teaching in the practice of diaphragmatic breathing n= 17, and initial measurements with a second set of measurements performed at six weeks post patient teaching. Group three received the therapeutic chair massage intervention, n = 17, and a set of initial measurements with a second set of measurements performed at one week post intervention.  Group four received patient teaching in the practice of diaphragmatic breathing, n=17, and an initial set of measurements with the second set of measurements performed at one week post patient teaching. A multivariate analysis of variance (MANOVA) and multivariate analysis of variance with covariate (MANCOVA) was used to analyze the research questions.
Results: The results of this analysis showed a statistical significance for systolic blood pressure level for Group three for the one week post intervention measurement with p =.009.  An additional significance was discovered in analysis of the therapeutic chair massage versus patient teaching groups for Roy’s Largest Root with p = .03. Conclusion: Blood pressure, stress and anxiety levels in African American women diagnosed with hypertension can be influenced by intervention therapeutic chair massage; however, further studies are   needed to validate more direct results of these types of interventions.