• Ping-Ping Guo, Shu-Li Fan, Ping Li, Xue-Hui Zhang, Na Liu, Jie Wang, Dan-Dan Chen, Wei-Jia Sun, Lin Yu, Shu Yang, and Wei Zhang.
• Nursing School, Jilin University, Changchun, Jilin province, 130021, China. Electronic address: 694532381@qq.com.
• Complement Ther Clin Pract. 2020 Nov 1; 41: 101240.

Background And Purposeand purpose: Massage has gained increasing attention for reducing peri-operative anxiety. We aimed to investigate the effectiveness of massage for peri-operative anxiety in adults.MethodsSix English electronic databases were comprehensively searched from their inception to February 2020. Subgroup analysis, quality assessment, sensitivity analysis, meta-regression and publication bias assessment were performed.ResultsTwenty-five controlled trials comprising 2494 participants were included. The meta-analysis indicated that massage could significantly reduce peri-operative anxiety for most types of surgical patients. Specifically, it was effective for pre-, intra- and post-operative anxiety. Acupoint or specific body reflex area massage showed a larger effect than general massage did. Massage delivered by professionals and non-professionals were both effective. Massage lasting 10-20 min per session was the most worthy of recommendation. Massage was concomitant with the improvement of peri-operative vital signs and post-operative pain.ConclusionMassage is a promising complementary therapy for ameliorating peri-operative anxiety in adults.Copyright © 2020 Elsevier Ltd. All rights reserved.

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