The Effect of Hand Massage on Preoperative Anxiety Level and Hemodynamic Variables in Children: A Randomized Controlled Trial

Purpose: The study was conducted to determine the effect of hand massage applied to preoperative children on anxiety level and hemodynamic variables. Design: This research study is a randomized controlled trial with control and study groups, pre-and posttests. Methods: This study was conducted between April and September 2017 with 84 children who were planned to receive an operation by applying general/local anesthesia in a province in the south of Turkey. The population of the research was composed of children between the ages 9 and 12 (study group = 42 and control group = 42). The data were collected through "Child and Parent Information Form," "State-Trait Anxiety Inventory for Children," "Physical Symptoms Follow-up Form for Anxiety," and "Satisfaction Evaluation Scale."Findings: The state-trait anxiety mean after hand massage was found to be 25.78 +/- 5.90 in the study group, and 31.80 +/- 6.51 in the control group (P < .05). There was a statistically significant difference (P < .05) between the systolic blood pressures and heart rate averages of the children in the study group after hand massage. There was a negative correlation between the satisfaction hand massage and state-trait anxiety means of the study group children (P < .05).Conclusions: Hand massage was found to have a positive effect on reducing anxiety, systolic blood pressure and heart rate. No effect was found on diastolic blood pressure, respiratory rate and SpO2. We recommend that more extensive studies on hand massage are performed.(c) 2023 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.