The Effect of Massage of Hugo Point on Severity of Pain in Patients Undergoing Laparoscopic Cholecystectomy: a Randomized Clinical Trial

Introduction & Objective: Tissue injury after surgery produces painful sequelae Environmental factors ‎can also be effective on a patient’s pain. In most pain control pharmacological methods are used but ‎they can be associated with various complications. Use of complementary medicine and non-‎pharmacological methods for reduction of pain is considered a simple, effective method, and often ‎without specific complications, but despite the many benefits, few studies have been conducted on ‎clinical effects. So this study was performed with the aim to determine the effect of massage of Hugo ‎point on severity of pain in patients undergoing laparoscopic cholecystectomy.‎ Methods and Implementation procedure: The present research was a clinical trial study. The sample ‎size of this study included 52 patient candidates for laparoscopic cholecystectomy who were eligible ‎for inclusion in the study. Sampling was conducted in surgical wards of Shahid Beheshti Hospital, ‎Shohadaye Gomname Hospital and Razi Surgery Center of Yasuj city. Samples were divided into two ‎groups based on random allocation blocks. Data collection tools included questionnaires of ‎demographic information, vital signs Check list and numerical scale measurement of severity of pain . ‎Interventions related to each group were conducted based on intervention protocol and based on ‎compliance guidelines (six times measurements for each group). Data, after gathering, were ‎investigated and compared by SPSS software, version 20 and by descriptive statistics (mean, standard ‎deviation) and analysis test (Wilcoxon, Kruskal-Wallis and Tukey).‎ Findings: Results of this research indicated that the‏ ‏effect of massage of Hugo point on severity of pain ‎in patients, was effective and in all six interventions and measurements resulted in a considerable ‎significant‏ ‏reduction of pain compared to pre-intervention. Also, the comparison with the control ‎group was significantly different, so that on a numerical scale the survey‏ ‏severity of pain was 0-10, ‎mean of severity of pain at the end of study in the control group was 7.1 to 4, and in massage group ‎reached from 7.7 to 1.3. Although in both groups, the severity of pain was reduced, this‏ ‏reduction in ‎the intervention group compared to the control group was more prominent.‎ Conclusion: According to the results of this study‏ ‏performing intervention massage of Hugo point lead ‎to effectively and significantly reduce pain in comparison with the control group, in patients ‎undergoing laparoscopic cholecystectomy. Therefore, it is suggested massage of the Hugo point as ‎part of nursing interventions and side interventions and routine care nursing should be used.‎

Massage, Hugo point, Pain, Cholecystectomy