The Effect of Foot Reflexology on Fatigue, Sleep Quality, Physiological Indices, and Electrocardiogram Changes in Patients with Acute Myocardial Infarction: A Randomized Clinical Trial

Nilofar Pasyar rambodma@yahoo.com, Masoume Rambod, Zahra Najafian,, Mohammad Hossein Nikoo, Amin Kordi Yoosefinejad, Mahdi Salmanpour

Abstract


Background: Limited evidence is available regarding the effect of reflexology on Acute Myocardial Infarction (AMI). The present study evaluated the effect of foot reflexology on fatigue, sleep quality, physiological indices, and electrocardiogram changes in AMI.

Materials and Methods: This clinical trial was conducted on 80 subjects with AMI. They were divided into an intervention (received reflexology for 3 consecutive days) and a control (received the routine care) group. The Multidimensional Fatigue Inventory, the Pittsburgh Sleep Quality Index, a pain numeric analog scale, a daily physiological indices form, and daily electrocardiogram were used to collect data. The collected data were analyzed in SPSS software. The study was conducted based on CONSORT criteria.

Results: After controlling the covariates, a significant difference was found between the intervention and control groups with regard to the mean scores of fatigue (F5,80 = 16.33; p < 0.001), sleep quality (F5,80 = 16.56; p < 0.001), and chest pain intensity (F5,80 = 6.86; p = 0.010); means of systolic blood pressure (F5,80 = 22.20; p < 0.001), heart rate (F5,80 = 5.86; p = 0.010), respiration (F5,80 = 9.37; p = 0.003), and temperature (F5,80= ‑4.23; p < 0.001); and incidence of ST‑segment (χ21,80 = 5.00; p = 0.020) and T‑wave changes (χ21,80 = 6.05, p = 0.010) on the fourth day of the intervention.

Conclusions: Given the effectiveness of foot reflexology in different aspects of AMI patients, the implementation of this intervention is recommended for these patients in coronary care units.



Keywords


Fatigue, musculoskeletal manipulations, myocardial infarction, sleep

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References


Hinkle JL, Cheever KH. Brunner and Suddarth’s Textbook of Medical Surgical Nursing. Lippincott Williams and Wilkins; 2022.

Yang Y, Tian Y, Liao J, Li S, Xu W, Liu J. The mediating role of self efficacy in acute myocardial infarction patients between post PCI fatigue and post traumatic stress disorder. Altern Ther Health Med 2024:AT10325. Available from: https://pubmed.ncbi. nlm.nih.gov/38843429/.

Park HC, Oh J. The relationship between stress and sleep quality: The mediating effect of fatigue and dizziness among patients with cardiovascular disease. Medicine 2023;102:1 8.

Bagheri H, Norouzi F, Maleki M, Rezaie S, Goli S, Ebrahimi H, et al. The effect of increasing duration of family members’ presence on sleep status in patients with acute coronary syndrome in cardiac care unit: A randomized controlled trial. Nurs Open 2024;11:e2114.

Yang J, Wang K, Wang W, Niu J, Liu X, Shen H, et al. The effect of sleep quality on coronary lesion severity and prognosis in the young acute coronary syndrome population. J Cardiovasc Dev Dis 2024;11:68.

Andrechuk CRS, Ceolim MF. Sleep quality and adverse outcomes for patients with acute myocardial infarction. J Clin Nurs 2016;25:223 30.

Rambod M, Rakhshan M, Tohidinik S, Nikoo MH. The effect of lemon inhalation aromatherapy on blood pressure, electrocardiogram changes, and anxiety in acute myocardial infarction patients: A clinical, multi centered, assessor blinded trial design. Complement Ther Clin Pract 2020;39:101155.

Rambod M, Pasyar N, Shamsadini M. The effect of foot reflexology on fatigue, pain, and sleep quality in lymphoma patients: A clinical trial. Eur J Oncol Nurs 2019;43:101678.

Rahmani A, Naseri M, Salaree MM, Nehrir B. Comparing the effect of foot reflexology massage, foot bath and their combination on quality of sleep in patients with acute coronary syndrome. J Caring Sci 2016;5:299 306.

Vardanjani MM, Alavi NM, Razavi NS, Aghajani M, Azizi Fini E, Vaghefi SM. A randomized controlled trial examining the effects of reflexology on anxiety of patients undergoing coronary angiography. Nurs Midwifery Stud 2013;2:3 9.

Rejeh N, Tadrisi SD, Yazdani S, Saatchi K, Vaismoradi M. The effect of hand reflexology massage on pain and fatigue in patients after coronary angiography: A randomized controlled clinical trial. Nurs Res Pract 2020;2020:8386167.

Moeini M, Kahangi LS, Valiani M, Heshmat R. The effect of reflexotherapy on patients’ vital signs before coronary artery bypass graft surgery. Iran J Nurs Midwifery Res 2011;16:8 12.

Abbaszadeh Y, Allahbakhshian A, Seyyedrasooli A, Sarbakhsh P, Goljarian S, Safaei N. Effects of foot reflexology on anxiety and physiological parameters in patients undergoing coronary artery bypass graft surgery: A clinical trial. Complement Ther Clin Pract 2018;31:220 8.

Khalili A, Mardani D, Pour NB, Paymard A, Daraei M, Yaripoor S, et al. The effect of foot reflexology on physiological parameters. Int J Med Res Health Sci 2016;5:50 4.

Elsayed AE, Kandeel NA, Abd El Aziz WW. The effect of foot reflexology on physiological indicators and mechanical ventilation weaning time among open heart surgery patients. Am J Nurs 2019;7:412 9.

Kardan M, Zarei B, BahramiTaghanaki H, Vagharseyyedin SA, Azdaki N. The effects of foot reflexology on back pain after coronary angiography: A randomized controlled trial. Complement Ther Clin Pract 2020;38:101068.

Ebadi A, Kavei P, Moradian ST, Saeid Y. The effect of foot reflexology on physiologic parameters and mechanical ventilation weaning time in patients undergoing open heart surgery: A clinical trial study. Complement Ther Clin Pract 2015;21:188 92.

Sayari S, Nobahar M, Ghorbani R. Effect of foot reflexology on chest pain and anxiety in patients with acute myocardial infarction: A double blind randomized clinical trial. Complement Ther Clin Pract 2021;42:101296.

Samarehfekri A, Dehghan M, Arab M, Ebadzadeh MR. Effect of foot reflexology on pain, fatigue, and quality of sleep after kidney transplantation surgery: A parallel randomized controlled trial. Evid Based Complement Alternat Med 2020;2020:5095071.

Kunz B. Complete Reflexology for Life. New York: Dorling Kindersley; 2009.

Smets EM, Garssen B, Bonke B, De Haes JC. The Multidimensional Fatigue Inventory (MFI) psychometric qualities of an instrument to assess fatigue. J Psychosom Res 1995;39:315 25.

Buysse DJ, Reynolds CF III, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Res 1989;28:193 213.

Lee J, Han M, Chung Y, Kim J, Choi J. Effects of foot reflexology on fatigue, sleep and pain: A systematic review and meta analysis. J Korean Acad Nurs 2011;41:821 33.

Embong NH, Soh YC, Ming LC, Wong TW. Revisiting reflexology: Concept, evidence, current practice, and practitioner training. J Tradit Complement Med 2015;5:197 206.

Pilozzi A, Carro C, Huang X. Roles of β Endorphin in stress, behavior, neuroinflammation, and brain energy metabolism. Int J Mol Sci 2020;22:338.

Bahrami T, Rejeh N, Heravi Karimooi M, Tadrisi SD, Vaismoradi M. The effect of foot reflexology on hospital anxiety and depression in female older adults: A randomized controlled trial. Int J Ther Massage Bodywork 2019;12:16 21.

Kotruchin P, Imoun S, Mitsungnern T, Aountrai P, Domthaisong M, Kario K. The effects of foot reflexology on blood pressure and heart rate: A randomized clinical trial in stage-2 hypertensive patients. J Clin Hypertens 2021;23:680 6.

Jing Y, Liu S, Pan C, Jian Y, Wang M, Ni B. The effects of foot reflexology on vital signs: A meta analysis of randomized controlled trials. Evid Based Complement Alternat Med 2022;2022:4182420.


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