Department of Fundamental Nursing, College Nursing, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
School of Nursing, The State University of New York, Buffalo, New York, USA.
Pain Manag Nurs. 2020 Aug;21(4):314-322. doi: 10.1016/j.pmn.2019.09.005. Epub 2019 Nov 14.
Pain is the most pervasive distressing symptom following cardiac surgery. Forty percent of postoperative cardiac patients report inadequate pain management. Undertreated acute pain results in increased anxiety, delayed wound healing, and increased chance of persistent chronic pain. Foot massage is a safe, visible complementary approach to manage acute pain following surgery.
The aim of this study is to evaluate the efficacy of integrating foot massage therapy for managing postcardiac pain.
A randomized placebo controlled single blinded trial comparing foot massage to placebo was conducted at a large hospital in Saudi Arabia. Thirty-one patients who had undergone cardiac surgery (16 in experimental and 15 in placebo group) participated in the study. Ten-minute foot massage was delivered to the experimental group by a nurse researcher, twice during one day, within 30 minutes after receiving an opioid pain medication.
The findings of this study indicate that foot massage significantly (p < .05) decreases pain intensity and anxiety in patients who have undergone cardiac surgery compared with a placebo control group.
Providing non-pharmacologic interventions for pain is the responsibility of the nursing staff. Foot massage is within the scope of nursing practice and is a safe and effective manner of improving patient care. Foot massage in conjunction with pharmacological interventions is effective in improving pain and anxiety. Future studies should consider focusing on frequency, dose, feasibility, acceptability, and participants' satisfaction.
疼痛是心脏手术后最普遍的令人痛苦的症状。术后 40%的心脏病人报告疼痛管理不足。急性疼痛治疗不足会导致焦虑增加、伤口愈合延迟和持续慢性疼痛的机会增加。足部按摩是一种安全、可见的补充方法，可用于管理手术后的急性疼痛。
本研究旨在评估整合足部按摩疗法管理心脏手术后疼痛的疗效。
在沙特阿拉伯的一家大医院进行了一项随机安慰剂对照单盲试验，比较了足部按摩与安慰剂。共有 31 名接受过心脏手术的患者（实验组 16 名，安慰剂组 15 名）参与了这项研究。由一名护士研究员对实验组患者进行 10 分钟的足部按摩，在接受阿片类药物止痛治疗后 30 分钟内，每天两次进行。
这项研究的结果表明，与安慰剂对照组相比，足部按摩显著（p<0.05）降低了接受心脏手术的患者的疼痛强度和焦虑。
提供非药物干预疼痛是护理人员的责任。足部按摩在护理实践范围内，是改善患者护理的安全有效的方法。足部按摩结合药物干预可有效改善疼痛和焦虑。未来的研究应考虑关注频率、剂量、可行性、可接受性和参与者的满意度。
