- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05366673
Effect of Massage Therapy on Fatigue and Sleep Quality in Patients With Heart Failure in Intensive Care Unit
February 19, 2024 updated by: National Yang Ming University
The purpose of this study was to explore the effect of massage therapy on fatigue and sleep quality in patients with heart failure in the intensive care unit.
The study design was a randomized control trial and repeated measurements.
A convenience sampling was used to recruit heart failure patients with New York Heart Association (NYHA) II-III from the intensive care unit of a regional teaching center.
In addition to routine turning, patients in the experimental group received daily back massage intervention for 10 minute, once a day; the control group maintained usual care.
The data collection included three time points: baseline, 4th and 7th day after the intervention.
Research tools include basic personal data, Piper fatigue scale and Pittsburgh sleep quality scale.
Study Overview
Detailed Description
The purpose of this study was to explore the effect of massage therapy on fatigue and sleep quality in patients with heart failure in the intensive care unit.
The study design was a randomized control trial and repeated measurements.
A convenience sampling was used to recruit heart failure patients with New York Heart Association (NYHA) II-III from the intensive care unit of a regional teaching center.
In addition to routine turning, patients in the experimental group received daily back massage intervention for 10 minute, once a day; the control group maintained usual care.
The data collection included three time points: baseline, 4th and 7th day after the intervention.
Research tools include basic personal data, Piper fatigue scale and Pittsburgh sleep quality scale.
Data will be analyzed by descriptive statistics, chi-square test, Pearson product correlation, one-way ANOVA, independent sample t test, repeated measure ANOVA, and generalized estimating equation (GEE)。
Study Type
Interventional
Enrollment (Actual)
106
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Taoyuan, Taiwan, 330
- Taipei Veterans General Hospital Taoyuan Branch
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
20 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- Patients with heart failure diagnosed by a physician and grade II to III according to NYHA classification, and those who can perform massage therapy after the physician's evaluation
- Over 20 years old
- A person who has a clear consciousness and can communicate
- Those who are willing to accept the implementation of this research plan
Exclusion Criteria:
- People with sleep disorders
- People with mental or cognitive impairment
- Patients who use sedatives or neuroleptics
- Patients with unstable angina, myocardial infarction, and unstable vital signs
- Those who are unconscious and unable to communicate.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Massage therapy
Patients will receive massage therapy for 10 minutes, once per day from the first day to the seventh day of admission to the intensive care unit.
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Perform a 10-minute back massage every day for a week
|
|
No Intervention: Control group
Patients will maintain usual care.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Changes in Piper Fatigue Scale score
Time Frame: baseline, 4 day, 7 day
|
Changes from baseline Piper Fatigue Scale score at 4 days, 7 days.
Piper Fatigue Scale contains 15 items.
Each item score ranges 0 to 3 with a total score ranged from 0 to 45, higher scores indicate higher fatigue levels.
|
baseline, 4 day, 7 day
|
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Changes in Verran and Snyder-Halpern sleep quality scale
Time Frame: baseline, 4 day, 7 day
|
Changes from baseline Verran and Snyder-Halpern sleep quality Scale score at 4 days, 7 days.
Verran and Snyder-Halpern sleep scale includes 15 items.
Each item score ranges from 0-100.
Higher score indicates poor sleep.
|
baseline, 4 day, 7 day
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Changes in Hospital Anxiety and depression scale score
Time Frame: baseline, 4 day, 7 day
|
Changes from baseline Hospital Anxiety and depression Scale score at 4 days, 7 days.
Hospital Anxiety and Depression Scale includes 14 items, 2 subscales.
Each item score ranges from 0 to 3 with a total score of 0-21 for anxiety and depression subscale.
Higher score indicates high anxiety and depression.
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baseline, 4 day, 7 day
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Ai-Fu Chiou, PhD, National Yang Ming Chiao Tung University
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Huang HW, Zheng BL, Jiang L, Lin ZT, Zhang GB, Shen L, Xi XM. Effect of oral melatonin and wearing earplugs and eye masks on nocturnal sleep in healthy subjects in a simulated intensive care unit environment: which might be a more promising strategy for ICU sleep deprivation? Crit Care. 2015 Mar 19;19(1):124. doi: 10.1186/s13054-015-0842-8.
- Polikandrioti M, Kalafatakis F, Koutelekos I, Kokoularis D. Fatigue in heart failure outpatients: levels, associated factors, and the impact on quality of life. Arch Med Sci Atheroscler Dis. 2019 May 28;4:e103-e112. doi: 10.5114/amsad.2019.85406. eCollection 2019.
- Akerstedt T, Hume K, Minors D, Waterhouse J. The subjective meaning of good sleep, an intraindividual approach using the Karolinska Sleep Diary. Percept Mot Skills. 1994 Aug;79(1 Pt 1):287-96. doi: 10.2466/pms.1994.79.1.287.
- Klip A, Ramlal T, Bilan PJ, Cartee GD, Gulve EA, Holloszy JO. Recruitment of GLUT-4 glucose transporters by insulin in diabetic rat skeletal muscle. Biochem Biophys Res Commun. 1990 Oct 30;172(2):728-36. doi: 10.1016/0006-291x(90)90735-6.
- Backus D, Manella C, Bender A, Sweatman M. Impact of Massage Therapy on Fatigue, Pain, and Spasticity in People with Multiple Sclerosis: a Pilot Study. Int J Ther Massage Bodywork. 2016 Dec 9;9(4):4-13. doi: 10.3822/ijtmb.v9i4.327. eCollection 2016 Dec.
- Chen WL, Liu GJ, Yeh SH, Chiang MC, Fu MY, Hsieh YK. Effect of back massage intervention on anxiety, comfort, and physiologic responses in patients with congestive heart failure. J Altern Complement Med. 2013 May;19(5):464-70. doi: 10.1089/acm.2011.0873. Epub 2012 Nov 27.
- Chen LX, Ji DH, Zhang F, Li JH, Cui L, Bai CJ, Liu H, Liang Y. Richards-Campbell sleep questionnaire: psychometric properties of Chinese critically ill patients. Nurs Crit Care. 2019 Nov;24(6):362-368. doi: 10.1111/nicc.12357. Epub 2018 Jul 30.
- Chen LH, Li CY, Shieh SM, Yin WH, Chiou AF. Predictors of fatigue in patients with heart failure. J Clin Nurs. 2010 Jun;19(11-12):1588-96. doi: 10.1111/j.1365-2702.2010.03218.x.
- Conley S, Feder S, Redeker NS. The relationship between pain, fatigue, depression and functional performance in stable heart failure. Heart Lung. 2015 Mar-Apr;44(2):107-12. doi: 10.1016/j.hrtlng.2014.07.008. Epub 2015 Jan 6.
- Drouot X, Quentin S. Sleep Neurobiology and Critical Care Illness. Sleep Med Clin. 2016 Mar;11(1):105-13. doi: 10.1016/j.jsmc.2015.10.001.
- Evangelista LS, Moser DK, Westlake C, Pike N, Ter-Galstanyan A, Dracup K. Correlates of fatigue in patients with heart failure. Prog Cardiovasc Nurs. 2008 Winter;23(1):12-7. doi: 10.1111/j.1751-7117.2008.07275.x.
- Hayhoe B, Kim D, Aylin PP, Majeed FA, Cowie MR, Bottle A. Adherence to guidelines in management of symptoms suggestive of heart failure in primary care. Heart. 2019 May;105(9):678-685. doi: 10.1136/heartjnl-2018-313971. Epub 2018 Dec 4.
- Heo S, McSweeney J, Tsai PF, Ounpraseuth S. Differing Effects of Fatigue and Depression on Hospitalizations in Men and Women With Heart Failure. Am J Crit Care. 2016 Nov;25(6):526-534. doi: 10.4037/ajcc2016909.
- Fredriksson-Larsson U, Alsen P, Karlson BW, Brink E. Fatigue two months after myocardial infarction and its relationships with other concurrent symptoms, sleep quality and coping strategies. J Clin Nurs. 2015 Aug;24(15-16):2192-200. doi: 10.1111/jocn.12876. Epub 2015 May 19.
- Iyngkaran P, Liew D, Neil C, Driscoll A, Marwick TH, Hare DL. Moving From Heart Failure Guidelines to Clinical Practice: Gaps Contributing to Readmissions in Patients With Multiple Comorbidities and Older Age. Clin Med Insights Cardiol. 2018 Dec 4;12:1179546818809358. doi: 10.1177/1179546818809358. eCollection 2018.
- Nahmias AJ, Naib ZM, Josey WE, Franklin E, Jenkins R. Prospective studies of the association of genital herpes simplex infection and cervical anaplasia. Cancer Res. 1973 Jun;33(6):1491-7. No abstract available.
- Jeon S, Redeker NS. Sleep Disturbance, Daytime Symptoms, and Functional Performance in Patients With Stable Heart Failure: A Mediation Analysis. Nurs Res. 2016 Jul-Aug;65(4):259-67. doi: 10.1097/NNR.0000000000000169.
- Sable A, Sivabalan T, Shetti AN. Effectiveness of Back Massage on Sleep Pattern among Patients with Congestive Cardiac Failure. Iran J Nurs Midwifery Res. 2017 Sep-Oct;22(5):359-362. doi: 10.4103/ijnmr.IJNMR_142_16.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
October 31, 2021
Primary Completion (Actual)
December 17, 2022
Study Completion (Actual)
December 17, 2022
Study Registration Dates
First Submitted
May 4, 2022
First Submitted That Met QC Criteria
May 4, 2022
First Posted (Actual)
May 9, 2022
Study Record Updates
Last Update Posted (Estimated)
February 21, 2024
Last Update Submitted That Met QC Criteria
February 19, 2024
Last Verified
August 1, 2022
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- TYVH109
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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