Effectiveness of Back Massage on Sleep Pattern among Patients with Congestive Cardiac Failure

Amol Sable, Thangaraj Sivabalan, Narayan Shetti

Abstract


Background: Sleep plays an important role in congestive cardiac failure (CCF). Back massage reduces anxiety, discomfort, and physical suffering in CCF patients. Study objective is to assess sleep pattern in CCF patients before and after back massage.

 Materials and Methods: A quasi‑experimental study was conducted in Pravara Rural hospital, Loni, India over 4 months in 2016. Thirty CCF patients were included in the study with purposive sampling. Nurse investigator performed 20‑min back massage thrice daily, 5 min for each step from the day of admission till discharge. In back massage, effleurage, stroking, kneading, and assessment of effectiveness was recorded using the Pittsburg sleep quality index.

Results: Thirty CCF patients were included, out of which individuals aged >65, 56–65, and 35–45 years age group were 40%, 24%, and 13%, respectively. Twenty‑four had left and 6 had right heart failure. Distribution of mean and standard deviation of pretest for sleep quality was 9.50 (3.14), indicating poor sleep quality. Posttest, the mean score was 4.47 (0.89), indicating good quality sleep. Eleven patients had >8 h of sleep, 15 patients had 6–8 h of sleep, whereas 4 patients had less than 6 h of sleep pretest. Posttest, 22 patients had >8 h and the remaining had 6–8 h of sleep.

 Conclusions: Back massage technique is safe and cost‑effective in CCF patients, by which the quality and duration of sleep is improved. It can be a part of the standard treatment.



Keywords


Back massage; congestive cardiac failure; insomnia; pittsburgh sleep quality index

Full Text:

PDF

References


Dos Santos MA, da Cruz Dde A, Barbosa RL. Factors associated to sleep pattern in heart failure patients. Rev Esc Enferm USP 2011;45:1105‑12.

Vyas UK. Non‑pharmacological management of insomnia. BJMP 2013;6:a623.

Roger VL. Epidemiology of Heart Failure. Circulation 2013;113:646‑59.

Sivadasan Pillai H, Ganapathi S. Heart Failure in South Asia. Curr Cardiol Rev 2013;9:102‑11.

Jiménez JA, Greenberg BH, Mills PJ. Effects of Heart Failure and its Pharmacological Management on Sleep. Drug Discov Today Dis Models 2011;8:161‑6.

Vickers A, Zollman C, Reinish JT. Massage therapies. Western J Med 2001;175:202‑4.

Kong LJ, Zhan HS, Cheng YW, Yuan WA, Chen B, Fang M. Massage Therapy for Neck and Shoulder Pain: A Systematic Review and Meta‑Analysis. Evid Based Complement Alternat Med 2013;2013:613279.

Purves D, Augustine GJ, Fitzpatrick D, et al., editors. Neuroscience. 2nd edition. Sunderland (MA): Sinauer Associates; 2001. Chapter 28, Sleep and Wakefulness.

Sharma B, McSharry D, Malhotra A. Sleep disordered breathing in patients with heart failure: Pathophysiology and management. Curr Treat Options Cardiovasc Med 2011;13:506‑16.

Sharma B. Sleep in Congestive Heart Failure. Med Clin North Am 2010;94:447‑64.

Chang BH, Jones D, Hendricks A, Boehmer U, Locastro JS, Slawsky M. Relaxation response for Veterans Affairs patients with congestive heart failure: Results from a qualitative study within a clinical trial. Prev Cardiol 2004;7:64‑70.

Mirzaaghazadeh M, Bahtouee M, Mehdiniya F, Maleki N, Tavosi Z. The Relationship between Nocturnal Hypoxemia and Left Ventricular Ejection Fraction in Congestive Heart Failure Patients. Sleep Disorders 2014;2014:978358.

Yaffe K, Laffan AM, Harrison SL, Redline S, Spira AP, Ensrud KE, et al. Sleep disordered breathing, hypoxia, and risk of mild cognitive impairment and dementia in older women. JAMA 2011;306:613‑9.

Shinde MB, Anjum S. Effectiveness of Slow Back Massage on Quality of Sleep among ICU Patent’s. IJSR 2014;3:292‑8.

Chen W‑L, Liu G‑J, Yeh S‑H, Chiang M‑C, Fu M‑Y, Hsieh Y‑K. Effect of Back Massage Intervention on Anxiety, Comfort, and Physiologic Responses in Patients with Congestive Heart Failure. J Altern Complement Med 2013;19:464‑70.


Refbacks

  • There are currently no refbacks.