Evaluation of Touch Massage on Anxiety in Critically Ill Patients

Versailles Hospital70 enrolled

Overview

Anxiety is a common problem encountered in a about 43 % of critically ill patients. Its occurrence can be related to several causes, mainly dominated by invasive procedures. anxiety management is typically based on a combination of prevention, evaluation, and therapeutic agents. However, it appears important to develop adjuvant approaches. Touch massage is one of them and that has been evaluated in various medical conditions. The aim of our study is to evaluate the anxiolytic effect of touch massage in critically ill patients during potentially painful nursing procedures.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

Conditions

Anxiety

Interventions

touch massagePROCEDURE

Patients will have a touch massage session during 30 minutes the intervention will take place remotely (1 h) of all events that can generate anxiety

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * All adult patients (age≥18 years) hospitalized in Intensive Care Unit \> 24 h * Requiring mechanical ventilation or not * Securité Sociale affiliated * Patient with accessible zone for touch massage (head-face, arms-hands, feet, legs and back) * No significant event (invasive procedure, diagnostic ad, CAT,MRI) before enrollment Exclusion Criteria: * Pregnant * Legal guardianship * Neurological failure : stroke ischemic or hemorrhagic, meningitis, status epilepticus,polytrauma( including head trauma),meningo encephalitis, meningism, * Patient with upper limbs neuromuscular disorders * Cutaneous lesion (zone of touch massage) * Temperature ≥ 38,5°C * A positive score of CAM ICU scale * Patient refuse to participate

Locations (1)

Versailles Hospital

Le Chesnay, Yvelines, France

Outcomes

Primary Outcomes

Measure the anxiolytic value of touch massage to critically ill patient, awake, communicating

Total score variation of the Spielberger STAI Y-A anxiety scale (short form) before and after the touch massage session (score 6-24) or standard care ICU.

Time frame: 60 minutes

Secondary Outcomes

Measure the correlation between the Spielberger STAI Y-A (short form) anxiety scale and the Anxiety Visual Anxiety Scale (EVA-A).

Patient anxiety will be evaluated by the score of anxiety measured in millimeters from 0 to 100 using a Visual analogue scale of anxiety (EVA - A) before and after touch massage session or standard care ICU.

Time frame: 60 minutes

Measure the analgesic effect of touch massage to critically ill patient awake, communicating

Pain will be evaluated by the pain score measured in millimeters of 0 and 100 with scale visual analog pain (EVA) before and touch massage session or standard care ICU.

Time frame: 60 minutes

Data from ClinicalTrials.gov

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