Effects of massage therapy on pain and anxiety intensity in patients with burns: A systematic review and meta‐analysis

Author:

Miri Sahar1,Hosseini Seyed Javad2,Ghorbani Vajargah Pooyan34,Firooz Mahbobeh5,Takasi Poorya34,Mollaei Amirabbas34,Ramezani Shahin6,Tolouei Mohammad7,Emami Zeydi Amir8,Osuji Joseph9,Farzan Ramyar10,Karkhah Samad34ORCID

Affiliation:

1. Department of Corrective Exercise and Sport Injury, Faculty of Sport Sciences University of Guilan Rasht Iran

2. Department of Nursing Esfarayen Faculty of Medical Sciences Esfarayen Iran

3. Burn and Regenerative Medicine Research Center Guilan University of Medical Sciences Rasht Iran

4. Department of Medical‐Surgical Nursing, School of Nursing and Midwifery Guilan University of Medical Sciences Rasht Iran

5. School of Nursing and Midwifery Golestan University of Medical Sciences Gorgan Iran

6. Student Research Committee, School of Nursing and Midwifery Guilan University of Medical Sciences Rasht Iran

7. Department of General Surgery, Faculty of Medicine Guilan University of Medical Sciences Rasht Iran

8. Department of Medical‐Surgical Nursing, Nasibeh School of Nursing and Midwifery Mazandaran University of Medical Sciences Sari Iran

9. School of Nursing and Midwifery, Faculty of Health, Community, and Education Mount Royal University Calgary Alberta Canada

10. Department of Plastic & Reconstructive Surgery, School of Medicine Guilan University of Medical Sciences Rasht Iran

Abstract

AbstractThis systematic review and meta‐analysis aimed to examine the effects of massage therapy on pain and anxiety intensity in patients with burns. A comprehensive, systematic search was conducted in various international electronic databases, such as Scopus, PubMed, Web of Science, and Persian electronic databases such as Iranmedex, and Scientific Information Database using keywords extracted from Medical Subject Headings such as ‘Massage therapy’, ‘Musculoskeletal manipulations’, ‘Acute pains’, ‘Burning pain’, and ‘Burn’ from the earliest to October 17, 2022. Cochran's tool is used to check the risk of bias for randomised clinical trial (RCT) articles. The methodological index for non‐randomised studies was used to assess the risk of bias in quasi‐experimental studies. STATA version 14 software was used to perform the meta‐analysis. A 95% confidence interval (CI) was used to determine statistical significance. Heterogeneity was investigated with I2. A P‐value less than .1 was considered statistically significant for publication bias value. A total of 733 patients with burns were included in seven studies. Five studies had an RCT design and two studies had a quasi‐experimental design. The duration of the study was reported in five studies, with a mean of 42.40 weeks. The duration of the intervention was reported in seven studies with a mean of 22.86 minutes. The results of the meta‐analysis showed using various types of massage therapy interventions significantly reduced pain intensity in the intervention group compared with the control group (weighted mean difference: −2.08, 95% CI: −2.55 to −1.62, Z = 8.77, I2: 67.1%, P < .001). Massage therapy intervention significantly reduced the intensity of anxiety in burn patients (standard mean difference: −7.07, 95% CI: −10.13 to −4.01, Z = 4.53, I2: 98.2, P < .001). Overall, the present systematic review and meta‐analysis showed that massage therapy can reduce the intensity of pain and anxiety in burn patients. Therefore, it is recommended that health managers and policymakers pay special attention to massage therapy as a simple, low‐cost, and efficient non‐pharmacological treatment to relieve pain and anxiety in burn patients.

Publisher

Wiley

Subject

Dermatology,Surgery

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