Effect of hand and foot surface stroke massage on anxiety and vital signs in patients with acute coronary syndrome: A randomized clinical trial

Complement Ther Clin Pract. 2018 May:31:126-131. doi: 10.1016/j.ctcp.2018.01.012. Epub 2018 Feb 13.


Background and objectives: Anxiety affects various body systems, which leads to an increase in respiratory rate, heart rate, blood pressure, and myocardial oxygen demand. The aim of this study was to investigate the effect of hand and foot surface stroke massage on the level of anxiety and vital signs in patients with acute coronary syndrome (ACS).

Materials and methods: The single-blind clinical trial was performed on 70 patients with ACS. The patients were randomly assigned to the case and control groups. Anxiety levels were controlled 30 min before and 15 min after the intervention. The vital signs were checked in the two groups before, immediately after, 60 min, and 90 min after the intervention. The data were analyzed using SPSS software, descriptive statistics (mean ± standard deviation), independent t-test, paired t-test, and chi-square test.

Results: No significant difference was observed in the patients' levels of anxiety, systolic blood pressure, diastolic blood pressure, respiratory rate, and pulse rate before the intervention. However, after the intervention, the mean changes in the levels of anxiety, blood pressure, heart rate, and respiratory rate were significant.

Conclusion: Hand and foot massage can be a useful nursing intervention in attenuating anxiety levels and improving the vital signs in patients.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Acute Coronary Syndrome / psychology*
  • Adult
  • Anxiety / physiopathology
  • Anxiety / therapy*
  • Anxiety Disorders / therapy
  • Blood Pressure
  • Female
  • Foot*
  • Hand*
  • Heart Rate
  • Humans
  • Male
  • Massage*
  • Middle Aged
  • Respiratory Rate
  • Single-Blind Method
  • Vital Signs*