Analgesic Efficacy of Foot and Hand Massage for Laparoscopic Cholecystectomy: A Meta-Analysis

Abstract

Background Foot and hand massage may benefit to alleviate pain for laparoscopic cholecystectomy, and this meta-analysis is intended to study the influence of foot and hand massage on pain intensity after laparoscopic cholecystectomy.

Methods We systematically searched PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases, and included randomized controlled trials (RCTs) assessing the effect of foot and hand massage on postoperative pain of laparoscopic cholecystectomy.

Results Six RCTs and 663 patients were included in the meta-analysis. Compared with control intervention for laparoscopic cholecystectomy, massage intervention resulted in significantly decreased pain scores at 60 min (SMD=–0.73; 95% CI=–1.27 to –0.19; P=0.008), pain scores at 90 min (SMD=–0.80; 95% CI=–1.23 to –0.37; P=0.0003), pain scores at 120–150 min (SMD=–1.74; 95% CI=–1.96 to –1.52; P<0.00001) and the need of additional analgesia (OR=0.04; 95% CI=0.02 to 0.07; P<0.00001), but demonstrated no influence on pain scores at 10–30 min (SMD=–0.14; 95% CI=–0.39 to 0.12; P=0.29).

Conclusions Foot and hand massage may be able to reduce pain intensity after laparoscopic cholecystectomy.

Zusammenfassung

Hintergrund Fuß- und Handmassage kann zur Linderung von Schmerzen bei laparoskopischer Cholezystektomie beitragen, und diese Meta-Analyse soll den Einfluss der Fuß- und Handmassage auf die Schmerzintensität nach laparoskopischer Cholezystektomie untersuchen.

Methoden Wir haben systematisch PubMed-, EMbase-, Web of Science-, EBSCO- und Cochrane-Bibliotheksdatenbanken durchsucht und randomisierte kontrollierte Studien (RCTs) einbezogen, die die Wirkung von Fuß- und Handmassage auf postoperative Schmerzen der laparoskopischen Cholezystektomie untersuchten.

Ergebnisse Sechs RCTs und 663 Patienten wurden in die Metaanalyse einbezogen. Im Vergleich zur Kontrollintervention bei laparoskopischer Cholezystektomie führte die Massage zu signifikant verringerten Schmerzwerten bei 60 min (SMD=–0.73; 95% CI=–1.27 bis –0.19; P=0.008), Schmerzwerten bei 90 min (SMD=–0.80; 95% CI=–1.23 bis –0.37; P=0.0003), Schmerzwerte bei 120–150 min (SMD=–1.74; 95% CI=–1.96 bis –1.52; P<0.00001) und die Notwendigkeit einer zusätzlichen Analgesie (OR=0.04; 95% CI=0.02 bis 0.07; P<0.00001), zeigten jedoch keinen Einfluss auf die Schmerzwerte bei 10–30 min (SMD=–0.14; 95% CI=–0.39 bis 0.12; P=0.29).

Schlussfolgerungen Die Fuß- und Handmassage kann die Schmerzintensität nach laparoskopischer Cholezystektomie reduzieren.

Key words

effectiveness - pain - systematic review

Schlüsselwörter

Physikalische Medizin - Ergebnisse - Medizinische Rehabilitation

Publication History

Received: 07 January 2023

Accepted: 17 July 2023

Article published online:
08 August 2023

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