title: Randomised controlled trial of the effectiveness of using back massage to improve sleep quality among Taiwanese insomnia postpartumwomen.
abstract: OBJECTIVE
  to examine the effectiveness of using back massage to improve sleep quality in postpartum women.
  
  
  METHODS
  randomised controlled trial, conducted at a postpartum centre in Northern Taiwan.
  
  
  METHODS
  sixty postpartum women reporting poor quality of sleep were recruited from February 2012 to May 2012.
  
  
  METHODS
  participants were assigned randomly to either an intervention or a control group. Participants in both groups received the same care except for back massage therapy. The intervention group received a single 20-minutes back massage session at the same time each evening for 5 consecutive days. Sessions were administered by a certified massage therapist.
  the outcome measure was the Pittsburgh Sleep Quality Index (PSQI), which was administered pre- and post-test. Using a generalised estimation equation to control several confounding variables, the changes in mean PSQI were significantly lower in the intervention group (B=-3.97, standard error=0.43, p<0.001) than in the control group.
  
  
  CONCLUSIONS
  an intervention involving back massage in the postnatal period significantly improved the quality of sleep.
  
  
  CONCLUSIONS
  midwives should evaluate maternal sleep quality and design early intervention programs to improve the quality of sleep, to increase maternal health. Midwives interested in complementary therapies should be encouraged to obtain training in back massage and to apply it in postpartumcare.
authors: Department of Nursing, College of Medicine, Catholic Fu-Jen University, Taiwan. Electronic address: 071462@fju.edu.tw.
authors: Yi-Li
authors: YL
authors: Ko
authors: Hsiu-Jung
authors: HJ
authors: Lee
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000451:nursing / Q000628:therapy*; D008405:Massage; D049590:Postpartum Period; D011247:Pregnancy; D007319:Sleep Initiation and Maintenance Disorders / Q000451:nursing / Q000628:therapy*; D013624:Taiwan; D016896:Treatment Outcome
keywords: Back therapeutic massage; Complementary medicine; Insomnia postpartum women