Molavi Vardanjani Mehdi, Masoudi Alavi Negin, Razavi Narges Sadat, Aghajani Mohammad, Azizi-Fini Esmail, Vaghefi Seied Morteza
Student Search Committee, Kashan University of Medical Sciences, Kashan, IR Iran.
Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, IR Iran.
Nurs Midwifery Stud. 2013 Sep;2(3):3-9. doi: 10.5812/nms.12167. Epub 2013 Sep 15.
The anxiety reduction before coronary angiography has clinical advantages and is one of the objectives of nursing. Reflexology is a non-invasive method that has been used in several clinical situations. Applying reflexology might have effect on the reduction of anxiety before coronary angiography.
The aim of this randomized clinical trial was to investigate the effect of reflexology on anxiety among patients undergoing coronary angiography.
This trial was conducted in Shahid Beheshti Hospital, in Kashan, Iran. One hundred male patients who were undergoing coronary angiography were randomly enrolled into intervention and placebo groups. The intervention protocol was included 30 minutes of general foot massage and the stimulation of three reflex points including solar plexus, pituitary gland, and heart. The placebo group only received the general foot massage. Spielbergers state trait anxiety inventory was used to assess the anxiety experienced by patients. Data was analyzed using Man-Witney, Wilcoxon and Chi-square tests. The stepwise multiple regressions used to analyze the variables that are involved in anxiety reduction.
The mean range of anxiety decreased from 53.24 to 45.24 in reflexology group which represented 8 score reduction (P = 0.0001). The reduction in anxiety was 5.9 score in placebo group which was also significant (P = 0.0001). The anxiety reduction was significantly higher in reflexology group (P = 0.014). The stepwise multiple regression analysis showed that doing reflexology can explain the 7.5% of anxiety reduction which made a significant model.
Reflexology can decrease the anxiety level before coronary angiography. Therefore, reflexology before coronary angiography is recommended.
冠状动脉造影术前减轻焦虑具有临床益处，是护理目标之一。反射疗法是一种已在多种临床情况中使用的非侵入性方法。应用反射疗法可能对冠状动脉造影术前减轻焦虑有效果。
本随机临床试验的目的是研究反射疗法对接受冠状动脉造影术患者焦虑的影响。
本试验在伊朗卡尚的沙希德·贝赫什提医院进行。100名接受冠状动脉造影术的男性患者被随机分为干预组和安慰剂组。干预方案包括30分钟的足部全身按摩以及刺激三个反射点，包括太阳神经丛、垂体和心脏。安慰剂组仅接受足部全身按摩。使用斯皮尔伯格状态特质焦虑量表评估患者的焦虑程度。数据采用曼 - 惠特尼检验、威尔科克森检验和卡方检验进行分析。采用逐步多元回归分析参与减轻焦虑的变量。
反射疗法组的焦虑平均范围从53.24降至45.24，降低了8分（P = 0.0001）。安慰剂组的焦虑降低了5.9分，也具有显著性（P = 0.0001）。反射疗法组的焦虑减轻显著更高（P = 0.014）。逐步多元回归分析表明，进行反射疗法可解释7.5%的焦虑减轻情况，构成了一个显著模型。
反射疗法可降低冠状动脉造影术前的焦虑水平。因此，建议在冠状动脉造影术前采用反射疗法。
