Effects of hand massage on anxiety in cataract surgery using local anesthesia

To evaluate the effects of hand massage on patient anxiety during cataract surgery. Kangnam St. Mary’s Hospital, Seoul, Korea. This study comprised 59 patients having cataract surgery from December 11, 1996, to February 12, 1997. The patients were divided into those having a hand massage 5 minutes b...

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Veröffentlicht in:Journal of cataract and refractive surgery 2001-06, Vol.27 (6), p.884-890
Hauptverfasser: Kim, Man Soo, Cho, Kyung Sook, Woo, Heung-Myong, Kim, Jae Ho
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container_end_page 890
container_issue 6
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container_title Journal of cataract and refractive surgery
container_volume 27
creator Kim, Man Soo
Cho, Kyung Sook
Woo, Heung-Myong
Kim, Jae Ho
description To evaluate the effects of hand massage on patient anxiety during cataract surgery. Kangnam St. Mary’s Hospital, Seoul, Korea. This study comprised 59 patients having cataract surgery from December 11, 1996, to February 12, 1997. The patients were divided into those having a hand massage 5 minutes before surgery (experimental group, n = 29) and those not receiving a hand massage (control group, n = 30). Patients’ anxiety levels were measured using the Visual Analog Scale and by assessing the systolic blood pressure, diastolic blood pressure, and pulse rate before and after the hand massage and 5 minutes before the end of surgery. Epinephrine, norepinephrine, cortisol, blood sugar levels, neutrophil, and lymphocyte percentages in white blood cells were also measured. After the hand massage, the psychological anxiety levels, systolic and diastolic blood pressures, and pulse rate were significantly lower than before the massage. The hand massage significantly decreased epinephrine and norepinephrine levels in the experimental group. Epinephrine, norepinephrine, and cortisol levels increased in the control group. The differences between groups were significant. There were no significant between-group differences in blood sugar levels or neutrophil and lymphocyte percentages in white blood cells. The findings indicate that hand massage decreases the psychological and physiological anxiety levels in patients having cataract surgery under local anesthesia.
doi_str_mv 10.1016/S0886-3350(00)00730-6
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Kangnam St. Mary’s Hospital, Seoul, Korea. This study comprised 59 patients having cataract surgery from December 11, 1996, to February 12, 1997. The patients were divided into those having a hand massage 5 minutes before surgery (experimental group, n = 29) and those not receiving a hand massage (control group, n = 30). Patients’ anxiety levels were measured using the Visual Analog Scale and by assessing the systolic blood pressure, diastolic blood pressure, and pulse rate before and after the hand massage and 5 minutes before the end of surgery. Epinephrine, norepinephrine, cortisol, blood sugar levels, neutrophil, and lymphocyte percentages in white blood cells were also measured. After the hand massage, the psychological anxiety levels, systolic and diastolic blood pressures, and pulse rate were significantly lower than before the massage. The hand massage significantly decreased epinephrine and norepinephrine levels in the experimental group. Epinephrine, norepinephrine, and cortisol levels increased in the control group. The differences between groups were significant. There were no significant between-group differences in blood sugar levels or neutrophil and lymphocyte percentages in white blood cells. The findings indicate that hand massage decreases the psychological and physiological anxiety levels in patients having cataract surgery under local anesthesia.</description><identifier>ISSN: 0886-3350</identifier><identifier>EISSN: 1873-4502</identifier><identifier>DOI: 10.1016/S0886-3350(00)00730-6</identifier><identifier>PMID: 11408136</identifier><identifier>CODEN: JCSUEV</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Anesthesia, Local - methods ; Anxiety - blood ; Anxiety - psychology ; Biological and medical sciences ; Blood Glucose - analysis ; Blood Pressure ; Epinephrine - blood ; Female ; Heart Rate ; Humans ; Hydrocortisone - blood ; Lens diseases ; Lens Implantation, Intraocular ; Lymphocyte Count ; Male ; Massage ; Medical sciences ; Middle Aged ; Norepinephrine - blood ; Ophthalmology ; Pain Measurement ; Phacoemulsification ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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Kangnam St. Mary’s Hospital, Seoul, Korea. This study comprised 59 patients having cataract surgery from December 11, 1996, to February 12, 1997. The patients were divided into those having a hand massage 5 minutes before surgery (experimental group, n = 29) and those not receiving a hand massage (control group, n = 30). Patients’ anxiety levels were measured using the Visual Analog Scale and by assessing the systolic blood pressure, diastolic blood pressure, and pulse rate before and after the hand massage and 5 minutes before the end of surgery. Epinephrine, norepinephrine, cortisol, blood sugar levels, neutrophil, and lymphocyte percentages in white blood cells were also measured. After the hand massage, the psychological anxiety levels, systolic and diastolic blood pressures, and pulse rate were significantly lower than before the massage. The hand massage significantly decreased epinephrine and norepinephrine levels in the experimental group. Epinephrine, norepinephrine, and cortisol levels increased in the control group. The differences between groups were significant. There were no significant between-group differences in blood sugar levels or neutrophil and lymphocyte percentages in white blood cells. The findings indicate that hand massage decreases the psychological and physiological anxiety levels in patients having cataract surgery under local anesthesia.</description><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia, Local - methods</subject><subject>Anxiety - blood</subject><subject>Anxiety - psychology</subject><subject>Biological and medical sciences</subject><subject>Blood Glucose - analysis</subject><subject>Blood Pressure</subject><subject>Epinephrine - blood</subject><subject>Female</subject><subject>Heart Rate</subject><subject>Humans</subject><subject>Hydrocortisone - blood</subject><subject>Lens diseases</subject><subject>Lens Implantation, Intraocular</subject><subject>Lymphocyte Count</subject><subject>Male</subject><subject>Massage</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Norepinephrine - blood</subject><subject>Ophthalmology</subject><subject>Pain Measurement</subject><subject>Phacoemulsification</subject><subject>Surgery (general aspects). 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subjects Adult
Aged
Anesthesia, Local - methods
Anxiety - blood
Anxiety - psychology
Biological and medical sciences
Blood Glucose - analysis
Blood Pressure
Epinephrine - blood
Female
Heart Rate
Humans
Hydrocortisone - blood
Lens diseases
Lens Implantation, Intraocular
Lymphocyte Count
Male
Massage
Medical sciences
Middle Aged
Norepinephrine - blood
Ophthalmology
Pain Measurement
Phacoemulsification
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Tropical medicine
title Effects of hand massage on anxiety in cataract surgery using local anesthesia
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