A Randomized Trial Evaluating Connective Tissue Massage on Pain in Post-Cesarean Section Primiparous Women

2.50
Hdl Handle:
http://hdl.handle.net/10755/621562
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
N/A
Research Approach:
N/A
Title:
A Randomized Trial Evaluating Connective Tissue Massage on Pain in Post-Cesarean Section Primiparous Women
Other Titles:
Postpartum Health
Author(s):
Simonelli, Mary Colleen; Doyle, Louise T.
Lead Author STTI Affiliation:
Alpha Chi
Author Details:
Mary Colleen Simonelli, PhD, RN, Professional Experience: An MCH nurse for 30 years responsible for the care of perinatal clients, newborns and families. September 2001-present Clinical Associate Professor; Assistant Department Chair William F Connell School of Nursing Boston College August 1994 – present Massachusetts General Hospital: Maternal-Child Health Resource/Staff RN Research areas of interest – Smoking Cessation and Relapse Risk among Postpartum Women. The Use of Motivational Interviewing for Postpartum Weight Loss. Correlation Between Stress and Preterm Birth. The Impact of Massage Therapy on Hospitalized High Risk Antepartum Patients. The Effectiveness of Massage on Post-Operative Pain Management in Cesarean Birth Patients. Author or coauthor of 10 publications and book chapters primarily relating to maternal/child health and obstetrical nursing education. Author Summary: Simonelli has been a Maternal Child Health nurse for 30 years responsible for the care of perinatal clients, newborns and families.As full-time faculty at Boston College she has been teaching undergraduate and master's students Maternal Newborn Care for over 16 years.She is interested in improving the holistic care of perinatal women and their families.Doyle with 40-year career in Nursing. She has integrated holistic nursing practice, and massage therapy and is nationally board certified in both.
Abstract:

Purpose:  Pain creates physiological responses that can prolong the body’s recovery after surgery including cesarean surgery which may impact a woman’s ability to establish a maternal-newborn bond and effective breastfeeding. In the United States 77% of current heroin users claim to have used opioid pain medications prior to their heroin initiation (Jones, 2013).With today’s opioid crisis, it is imperative that nurses find alternative strategies to the current administration of opioids to manage postoperative pain. The purpose of this study was to evaluate the efficacy of connective tissue massage on reducing postoperative pain in primiparous patients on their first postoperative day after cesarean section.

Methods: In this research sixty women were randomized into three groups; Massage, Standard Care and Birth Story. The study sample was comprised of primiparous women aged 17-44 who underwent an unplanned cesarean birth in the previous 24-48-hour time period. A retrospective chart review was conducted to gather data on pain score, opioid and NSAID use for entire postoperative hospitalization.

Results: Data were analyzed using analysis of variance and post hoc Tukey tests. One-way ANOVA revealed a significant difference between groups for Pain, Stress and Relaxation scores at time 2 (p=.017, .004, .000 respectively). Additionally, opioid and NSAID use day 2 were significantly different (p=.032, .022 respectively). Post hoc Tukey’s evaluating the interaction between Massage and Standard Care groups were approaching significance for Total opioid use/BMI and Total NSAID use/BMI during the hospitalization (p=.09,.06 respectively).

Conclusion:  Using massage therapy during postoperative hospitalization decreased pain, stress and improved relaxation and had the potential to decrease overall pain medication use in this sample of childbearing women. Nurses using massage therapy for post-surgical patients can decrease the pain, stress, and increase relaxation associated with unplanned cesarean birth and impact their overall opioid use. Further research Is needed to determine the "dose" of alternative therapies that would sustain this Impact.

Keywords:
Massage; Opioids; Post-operative Pain
Repository Posting Date:
21-Jun-2017
Date of Publication:
21-Jun-2017
Other Identifiers:
INRC17E12
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleA Randomized Trial Evaluating Connective Tissue Massage on Pain in Post-Cesarean Section Primiparous Womenen_US
dc.title.alternativePostpartum Healthen
dc.contributor.authorSimonelli, Mary Colleenen
dc.contributor.authorDoyle, Louise T.en
dc.contributor.departmentAlpha Chien
dc.author.detailsMary Colleen Simonelli, PhD, RN, Professional Experience: An MCH nurse for 30 years responsible for the care of perinatal clients, newborns and families. September 2001-present Clinical Associate Professor; Assistant Department Chair William F Connell School of Nursing Boston College August 1994 – present Massachusetts General Hospital: Maternal-Child Health Resource/Staff RN Research areas of interest – Smoking Cessation and Relapse Risk among Postpartum Women. The Use of Motivational Interviewing for Postpartum Weight Loss. Correlation Between Stress and Preterm Birth. The Impact of Massage Therapy on Hospitalized High Risk Antepartum Patients. The Effectiveness of Massage on Post-Operative Pain Management in Cesarean Birth Patients. Author or coauthor of 10 publications and book chapters primarily relating to maternal/child health and obstetrical nursing education. Author Summary: Simonelli has been a Maternal Child Health nurse for 30 years responsible for the care of perinatal clients, newborns and families.As full-time faculty at Boston College she has been teaching undergraduate and master's students Maternal Newborn Care for over 16 years.She is interested in improving the holistic care of perinatal women and their families.Doyle with 40-year career in Nursing. She has integrated holistic nursing practice, and massage therapy and is nationally board certified in both.en
dc.identifier.urihttp://hdl.handle.net/10755/621562-
dc.description.abstract<p><strong>Purpose: </strong><span> Pain creates physiological responses that can prolong the body’s recovery after surgery including cesarean surgery which may impact a woman’s ability to establish a maternal-newborn bond and effective breastfeeding. In the United States 77% of current heroin users claim to have used opioid pain medications prior to their heroin initiation (Jones, 2013).With today’s opioid crisis, it is imperative that nurses find alternative strategies to the current administration of opioids to manage postoperative pain. The purpose of this study was to evaluate the efficacy of connective tissue massage on reducing postoperative pain in primiparous patients on their first postoperative day after cesarean section.</span></p> <p><strong>Methods: </strong>In this research sixty women were randomized into three groups; Massage, Standard Care and Birth Story. The study sample was comprised of primiparous women aged 17-44 who underwent an unplanned cesarean birth in the previous 24-48-hour time period. A retrospective chart review was conducted to gather data on pain score, opioid and NSAID use for entire postoperative hospitalization.</p> <p><strong>Results: </strong>Data were analyzed using analysis of variance and post hoc Tukey tests. One-way ANOVA revealed a significant difference between groups for Pain, Stress and Relaxation scores at time 2 (p=.017, .004, .000 respectively). Additionally, opioid and NSAID use day 2 were significantly different (p=.032, .022 respectively). Post hoc Tukey’s evaluating the interaction between Massage and Standard Care groups were approaching significance for Total opioid use/BMI and Total NSAID use/BMI during the hospitalization (p=.09,.06 respectively).</p> <p><strong>Conclusion: </strong> Using massage therapy during postoperative hospitalization decreased pain, stress and improved relaxation and had the potential to decrease overall pain medication use in this sample of childbearing women. Nurses using massage therapy for post-surgical patients can decrease the pain, stress, and increase relaxation associated with unplanned cesarean birth and impact their overall opioid use. Further research Is needed to determine the "dose" of alternative therapies that would sustain this Impact.</p>en
dc.subjectMassageen
dc.subjectOpioidsen
dc.subjectPost-operative Painen
dc.date.available2017-06-21T13:26:18Z-
dc.date.issued2017-06-21-
dc.date.accessioned2017-06-21T13:26:18Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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