The Effect of Back Massage on Palliative Care Patients on Sleep Quality and Pain

NCT ID: NCT05168514

Last Updated: 2022-08-22

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 52 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-12-15
• Study Completion Date: 2022-07-15

Brief Summary

This study was planned to evaluate the effect of back massage applied to palliative care patients on sleep quality and pain.

Detailed Description

The most common complaint in palliative care patients is pain. Therefore, the quality of palliative care is demonstrated by the good management of patients' pain and suffering. In the treatment of pain, pharmacological and non-pharmacological treatments should be used together. As a result of the relaxation of the muscles with massage, which is one of the non-pharmacological treatments, the pain is relieved and reduced. Again, massage increases the release of endorphins and reduces the feeling of pain. Another common complaint in palliative care patients is insomnia. Sleep quality is also linked to pain. Low sleep quality causes a decrease in tolerance to pain, more drugs are used to relieve pain, and a negative cycle is formed by affecting sleep quality. Massage is one of the oldest treatment methods used to relieve many ailments. Florence Nightingale described massage in her Notes on Nursing published in 1859 and provided its use in the field of nursing.

This study was planned to evaluate the effect of back massage applied to palliative care patients on sleep quality and pain.

The study was planned as a randomized controlled experimental study between November 2021 and June 2022. Patients hospitalized in the Palliative Care Service of Bilecik Training and Research Hospital, the sample will be 52 patients, 26 patients in each group, with a 95% CI 90% power, as a result of the calculation made using the G*Power 3.1.9.7 program. Written consent will be obtained from the patients who agree to participate in the study and the "Patient Identification Form" will be filled. Back massage will be applied to the experimental group for 10 minutes every day for 7 days. Pittsburgh Sleep Quality Index, McGill Pain Scale Short Form will be administered after each massage and scores will be recorded for 7 days. Scales and massage will be applied to the patients before the administration of the pharmacological agent, which is among the routine treatment and care practices in the clinic. The control group will not be interfered with, and the routine treatment and care practices in the clinic will continue. Pittsburgh Sleep Quality Index, McGill Pain Scale Short will be applied to the control group simultaneously with the experimental group and scores will be recorded for 7 days. The obtained data will be evaluated using appropriate statistical methods.

As a result of the research, it is thought that the questions of whether there is a significant difference in sleep quality and pain scale between the patient group who received back massage in palliative care and the patient group who did not receive it will be answered.

Conditions

Palliative Care

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Study Groups

Massage

Massage begins with the patting (eflorage) maneuver. Massage is continued with petrissage, bearing, friction and percussion maneuvers.

Maneuvers are performed for 3-5 minutes. A patting motion is performed between maneuvers and at the end of the massage. During the massage, it is observed whether the integrity of the skin is impaired or in terms of redness.

Group Type: EXPERIMENTAL

Massage

Intervention Type: OTHER

"Patient Identification Form", "Pittsburgh Sleep Quality Index" and "McGill Pain Scale Short Form" will be applied to patients with written and verbal consent. Scales and massage application will be done before the pharmacological agent is administered to the patients.

Back massage will be applied to the experimental group for 10 minutes every day for 10 days. Routine treatment and care practices in the clinic will continue. "Pittsburgh Sleep Quality Index", "McGill Pain Scale Short Form" will be applied to the experimental group before and after each massage and scores will be recorded for 10 days.

The control group will not be interfered with, and the routine treatment and care practices in the clinic will continue. "Pittsburgh Sleep Quality Index", "McGill Pain Scale Short Form" will be applied to the control group simultaneously with the experimental group and scores will be recorded for 10 days.

Interventions

Massage

"Patient Identification Form", "Pittsburgh Sleep Quality Index" and "McGill Pain Scale Short Form" will be applied to patients with written and verbal consent. Scales and massage application will be done before the pharmacological agent is administered to the patients.

Back massage will be applied to the experimental group for 10 minutes every day for 10 days. Routine treatment and care practices in the clinic will continue. "Pittsburgh Sleep Quality Index", "McGill Pain Scale Short Form" will be applied to the experimental group before and after each massage and scores will be recorded for 10 days.

The control group will not be interfered with, and the routine treatment and care practices in the clinic will continue. "Pittsburgh Sleep Quality Index", "McGill Pain Scale Short Form" will be applied to the control group simultaneously with the experimental group and scores will be recorded for 10 days.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• At least literate education level,
• Having no cognitive, affective and verbal communication problems that would prevent the understanding of the given information and the ability to accurately express pain and sleep,
• Over 18 years old,
• Being in the palliative service,
• Patients who do not react negatively to any attempt to touch, such as massage,
• Patients with full and healthy tissue integrity in the area to be massaged.

Exclusion Criteria

• İlliterate to read and write
• Having any cognitive, affective and verbal communication problems that prevent the understanding of the given information and the ability to accurately express pain and sleep,
• Under the age of 18,
• Reacts negatively to any attempt to touch, such as massage,
• Patients whose tissue integrity is not complete and healthy in the area to be massaged.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Eskisehir Osmangazi University

OTHER

Sponsor Role: lead

Responsible Party

Sevil PAMUK CEBECİ

Asst.Prof.Dr.

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Sevil PAMUK CEBECİ

Role: STUDY_DIRECTOR

sevil.pamukcebeci@ogu.edu.tr

Locations

Bilecik Devlet Hastanesi

Bilecik, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

2021-2

Identifier Type: -

Identifier Source: org_study_id