Effectiveness of therapeutic massage for relieving discomfort of children with bronchiolitis

Authors

  • Carmen Sellán Soto Diplomada en Enfermería. Licenciada en Psicología. Doctora en Psicología. Departamento de Enfermería, Facultad de Medicina (UAM)
  • María Luisa Díaz Martínez Graduada en Enfermería. Licenciada en Antropología Social y Cultural, DEA. Departamento de Enfermería, Facultad de Medicina (UAM)
  • Patricia Luna Castaño Diplomada en Enfermería. Doctora por la Universidad de Alcalá. Hospital Universitario La Paz
  • Pedro Piqueras Rodríguez Diplomado en Enfermería. Hospital Universitario La Paz
  • Ana Ramos Cruz Diplomada en Enfermería. Hospital Universitario La Paz
  • Gema Tapia Serrano Grado en Enfermería. Doctora en Cuidados de Salud. Hospital Universitario La Paz

DOI:

https://doi.org/10.60108/ce.100

Keywords:

massage; discomfort; bronchiolitis; nursing

Abstract

Aim. To demonstrate the efficacy of therapeutic massage in discomfort relief in children with bronchiolitis.

Patients. Children of both genders aged less than 13 months, with bronchiolitis, attended in the intensive paediatrics care unit of La Paz University Hospital, with signs or symptoms of discomfort, evaluated as presence of chest indrawing, nasal flaring, drop of pO2 and or changes in in respiratory and or heart rate, without mechanical ventilation or sedation or analgesic administration one hour before the intervention.

Design. Randomized parallel clinical trial, with three treatment arms, with a non-intervention control group.

Independent variables. The treatment with three levels (therapeutic massage using the Tui-na technique, skin stimulation and non-treatment) and the variation before and after its application. Dependent variables: heart rate, respiratory rate, oxygen saturation, presence of respiratory circulation, presence of nasal flutter and cortisol levels in saliva. They will be collected before and 20-30 minutes after the end of treatment. The values before and after the treatment will be compared for each group, and the possible differences in each of the dependent variables after its application.

Analysis. Descriptive analysis of the demographic data of the patients, of the respiratory needs and of each dependent variable, of each group and an ANOVA of repeated measures.

It is expected to generate scientific evidence that allows proposals to improve the quality of Nursing Care.

References

Ros Pérez P, Otheo de Tejada E, Pérez Rodríguez MJ. Bronquiolitis en pediatría. Inf Ter Del Sist Nac Salud. 2010 (1):3–11.

Piedra PA, Stark AR. Bronchiolitis in infants and children: Treatment, outcome, and prevention [Internet]. UpToDate. 2018. Disponible en: https://www.uptodate.com/contents/bronchiolitis-in-infants-and-children-treatment-outcome-and-prevention?search=bronquiolitis&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1

Natalia Paola Quintana, Seleme MA, Cosimi JHR, Sisi TG. Bronquiolitis. Medicina (Buenos Aires). 2007;(6):17 -21

Parra Parra DA, Jiménez DC, Hernández DS, García JE, Ángela D, Cardona M. Bronquiolitis: artículo de revisión. Neumol Pediatr. 2013;8(2):95 -101

Pilar Orive P, López Fernández Y. Guía para el manejo de la bronquiolitis aguda. En 2013. p. 1-15. Disponible en: https://www.secip.com/publicaciones-relacionadas/protocolos/category/29-bronquiolitis-bronquiolitis

Butcher HK, Bulechek GM, Dochterman JM, Wagner CM. Clasificación de intervenciones de Enfermería (NIC). 7ª ed. Madrid: Elsevier; 2018.

Lin Y, Lee AC. Acupuncture for the Management of Pediatric Pain. San Francisco; 1999.

Sotte L. Masaje pediátrico chino: Teoría y práctica [Internet]. Barcelona: Océno Ambar; 2007. Disponible en: http://www.biocyber.com.mx/catalog/masaje-pediatrico-chino-teoria-practica--821.html

Field TM, Quintino O, Hernandez-Reif M, Koslovsky G. Adolescents with attention deficit hyperactivity disorder benefit from massage therapy. Adolescence. 1998;33(129):103–8.

Beider S, Moyer CA. Randomized controlled trials of pediatric massage: a review. Evid Based Complement Alternat Med. Hindawi Publishing Corporation; 2007 Mar;4(1):23–34.

Field T. Massage therapy research review. Complement Ther Clin Pract. 2016 Augus; 24: 19–31. doi:10.1016/j.ctcp.2016.04.005

Vázquez J. (coord.). Manual profesional del masaje. Badalona: Paidotribo; 2009.

Beider S. An Ethical Argument for Integrated Palliative Care. Evid Based Complement Alternat Med. Hindawi Publishing Corporation; 2005 Jun;2(2):227 -31.

Field T, Grizzle N, Scafidi F, Schanberg S. Massage and relaxation therapies' effects on depressed adolescent Adolescence. 1996;31(124):903 -11.

Serrano ME, Moreno MC, Gaitán MA, Susa AM, Gómez J, Suárez GP, Sánchez K. Efectos del masaje terapéutico sobre la ansiedad y el estrés en población pediátrica. Rev. Fac. Med. 2018 Vol. 66 No. 3: 357-63. DOI: http://dx.doi.org/10.15446/revfacmed.v66n3.60323.

Gamus, D. (2016). Nightly massage for improvement of sleep in hospitalised adolescent children with cancer - a feasibility study. Focus on Alternative and Complementary Therapies, 21(3–4), 176–177. https://doi.org/10.1111/fct.12266

Çelebioğlu, A., Gürol, A., Yildirim, Z. K., & Büyükavci, M. (2015). Effects of massage therapy on pain and anxiety arising from intrathecal therapy or bone marrow aspiration in children with cancer. International Journal of Nursing Practice, 21(6), 797–804. https://doi.org/10.1111/ijn.12298

Shipwright, S., & Dryden, T. (2012). Paediatric massage: an overview of the evidence. Focus on Alternative and Complementary Therapies, 17(2), 103–110. https://doi.org/10.1111/j.2042-7166.2012.01149.x

Gorodzinsky, A. Y., Bernacki, J. M., Davies, W. H., Drendel, A. L., & Weisman, S. J. (2012). Community Parents’ Use of Non-Pharmacological Techniques for Childhood Pain Management. Children’s Health Care, 41(1), 1–15. https://doi.org/10.1080/02739615.2012.643286

Field TM, Quintino O, Hernandez-Reif M, Koslovsky G. Adolescents with attention deficit hyperactivity disorder benefit from massage therapy. Adolescence. 1998;33 (129):103 -8.

Rodríguez-Mansilla J, González-Sánchez B, Torres-Piles S, Guerrero Martín J, Jiménez-Palomares M, Núñez Bellino M. Effects of the application of therapeutic massage in children with cancer: a systematic review. Rev. Latino-Am. Enfermagem. 2017;25:e2903. [Access 10/5/2019]; Available in: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5492650/pdf/0104-1169-rlae-25-e2903.pdf. DOI: http://dx.doi.org/10.1590/1518-8345.1774.2903.

McVicar AJ, Greenwood CR, Fewell F, D'Arcy V, Chandrasekharan S, Alldridge LC. Evaluation of anxiety, salivary cortisol and melatonin secretion following reflexology treatment: a pilot study in healthy individuals.Complement Ther Clin Pract. 2007 Aug;13(3):137-45. Epub 2007 Jan 4.-

Fujita M, Endoh Y, Saimon N, Yamaguchi S.Effect of massaging babies on mothers: pilot study on the changes in mood states and salivary cortisol level.Complement Ther Clin Pract. 2006 Aug;12(3):181-5. Epub 2006 Mar 13.

Hernandez-Reif M, Field T, Largie S, Hart S, Redzepi M, Nierenberg B, Peck TM. Childrens' distress during burn treatment is reduced by massage therapy.J Burn Care Rehabil. 2001 Mar-Apr;22(2):191-5; discussion 190.

Lemanek KL, Ranalli M, Lukens C. A randomized controlled trial of massage therapy in children with sickle cell disease.J Pediatr Psychol. 2009 Nov-Dec;34(10):1091-6. doi: 10.1093/jpepsy/jsp015. Epub 2009 Mar 12.

Moyer CA, Seefeldt L, Mann ES, Jackley LM. Does massage therapy reduce cortisol? A comprehensive quantitative review.J Bodyw Mov Ther. 2011 Jan;15(1):3-14. doi: 10.1016/j.jbmt.2010.06.001. Epub 2010 Jul 2. Review.

Cobo D, Daza P. Signos vitales en pediatría. Revista Gastrohnup. 2011;13 (Suppl 1):S58-70.

Candia MF, et al. Influence of prone positioning on premature newborn infant stress assessed by means of salivary cortisolmeasurement: pilot study. Rev Bras Ter Intensiva. 2014 Apr-Jun; 26 (2): 169-75

Tryphonopoulos PD, Letourneau N, Azar R. Approaches to salivary cortisol collection and analysis in infants. BiolRes Nurs. 2014 Oct; 16 (4): 398-408. doi: 10.1177/1099800413507128.

Plusquellec P, Ouellet-Morin I, Feng B, Pérusse D, Tremblay RE, Lupien SJ, Boivin M. Salivary cortisol levels are associated with resource control in a competitive situation in 19 month-old boys. Horm Behav. 2011 Jul;60 (2):159-64. doi: 10.1016/j.yhbeh.2011.04.004. Epub 2011 May

Published

2020-02-06

How to Cite

Sellán Soto, C., Díaz Martínez, M. L., Luna Castaño, P., Piqueras Rodríguez, P., Ramos Cruz, A., & Tapia Serrano, G. (2020). Effectiveness of therapeutic massage for relieving discomfort of children with bronchiolitis. Conocimiento Enfermero, 3(07), 5–12. https://doi.org/10.60108/ce.100

Issue

Section

Estudios originales