Overview of hand massage

Answer from top 10 papers

Hand massage is a therapeutic intervention that has been studied across various patient populations and settings, demonstrating a range of beneficial outcomes. The intervention has been shown to improve patient comfort, satisfaction, stress, and anxiety in an outpatient chemotherapy infusion suite (Kim & Sung, 2014). Additionally, hand massage has been found to significantly reduce pain and fatigue in patients with rheumatoid arthritis (Field et al., 2011), and postoperative pain and anxiety in liver transplant patients (Aşkan & Bakar, 2023). In pediatric preoperative care, hand massage has been effective in reducing anxiety and altering hemodynamic variables (Kim et al., 2016).
Contradictory findings or interesting facts emerge when considering the effects of hand massage on physiological markers such as cortisol and serotonin levels. While hand massage has been associated with reductions in anxiety and improvements in immune function in patients undergoing gynecology surgery (Braithwaite & Ringdahl, 2017), it did not significantly decrease cortisol levels in facility elders, although it did significantly decrease serotonin levels when aroma oil was used (Komori et al., 2018). Furthermore, while hand massage improved grip strength and reduced pain and mood disturbances in adults with hand pain (Ogawa et al., 2014), the effects on fatigue and sleep among hospice patients were not statistically significant (Park et al., 2016).
In summary, hand massage appears to be a versatile and beneficial intervention that can positively affect comfort, anxiety, pain, and fatigue in diverse patient populations. While the evidence supports its use in clinical practice, further research is warranted to fully understand its impact on physiological markers and to optimize its application in different clinical scenarios Kim and Sung (2014)-10).

Source Papers

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

PurposeThe study was conducted to determine the effect of hand massage applied to preoperative children on anxiety level and hemodynamic variables. DesignThis research study is a randomized controlled trial with control and study groups, pre- and post-tests. MethodsThis 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.” FindingsThe 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). ConclusionsHand 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.

The Effects of Aroma Massage and Regular Oil Hand Massage on the Blood Cortisol and Serotonin Level of Elderly

Modern society has seen an increase of opportunities to enter facilities due to the rise of diseases in aging population and the decrease of family members. This research is a quasi-experiment study conducted to verify the effects on facility elders’ blood cortisol and serotonin level by applying aroma oil hand massage and regular oil hand massage to them, in order to help improve their stress and depression. Aroma hand massage and regular oil hand massage were applied on the elders’ both hands for 10 minutes per session, 5 times week, for a total of 2 weeks. The study carried out the massage after receiving an approval from the Bioethics Committee of K University for the ethical considerations of study participants based on Helsinki Declaration. The subjects were informed that they could always be withdrawn at any time they want and that the confidentiality of study details would be guaranteed. Data was analyzed using paired t-test and independent t-test, and the research results demonstrated that both aroma hand massage group and regular oil hand massage group did not have a significant decrease in the cortisol level before and after the experiment. In contrast, the serotonin level decreased significantly (p= .016) in the aroma oil hand massage group and thus depression increased significantly, but the serotonin level decreased (p= .066) in the regular oil hand massage group, causing the elders’ depression to increase. It is considered that a comparative study of aroma hand massage and regular oil hand massage on depression must be performed in the future.

Psychophysiological Effects of Hand Massage in Geriatric Facility Residents

Geriatric facility residents experience easy decrease of their quality of life (QOL) compared with elderly people cared for in their own homes owing to environmental changes. Because complementary and alternative medicine is useful to improve QOL, a simple manual for hand massage for inexperienced volunteers was developed, and the physical and psychological effects of this method were examined. Thirty-six female geriatric facility residents (mean age, 84.5 years) were chosen. They were divided into two groups: the control and hand-massaged groups. In the hand-massaged group, females received 15 min hand massage from volunteers in accordance with a simple manual. No hand massage was performed in the control group. Before and after the treatment, a survey using a questionnaire (7 items; e.g., tension, fatigue) and physiological measurements (e.g., blood pressure, hand skin temperature), and measurement of cortisol and chromogranin A levels in saliva samples using enzyme-linked immunosorbent assay kits were carried out. Data were analyzed by two-way analysis of variance (ANOVA) to determine the effects of group and time on the dependent variables. The hand-massaged group showed greater increases in skin temperature than the control group, as shown by ANOVA (p<.05). Results showed that improvements of the scores in the questionnaire (condition and feel-good items) were greater in the hand-massaged group than in the control group (p<.05). Cortisol level increased in the control group, but was not statistically significantly different from that in the hand-massaged group, as shown by ANOVA. Chromogranin A level was also not significantly different between the two groups. These results confirmed the benefits of complementary and alternative medicine including touching and massage found in previous studies. Hand massage prompted relaxation in geriatric facility residents in this experiment.

Open Access
Anti-stress effects of simplified aroma hand massage.

In order to be able to use the aroma hand massage as a skill that can be done by a nurse who does not have a special aromatherapy technique, we examine antistress effects of simplified aroma hand massage for healthy subjects. We evaluated the anti-stress action of aroma hand massage and the different components of the procedure in 20 healthy women in their twenties. We used autonomic nervous function measured via electrocardiogram as an index of stress. After conducting a baseline electrocardiogram, we induced stress in the participants by asking them to spend 30 minutes completing Kraepelin’s arithmetic test. We then administered various treatments and examined the anti-stress effects. Kraepelin’s test significantly increased sympathetic nervous function and significantly reduced parasympathetic nervous function. Compared with massage without essential oil or aroma inhalation, aroma hand massage significantly increased parasympathetic nervous function and significantly decreased sympathetic nervous function. The effect of the aroma hand massage persisted when the procedure was simplified. The anti-stress action of the aroma hand massage indicates that it might have beneficial application as a nursing technique. There are several limitations in this study; ambiguities of low component/high component ratio of heart rate variability and bias by small subjects groups of the same women.

Open Access
The Effects of Aroma Hand Massage on Fatigue and Sleeping among Hospice Patients

Purpose: The purpose of this study was the comparative effects on fatigue and sleep of aroma hand massage vs. hand massage among hospice patients in a hospital. Methods: The design of this study was a nonequivalent comparison group pretest-posttest design. This study was performed from May to December 2012 in a hospice ward. A total of 30 hospice patients in a hospice ward participated in the study (17 in an aroma massage group and 13 in a massage group). The Piper Fatigue Scale was used to measure the fatigue level. The quantity of sleep was measured using sleep hours and the quality of sleep using the Verran & Snyder-Halpern sleep scale (1987). The aroma massage group used 1:1 lavender and bergamot diluted to 1% with 100 ml jojoba carrier oil. The massage group used carrier oil without an essential oil. Each treatment was performed for 10 minutes prior to the subject’s sleeping time, once a day and for 5 days. Data were analyzed using t-test, x2-test, Fisher’s exact test and the repeated measures ANOVA with the SPSS program. Results: The increase in the fatigue and decrease in the sleep quantity were lower in the aroma hand massage compared to the only hand massage but they were not statistically significant. Conclusion: The quality of sleeping improved in the aroma hand massage group compared to the control group even though it was not significant. For the further studies, assessing and respecting the patient’s aroma preference were important considerations when providing aromatherapy and the appropriation of using 1% essential oil to dilute needs to be tested for the hospice patients in the further studies

Open Access