Effect of a Brief Seated Massage on Nursing Student Attitudes to Touch for Comfort Care

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Hdl Handle:
http://hdl.handle.net/10755/243520
Category:
Full-text
Type:
Presentation
Title:
Effect of a Brief Seated Massage on Nursing Student Attitudes to Touch for Comfort Care
Author(s):
Turkeltaub, Paul C.; Yearwood, Edilma L.; Friedmann, Erika
Lead Author STTI Affiliation:
N/A
Author Details:
Turkeltaub, Paul C., MD, CMT, pct2@georgetown.edu; Yearwood, Edilma L., PhD, PMHCNS, BC, FAAN; Friedmann, Erika, PhD;
Abstract:
Purpose: While nursing curriculums have deleted touch modalities/masssage from nursing education/practice, randomized controlled trials indicate that these modalities are safe and effective for both nurse self care and patient care for stress reduction, relaxation, pain relief, fatigue, and improved quality of life measures. The purpose of this study is to compare the effects of two different intensities of touch [high (H) vs low (L)] adminstered during two separate brief seated massages on the attitudes of nursing students to touch for their own self care and for utilization by them in patient care.

Methods: Volunteer nursing students (stratified by undergraduate/second degree) gave IRB approved informed consent to undergo a 15 minute brief seated massage by a certified massage therapist (PCT) receiving L or H touch in a  2 block randomized order within-subject design.  Participants completed health questionnaires/visual analog scales pertaining to physical/affectve/and attitudinal status before and after each massage.  Linear mixed models nested within subject were used to test hypotheses controlling for carryover effects in this two treatment, two sequence, two period crossover design.

Results: 29 subjects (93% female, 83% single) completed the study. Prior to massage, the optimal intensity of pressure anticipated for self comfort was 6.6 where 0 is no pressure and 10, the most intense pressure imaginable. The average pressure intensity reported for H = 6.7 vs L=0.5, p<.001. The overall percent difference (feeling better or worse) in how the subject felt following massage: L=39.5% vs H=62.7% better, p<.001. Significantly more improvement was reported for energy, mood, pain, and self efficacy after H than L, p<.01. Subjects were more likely to both receive and provide touch for self and patient care after experiencing H than L, p<.01.

Conclusion:  Nurse educators need to reconsider the place of touch for self and patient comfort care in the nursing curriculum, if nurses are to provide optimal care within their scope of practice.

 

Keywords:
efficacy; massage; self care
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012 ; 12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleEffect of a Brief Seated Massage on Nursing Student Attitudes to Touch for Comfort Careen
dc.contributor.authorTurkeltaub, Paul C.en
dc.contributor.authorYearwood, Edilma L.en
dc.contributor.authorFriedmann, Erikaen
dc.contributor.departmentN/Aen
dc.author.detailsTurkeltaub, Paul C., MD, CMT, pct2@georgetown.edu; Yearwood, Edilma L., PhD, PMHCNS, BC, FAAN; Friedmann, Erika, PhD;en
dc.identifier.urihttp://hdl.handle.net/10755/243520-
dc.description.abstract<b>Purpose: </b>While nursing curriculums have deleted touch modalities/masssage from nursing education/practice, randomized controlled trials indicate that&nbsp;these modalities&nbsp;are safe and effective for both nurse self care and patient care for stress reduction, relaxation, pain relief, fatigue,&nbsp;and improved quality of life measures. The purpose of this study is to&nbsp;compare the effects of two different intensities of touch [high (H) vs low (L)] adminstered during two separate&nbsp;brief seated massages on the attitudes of nursing students to touch for their own self care and for utilization by them in patient care. <p><b>Methods: </b>Volunteer nursing students (stratified by undergraduate/second degree) gave IRB approved informed consent to undergo a 15 minute&nbsp;brief seated massage by a certified massage therapist (PCT) receiving L&nbsp;or H&nbsp;touch in a&nbsp; 2 block randomized order within-subject design.&nbsp; Participants completed health questionnaires/visual analog scales pertaining to physical/affectve/and attitudinal&nbsp;status before and after each massage.&nbsp; Linear mixed models nested within subject were used to test hypotheses controlling for carryover effects in this two treatment, two sequence, two period crossover design. <p><b>Results: </b> 29 subjects (93% female, 83% single) completed the study. Prior to massage, the optimal intensity of pressure anticipated for self comfort was 6.6 where 0 is no pressure and 10, the most intense&nbsp;pressure imaginable. The average&nbsp;pressure intensity reported for H = 6.7 vs L=0.5, p&lt;.001. The overall percent difference (feeling better or worse)&nbsp;in how the subject felt following massage: L=39.5% vs H=62.7% better, p&lt;.001. Significantly more improvement was reported for energy, mood, pain, and self efficacy after H than L, p&lt;.01. Subjects were more likely to both receive and provide touch for self and patient care after experiencing H than L, p&lt;.01. <p><b>Conclusion: </b> &nbsp;Nurse educators need to reconsider the place of touch for self and patient comfort care in the nursing curriculum, if nurses are to provide optimal care within their scope of practice. <p>&nbsp;en
dc.subjectefficacyen
dc.subjectmassageen
dc.subjectself careen
dc.date.available2012-09-12T09:23:26Z-
dc.date.issued2012-09-12-
dc.date.issued2012-09-12en
dc.date.accessioned2012-09-12T09:23:26Z-
dc.conference.date2012en
dc.conference.name23rd International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationBrisbane, Australiaen
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