Article

Effect of Foot Reflexology on Vital Signs, Fatigue and Mood in Cancer Patients receiving Chemotherapy

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Abstract

Purpose: This study was done to investigate the effect of foot reflexology on vital signs, general fatigue, mood and foot fatigue in cancer patients receiving chemotherapy. Method: Data were collected from a convenience sample of 11 patients who were admitted at S and E University Hospital. Changes in systolic blood pressure (SBP), diastolic blood pressure(DBP), pulse rate(PR), general fatigue, mood status, and foot fatigue between pre and post foot reflexology were analyzed using Wilcoxon signed rank test and Friedman test at 0.05 level of significance. Results: There were significant differences in the SBP(p= .009), DBP(p=.014), PR(p=.015), general fatigue (p=.015) mood status(p=.007), and foot fatigue(p= .007) between pre and post foot reflexology. Conclusion: Foot reflexology can improve vital signs, general/foot fatigue and mood status, therefore we recommend to use foot reflexology as an effective nursing intervention in cancer patients receiving chemotherapy.

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... , (Won, Jeong, Kim & Kim, 2002;Kim, 2003;Yang, 2005 ...
... , , , , , (Kim, 2003). ...
... Won (2002) , , , , Kim (2003) , Ham (2003) 3 , Yang (2005) , . ...
... Previous studies conducted with cancer patients also determined that reflexology decreased fatigue. [33][34][35] In another study in which chemotherapy-related fatigue conditions of breast cancer patients were examined, reflexology was found to reduce fatigue levels in patients. [22] Unal and Akpınar also reported that reflexology applied to hemodialysis patients in eight sessions significantly reduced fatigue in patients. ...
... [33] There are studies showing that reflexology reduces fatigue in patients with rheumatoid arthritis and hemodialysis in cancer patients. [33][34][35][36][37] There are many reasons for fatigue which develops during the process of chemotherapy treatment. Accumulation of metabolic wastes in the body, loss of appetite, nausea, and anemia are among these reasons. ...
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Objective Patients receiving chemotherapy struggle with the side effects of this treatment. These side effects obligate the patients to use not only the pharmacological methods but also non-pharmacological relaxing methods. This study was conducted to determine the effect of reflexology on chemotherapy-induced nausea, vomiting, and fatigue in breast cancer patients. Methods The study was conducted as a pretest–posttest experimental design. The study was conducted with sixty patients, thirty as the control and thirty as the experimental groups. A sociodemographic form, Rhodes index of nausea, vomiting, and retching (INVR), and Brief Fatigue Inventory (BFI) were used to collect the data. Analysis of variance, t-test, percentage calculations, and Chi-square methods were used to evaluate the data. The data obtained were assessed using the “Statistical Package for Social Science 21.0” software. Results It was determined that the difference between the total mean scores of INVR in the experimental and control groups was significant on the onset and first and second measurements, and the difference between total mean scores of development and distress between the groups was statistically significant in the third measurement (P < 0.05). The results of the study showed that the BFI mean scores of patients in the experimental group gradually decreased in the first, second, and third measurements (P < 0.05). Conclusions The present study proved that reflexology decreased the experience, development, distress of nausea, vomiting, and retching as well as fatigue in the experimental group. Hence, the use of reflexology is recommended for chemotherapy-induced nausea, vomiting, and fatigue.
... As a direct consequence of this, blood vessels become more relaxed, the blood flow in the body's superficial vessels improves, and blood pressure drops. 11 Abolhasani S, 13 Huffman JC, 14 McKinley S. 15 , Arora D. 16 , and Chen W. 17 all made valid comments on the effect that massage has on anxiety and stress. The outcomes of the study indicate that giving a full-body massage can successfully reduce anxiety while also stabilising a patient's vital signs in the event that they are experiencing acute coronary syndromes. ...
Article
Introduction: The significance of massage in providing nursing care is frequently overlooked. Massage therapy has been shown to have beneficial effects, both physically and psychologically, on the whole person. Aims: The purpose of this study was to investigate the effects of giving chronically ill patients a back massage on their physiological and psychological markers while they were getting care at a tertiary care centre. Methods and Material: The purpose of this study was to investigate the influence that back massage has on the physiological and psychological parameters of patients who suffer from chronic illnesses. 1. To determine the effect that back massage has on the physiological and psychological aspects of patients who are suffering from chronic illness. Methodology For the purpose of this study, a one-group, pre- and post-test quasi-experimental design was used to serve as the investigation’s research methodology. Result: This inquiry will focus on collecting samples from 50 chronically ill patients of both sexes between the ages of 16 and 60 who have been hospitalised to Krishna Hospital in Karad. The patients’ ages range from 16 to 60. The results showed that after three days of back massage, the mean score for anxiety decreased from 47 to 35, the score for stress decreased from 16 to 9, and the score for the Patient Health Questionnaire dropped from 58 to 39. After receiving a back massage for three days, the patient’s average pulse decreased from 82 to 75, the average respiration rate decreased from 26 to 19, the patient’s systolic blood pressure decreased from 141 to 129, and the patient’s diastolic blood pressure decreased from 95 to 83. Conclusion: The results of this study indicate that massage therapy is a safe and effective treatment for patients in intensive care units to lower the severity of patients’ physical and mental health problems. As a consequence of this, regular application of back massage in the context of therapeutic therapy is strongly recommended.
... 29,[41][42][43] In addition, reflexology was found to regulate heart rate, reduce blood pressure, and it has a positive effect on vital signs. [44][45][46][47] Reflexology has F=ANOVA, One-way analysis of variance; *p<0.05; χ 2 =Chi-squared test. ...
Article
Objective: In our study, we investigated the effect of reflexology on patient satisfaction, pain and vital signs after abdominal surgery. Method: This study was conducted as a randomized controlled trial with the participation of 156 abdominal surgery patients hospitalized in the general surgery unit of a training and research hospital. Personal Information Form, Visual Analogue Scale and Newcastle Nursing Care Satisfaction Scale were used in data collection. We performed the data analysis with One-way analysis of variance, Chi-squared test, paired samples t-test, and independent samples t-test. Results: When the pain, vital signs and satisfaction levels of the experimental and control groups were compared, the pain intensity of the experimental group was found to be lower and the level of satisfaction was higher after reflexology (p<0.01). After reflexology, the blood pressure was closer to 120/80 in the experimental group, the respiratory rate was between 16-22 (number/minute), the difference between the experimental and control groups were statistically significant (p<0.01). There was no statistically significant difference between the pulce oximetry values between the experimental and control groups. Conclusion: Surgical pain and non-optimal vital signs that are not well managed after surgery causes various complications and decrease patient satisfaction. The results of our study emphasize the power of reflexology in effective surgical pain management and normalizing vital signs and increasing patient satisfaction. We suggest that reflexology be performed to patients following abdominal surgery.
... 29,[41][42][43] In addition, reflexology was found to regulate heart rate, reduce blood pressure, and it has a positive effect on vital signs. [44][45][46][47] Reflexology has F=ANOVA, One-way analysis of variance; *p<0.05; χ 2 =Chi-squared test. ...
Article
Objective In our study, we investigated the effect of reflexology on patient satisfaction, pain and vital signs after abdominal surgery. Method This study was conducted as a randomized controlled trial with the participation of 156 abdominal surgery patients hospitalized in the general surgery unit of a training and research hospital. Personal Information Form, Visual Analogue Scale and Newcastle Nursing Care Satisfaction Scale were used in data collection. We performed the data analysis with One-way analysis of variance, Chi-squared test, paired samples t-test, and independent samples t-test. Results When the pain, vital signs and satisfaction levels of the experimental and control groups were compared, the pain intensity of the experimental group was found to be lower and the level of satisfaction was higher after reflexology (p<0.01). After reflexology, the blood pressure was closer to 120/80 in the experimental group, the respiratory rate was between 16-22 (number/minute), the difference between the experimental and control groups were statistically significant (p<0.01). There was no statistically significant difference between the pulce oximetry values between the experimental and control groups. Conclusion Surgical pain and non-optimal vital signs that are not well managed after surgery causes various complications and decrease patient satisfaction. The results of our study emphasize the power of reflexology in effective surgical pain management and normalizing vital signs and increasing patient satisfaction. We suggest that reflexology be performed to patients following abdominal surgery.
... It seems likely that the emotional and physical distress of cancer would be associated with sleep problems (24,25) . Foot reflexology had an effect on physiological parameters of the critically ill patients which include a significant difference in pulse rate, respiratory rate, systolic blood pressure, diastolic blood pressure, mean arterial blood pressure (MABP) and peripheral O 2 saturation (26,27) . Protocol of care for cancer pain control: It is a protocol of pain management using reflexology (pressure applied on feet to harmonize bodily functions and thus has a healing and pain relief effect) with the patient under prescribed hospital routine care (28) .The critical care nurse plays an important role in assessing pain for postoperative cancer patients and evaluation of efficacy of reflexology technique intervention, which can improve recovery and prognosis (29) . ...
... 질 증진에 대한 유용성이 지지되어 왔고 (14) 실제적으로 국내 암환자들이 많이 사용하는 것으로 보고되고 있다 (15,16 ...
... 15 Hastalıkların tedavisinde kullanılan nonfarmakolojik yöntemlerden birisi refleksolojidir. Yapılan çalışmalarda refleksolojinin ağrıyı 16,17 , yorgunluğu azalttığı, vital bulgulara, duygulanıma 18 , bulantı ve kusmanın kontrolüne 19 Kolestrol değerleri (LDL kolesterol, total kolesterol, trigliserid, HDL) için hastanın 12 saat aç kaldıktan sonra kanları alınmıştır. ...
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zet Amaç: Hipertansiyon tedavisinde, ilaç tedavisine ek olarak veya tek başına nonfarmakolojik önlemlerin de önemli bir yeri vardır. Bu önlemler birçok defa ilaç tedavisi gerekliliğini ortadan kaldırabilmekte veya kullanılan ilaç dozunu azaltmaya yardımcı olabilmektedir. Hastalıkların tedavisinde kullanılan nonfarmokolojik yöntemlerden birisi refleksolojidir. Bu araştırma hipertansiyonlu hastalara uygulanan ayak refleksolojinin kan basıncı, kolesterol düzeyleri ve yaşam kalitesine etkisini belirlemek amacıyla kendinden kontrollü klinik çalışma olarak yapıldı. Yöntem: Kendinden kontrollü klinik çalışmanın örneklemini 219 esansiyel hipertansiyon tanısı olan hasta oluşturmuş, hastalar önce müdahale öncesi dönemde izlenmiş sonra müdahale uygulanmıştır. Araştırmada veriler; anket formu, kan basıncı ve kolesterol düzeyleri kayıt formu, kısa form-36 (SF-36) yaşam kalitesi ölçeği kullanılarak toplanmıştır. Elde edilen verilerin değerlendirilmesinde, gruplar arası farklılığı test etmek için Friedman ve Wilcoxon İşaretli Sıra testleri kullanılmıştır. Friedman testi karşılaştırmalarında p<0,01, Wilcoxon İşaretli Sıra testi karşılaştırmalarında p<0.05 anlamlı olarak kabul edilmiştir. Bulgular: Müdahale sonrası sistolik kan basıncının, birinci seansta 145.63 mmHg iken altıncı seans sonrası 137,57 mmHg'ye, diastolik kan basıncının birinci seansta 89.17 mmHg iken altıncı seans sonrası 78.92 mmHg'ye düştüğü, müdahale öncesine göre müdahale sonrası LDL, total kolesterol, trigliserid ortancalarının düştüğü, HDL değeri ortancasının yükseldiği ve müdahale sonrası tüm yaşam kalitesi alanları puan ortancalarının yükseldiği tespit edilmiştir. Gruplar arasındaki bu fark yaşam kalitesinin sosyal fonksiyon alanı dışındaki tüm alanlarında istatistiksel olarak anlamlı bulunmuştur (p<0.05).
... Reflexology has been reported to reduce fatigue in many studies conducted with cancer patients. 27,39,40 A systematic review by Lee et al 41 found that 15 studies have been conducted to determine the effects of reflexology on fatigue and that reflexology was effective in reducing fatigue. ...
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Context: Multiple sclerosis (MS) is an inflammatory, demyelinating disease of the central nervous system. In addition to the progressive nature of the disease, devastating symptoms adversely affect the patient's daily life and future expectations. This situation leads patients to seek complementary and alternative treatments. Objectives: This study was conducted to determine the effects of reflexology on fatigue severity and anxiety in patients with MS. Design: The research was a quasi-experimental, pretest-posttest design. Setting: The research was conducted at the Mavi Işıklar Rehabilitation Center of the Metropolitan Municipality of Samsun (Samsun, Turkey), in cooperation with the Faculty of Medicine's Hospital Neurology Clinic and the Health Application and Research Center at Ondokuz Mayıs University (Samsun, Turkey), and with the Black Sea MS Association. Participants: Participants were patients who participated in the MS Patient School program at the center and who had been diagnosed with MS at least 1 y prior to the start of the study. Inventions: Reflexology was applied for 60 min, 30 min for each leg. Reflexology was conducted in an ergonomic and positionable bed in a special physiotherapy room within the Mavi Isiklar resting facilities. Outcome measures: Sociodemographic data forms, a fatigue severity scale (FSS), and a state-trait anxiety inventory (STAI) were used in the data collection. Results: Fifteen patients participated in the study. The average age of the participants was determined to be 39.20 ± 11.89 y. Before the participants received reflexology, the average FSS score was 40.06 ± 19.27; the mean (±SD) STAI-S score was 50.33 ± 9.48; and the mean (±SD) STAI-T score was 43.33 ± 9.48. The average FSS score after reflexology was 27.66 ± 21.23; the mean (±SD) STAI-S score was 37.53 ± 10.11; and the mean (±SD) STAI-T score was 31.86 ± 10.27. Conclusions: The study indicates that reflexology can be an effective method for reducing fatigue severity and anxiety in patients with MS.
... Other studies in the literature show that [19,22e24] reflexology also reduced fatigue in other patient groups. In the studies conducted by Won [19] with chemotherapy patients, by Polat [22] with COPD patients, by € Ozdelikara [23] with breast cancer patients and by Do gan [24] with multiple sclerosis patients, reflexology was found to reduce fatigue considerably. The findings of the present study are similar to those found in the literature [9,10,13,14,19,20,22e24]. ...
Article
Objective: The aim of this study is to examine the effectiveness of foot reflexology and back massage on optimizing the sleep quality and reducing the fatigue of hemodialysis patients. Methods: The study includes 105 volunteer patients who were registered at a private dialysis clinic and were receiving hemodialysis treatment. Foot reflexology and back massage were administered to the patients two times a week for four weeks. The Visual Analogue Scale for Fatigue and the Pittsburg Sleep Quality Index were used to collect data. Results: The differences between the pretest and posttest score averages of the patients on the Visual Analogue Scale for Fatigue and the Pittsburg Sleep Quality Index were statistically significant (p < 0.001). Conclusion: Foot reflexology and back massage were shown to improve the sleep quality and reduce the fatigue of hemodialysis patients. Compared to back massage, foot reflexology was determined to be more effective.
... 에서도 ⍺파가 증가 되었고, 버가못 흡입법을 적용한 Bagetta 등(2010)의 연구에 서도 버가못 향이 뇌의 변연계를 통하여 작용함으로써 불안, 기분장애 및 스트레스 증상이 감소되었다. 또한 항암요법을 받 고 있는 암 환자를 대상으로 발반사 마사지를 1회 적용하여 피 로와 기분상태가 유의하게 향상되었고(Won, Jeong, Kim, & Kim, 2002), 복지관 노인에게 발반사 마사지를 10회 실시한 연구(Kim et al., 2010)와 대학생에게 발반사 마사지를 적용한 연구(Kim, & Lee, 2009)에서는 뇌파 중 ⍺파가 유의하게 증 가한 것으로 나타났다. 그러나 9명의 성인남녀에게 아로마 발 반사 마사지를 적용한 Jung (2007)의 연구에서는 스트레스가 유의하게 감소되었지만, 마사지 10분 후에 뇌파를 측정했을 때 ⍺파는 두 집단 간에 차이가 없었으며, 25분 후에는 오히려 두 집단 모두 ⍺파가 감소되었다. ...
Article
Purpose: The purpose of this study was to examine the effects of aroma foot reflexology massage on mood states specifically depression and brain waves of elderly women with osteoarthritis. Methods: The study was a nonequivalent control group non-synchronized design. The participants were 62 elderly women with osteoarthritis. The instruments were the Korean-Profile of Mood States-Brief for mood states and 8-channel EEG (Electroencephalogram) system for brain waves. Data were collected from March to May, 2012. Twenty-six participants were assigned to the treatment group and twenty-six to the comparison group. The data were analyzed using SPSS/WIN 17.0 version program, and included descriptive statistics, t-test, and ANCOVA. The intervention was conducted three times a week for two weeks. Results: There were significantly improvement in reported depression. s. Brain waves (EEG) increased significantly in F3, T3 of wave and in F4, T3, and P4 of wave between the two groups. Conclusion: Aroma foot reflexology massage can be utilized as an effective intervention to decrease depression of mood states, increase of , and brain wave on woman elderly with osteoarthritis.
... . 또한 간호학과 학생의 스트레스 경감 (Won et al., 2000), 암환자의 활력징후, 피로 감소, 기분상승 (Won, Jeong, Kim, & Kim, 2002), 노인의 심신이완 (Kim, 2003), 고혈압 환자의 혈압 하강 (Park & Cho, 2004), 수면증진 (Han & Lee, 2005), 피로회복 (Jin & Kim, 2005) ...
Article
Purpose: This study was aimed to identify the effects of Self-Foot Reflexotherapy on the Fatigue, Mood and Vital Signs of the Nursing students. Methods: The research design was a quasi experimental, one-group pretest-posttest design. The data were collected from June 15 to August 31, 2008. The one group was consisted of 21 subjects. The instruments used for the study were the Fatigue and Paleasant mood. The data were analyzed by SPSS WIN 12.0 program. In order to compare the effect of the pre-post Foot Reflexotherapy, paired-test and Repeated Measures ANOVA was employed. Results: A significant decrease in fatigue, increase in Mood and Vital signs after providing self foot reflexotherapy was observed. Conclusion: The result suggests that a self foot reflexotherapy could be utilized as an effective nursing intervention to the patients to reduce fatigue, Mood and vital signs.
... 질 증진에 대한 유용성이 지지되어 왔고 (14) 실제적으로 국내 암환자들이 많이 사용하는 것으로 보고되고 있다 (15,16 ...
Article
Purpose: This study was done to investigate effects of foot massage and supportive communication provided by hospice volunteers on depression, anxiety, and mood of cancer patients who are going under intravenous chemotherapy at out patient department (OPD). Methods: A non-equivalent control group non-synchronized design was used. Sixty-four participants were recruited from out-patients setting in a university hospital by a convenient sampling. Two trained- hospice volunteers first provided regular hospice volunteer service to 34 patients in the control group. Subsequently, foot massage and supportive communication were provided to 30 participants in the experimental group. After the intervention, all participants answered the structured questionnaire with visual analog scales on depression, anxiety, and mood including general characteristics. Data were analyzed using descriptive statistics, two sample t-test, and paired t-test by PASW 17. Results: After the intervention, changes in negative moods, i.e. strain and powerlessness in the experimental group were significantly different from those in control group; strain and powerlessness in the experimental group were significantly decreased by foot massage and supportive communication provided by hospice volunteers. Conclusion: The current findings provide an empirical evidence of a brief and efficacious intervention for cancer patients. Further studies are warranted with larger sample size to validate the effectiveness of foot massage and supportive communication as a solid intervention for cancer patients who are undergoing intravenous chemotherapy at OPD.
Article
Introduction Physiological and psychological changes are observed during the postmenopausal period. In nursing practice reflexology has been used to cope with changes during this period. This study was conducted to determine whether reflexology could improve sleep quality and decrease fatigue in postmenopausal women. Methods This randomized controlled study was carried out between April and December 2018. The study sample consisted of 72 postmenopausal women (36 in the intervention group and 36 in the control group). Reflexology was applied in a total of 12 sessions by the researcher on the postmenopausal women in the intervention group. The data were collected using an Introductory Information Form, the Pittsburgh Sleep Quality Index (PSQI) and the Fatigue Severity Scale (FSS). Results After applying reflexology, the intervention group exhibited a decrease in mean PSQI posttest total score which was significantly different to the control group (Cohen's d= 3.07, 95% confidence interval (CI): 0,612–4,268) (p<0.001). However, the differences between the control group and the intervention group scores were not statistically significant for the subjective sleep quality, sleep latency or sleep disorder components (p>0.05). After reflexology application, the mean total FSS score of the women in the intervention group decreased, and the difference between the two scores was significant (Cohen's d = 1.83, 95 % CI: -9,819–4,042) (p<0.001). Conclusion Post-menopausal women benefited after the application of reflexology as sleep quality increased and fatigue decreased. Reflexology could be used as a non-pharmacological therapeutic option offered in nursing care.
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The aim of this study was to evaluate the effects of caregiver-delivered foot reflexology on patients with cancer and their caregivers. A 2-group pre- and posttest design was used in this study, and the study was conducted in an oncology hospital between January 2016 and February 2018. The study included 60 patients and 60 caregivers. Caregivers performed interventions once a day for 15 days. Patients in the experimental group received reflexology, and patients in the control group were included in the reading session. Mean pain, anxiety, and fatigue levels significantly decreased for the patients who received foot reflexology from their caregivers for 15 days compared with patients in the control group. The mean care burden score of the caregivers in both groups decreased. Clinicians should teach caregiving practices such as foot reflexology and know that these practices are a positive influence on both patients and caregivers.
Article
Introduction Patients who are about to undergo invasive diagnostic procedures are usually anxious and worried. High levels of anxiety can interfere with the successful implementation of procedures and threaten patient well-being. Foot reflexology has been shown to be effective in alleviating anxiety and stabilizing physiologic status among different patient populations. Nonetheless, there is inadequate evidence regarding the effects of the technique on patients who are candidates for bronchoscopy. The aim of this study was to assess the effects of foot reflexology on anxiety and physiological parameters among the candidates for bronchoscopy. Methods This study was a randomized controlled trial on 80 candidates about to undergo a bronchoscopy. Subjects’ anxiety, heart rate, respiratory rate, diastolic and systolic blood pressures, and arterial oxygen saturation were measured thrice, i.e. before foot reflexology, immediately after reflexology, and immediately before bronchoscopy. Results Contrary to the control group, variations of anxiety, heart rate, respiratory rate, diastolic and systolic blood pressures, and arterial oxygen saturation were statistically significant in the reflexology group (P < 0.05). Conclusion Foot reflexology alleviates anxiety and improves physiological parameters among the candidates for bronchoscopy. Consequently, it may be used as a non-invasive non-pharmacological remedy for subjects who are on the waiting lists for invasive diagnostic procedures such as bronchoscopy.
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This randomized controlled clinical study aimed to determine the effect of 2 foot massage methods on symptom control in people with colorectal cancer who received chemoradiotherapy. Data were collected between June 16, 2015, and February 10, 2016, in the Department of Radiation Oncology of an oncology training and research hospital. The sample comprised 60 participants. Data were collected using an introductory information form, common terminology criteria for adverse events and European Organization for Research and Treatment of Cancer Quality of Life Questionnaires C30 and CR29. Participants were randomly allocated to 3 groups: classical foot massage, reflexology, and standard care control. The classical massage group received foot massage using classical massage techniques, and the reflexology group received foot reflexology focusing on symptom-oriented reflexes twice a week during a 5-week chemoradiotherapy treatment schedule. The control group received neither classical massage nor reflexology. All patients were provided with the same clinic routine care. The classical massage was effective in reducing pain level and distension incidence while foot reflexology was effective in reducing pain and fatigue level, lowering incidence of distension and urinary frequency and improving life quality.
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Background & Aim: Vascular events and strokes are third leading causes of death worldwide. There are also major causes of human morbidity. Various pharmacological and non-pharmacological treatments are proposed to patients with stroke. The purpose of this study was to determine effect of foot reflexology, as a non-pharmacological procedure, on systolic and diastolic blood pressures in patients with stroke. Methods & Materials: In this clinical trial, 68 patients with stroke were selected and divided randomly into two experiment (n=34) and control (n=34) groups. Each patient in the experiment group received foot reflexology for 30 minutes. Data were recorded in the demographic and blood pressure record form. Data were analyzed using t-tests and ANOVAs in the SPSS-20. Results: There were no significant differences between the mean systolic and diastolic blood pressures of patients in experiment and control groups at baseline. The blood pressure was significantly reduced among the experiment group after receiving the foot reflexology (P
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Background and objective: Appendicitis is the most common cause of severe abdominal pain in the world, and the associated postsurgical pain, as occurs with other surgical procedures, is one of the most common problems. Today, there is a growing tendency toward nondrug methods and alternative medicine to reduce the adverse effects of drugs. Reflexology involves applying pressure on certain areas of the palms, feet, and ears in order to reduce stress and pain in certain areas of the body. The aim of this study was to determine the effect of reflexology massage on pain relief after appendectomy. Methods: This clinical trial was conducted at the surgical emergency unit of Imam Reza Hospital of Mashhad, Iran, in 2013. Pain intensity and analgesic consumption were compared between 105 patients before and immediately, 1 hour, 6 hours, and 24 hours after the intervention in three groups of intervention, control, and placebo. Patients in all three groups received analgesics, as required. The experimental group received pressure on a defined area of the right foot for about 10 minutes and the Shen Men point of the ear for 1 minute. This pressure in the placebo group was applied on the left foot and the left earlobe. Patients in the control group received routine care only. The results were evaluated at a 95% confidence level, and data were analyzed using SPSS software version 12 (SPSS, Inc., Chicago, IL). Results: At the beginning of the study, the mean pain intensity in different groups according to analysis of variance was not significantly different (p = 0.439); however, there was a notable difference in pain intensity between the intervention and other groups after reflexology therapy. In addition, methadone consumption was significantly lower in the reflexology group than in the other two groups (p ≤ 0.001). Conclusion: Reflexology is effective for reducing pain after appendectomy surgery.
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Hospitalization of traumatic patients in the Intensive Care Unit (ICU) and their critical condition can cause haemodynamic instabilities and deterioration in the level of consciousness. The study aimed to investigate the effect of whole body massage on the vital signs, Glasgow Coma Scale (GCS) scores and arterial blood gases (ABG) in trauma ICU patients. In a randomized, double-blind trial, 108 trauma ICU patients received whole body massage {experimental group (n=54)}, or routine care {control group (n=54)}. The patients vital signs; systolic blood pressure (SBP), diastolic blood pressure (DBP), respiratory rate (RR), pulse rate (PR), Temperature (T), GCS score and ABG parameters were measured by a nurse at the same time in both groups before the intervention and 1 hour and 3 hours after the intervention with a checklist. The patient in experimental group received full body massage in 45 minute by a family member. According to the findings, significant differences were observed between experimental and control groups in SBP 1 hour and 3 hours after intervention (p< 0.001), DBP, RR and PR 1 hour after intervention (p<0.001) and GCS 1 hour and 3 hours after intervention (p<0.05). Of ABG parameters, significant differences were observed between experimental and control groups in O2 saturation (p<0.001), PH (p<0.001) and pO2 (p<0.05). No significant differences between experimental and control groups in Temperature, pCO2 and HCO3 (p>0.05). With respect to this study, massage therapy is a safe and effective treatment in intensive care units to reduce patient's physical and psychological problems. Therefore the use of massage therapy is recommended to clinical practice as a routine method.
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Purpose: This study was to examine the effects of foot reflexology on ADL and fatigue in stroke patients. Method: The subjects were 31 stroke patients hospitalized in the Oriental Medicine Hospital of D University from June to November, 2002. Foot reflexology was applied to the experimental group twice a week for 6 weeks, 40 minutes each. For the data analysis, -test was conducted to verify the homogeneity of general characteristics and clinical characteristics, and t-test was done to verify the homogeneity of ADL and fatigue. To examine the relative efficacy of the intervention, ANOVA and ANCOVA were conducted. Results: After foot reflexology, the subjects in the experimental group showed significant improvement in ADL. They also had less physical, psychological, and neurosensory fatigue, which are three areas of fatigue. Conclusion: The results suggest that foot reflexology is an effective intervention that helps the body work efficiently, eases stress and strain, and enhances the homeostasis of the body through stimulating the reflex zone of internal organs in the body. Therefore, it is necessary to develop foot reflexology as an unique nursing intervention.
Article
Purpose: The purpose of this study was to identify the relationship between fatigue and quality of life (QOL) of Korean cancer inpatients. Methods: The data were collected from May to August 2007. Study subjects were recruited at D, Y and A university hospitals in Daegu and Kyungpook, Korea. The research instruments utilized in this study were fatigue (FACT-F) and quality of life (FACT-G) in Korean version 4. Data were analyzed with descriptive statistics, t-test, ANOVA, and Pearson correlation using SPSS Win 12.0 program. Results: Fatigue of subjects showed a significant difference according to the type of treatment, change in weight, performance status, exercise, and sleep. The QOL of subjects showed a significant difference according to the purpose of treatment, change in weight, performance status, exercise, and sleep. The mean score of fatigue was 22.48 and the mean score of QOL was 55.52. The fatigue was negatively related to QOL, physical well-being, emotional well-being, and functional well-being. Conclusion: The results suggest the needs for intervention in order to reduce fatigue and to improve QOL of cancer inpatients.
Article
Purpose: This study was done to verify the effects of foot reflexology on the self-esteem and vitality of elders. Method: A non- equivalent control group pre- and post-test design was used. Research instruments to measure self-esteem and vitality were used in this study. The participants were elderly women hospitalized in a hospital in Okcheon County, Chungbuk Province, Korea. The 18 patients in the experimental group performed 40 minutes of foot reflexology per time for a total of 12 times over two weeks, and the 18 patients in the control group received regular care only. Before and after the experiment, both groups were tested for self-esteem and vitality. Frequencies, percentages, -test, t-test and Mann-Whitney U test with the SPSS/WIN 10.0 program were used to analyze the collected data. Results: Vitality of the elderly women patients improved significantly in the experimental group. However self-esteem did not increase significantly. Conclusion: Foot reflexology is effective as a nursing intervention in improving the health of elders.
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