Moghimi-Hanjani Soheila, Mehdizadeh-Tourzani Zahra, Shoghi Mahnaz
Department of Midwifery, School of Nursing and Midwifery, Islamic Azad University, Karaj Branch, Karaj, Iran.
Department of Midwifery, School of Nursing and Midwifery, Alborz University of Medical Sciences, Karaj, Iran.
Acta Med Iran. 2015 Aug;53(8):507-11.
Reflexology is a technique used widely as one of non-pharmacological pain management techniques. The present study aimed to review and determine the effect of foot reflexology on anxiety, pain and outcomes of the labor in primigravida women. This clinical trial study was conducted on 80 primigravida mothers who were divided randomly into an intervention group (Foot reflexology applied for 40 min, n=40) and control group (n=40). The pain intensity was scored immediately after the end of intervention and at 30,60 and 120 min after the intervention in both groups, based on McGill Questionnaire for Pain Rating Index (PRI). Spielberger State-Trait Anxiety Inventory (STAI) was completed before and after intervention in both groups. Duration of labor phases, the type of labor and Apgar scores of the infant at the first and fifth minute were recorded in both groups. Descriptive and inferential statistics methods (t-test and chi-square test) were applied in analyzing data. Application of reflexology technique decreased pain intensity (at 30, 60 and 120 min after intervention) and duration of labor as well as anxiety level significantly (P<0.001). Furthermore, a significant difference was observed between two groups in terms of the frequency distribution of the type of labor and Apgar score (P<0.001). Results of this study show that reflexology reduces labor pain intensity, duration of labor, anxiety, frequency distribution of natural delivery and increases Apgar scores. Using this non-invasive technique, obstetricians can achieve, to some extent, to one of the most important goals of midwifery as pain relief and reducing anxiety during labor and encourage the mothers to have a vaginal delivery.
反射疗法作为一种非药物疼痛管理技术被广泛应用。本研究旨在回顾并确定足部反射疗法对初产妇焦虑、疼痛及分娩结局的影响。本临床试验研究对80名初产妇进行，她们被随机分为干预组（应用足部反射疗法40分钟，n = 40）和对照组（n = 40）。两组均在干预结束后立即以及干预后30、60和120分钟，根据麦吉尔疼痛评定指数问卷（PRI）对疼痛强度进行评分。两组在干预前后均完成了斯皮尔伯格状态 - 特质焦虑量表（STAI）。记录两组的产程持续时间、分娩类型以及婴儿出生后第1分钟和第5分钟的阿氏评分。采用描述性和推断性统计方法（t检验和卡方检验）分析数据。反射疗法技术的应用显著降低了疼痛强度（干预后30、60和120分钟）、产程持续时间以及焦虑水平（P < 0.001）。此外，两组在分娩类型和阿氏评分的频率分布方面存在显著差异（P < 0.001）。本研究结果表明，反射疗法可降低分娩疼痛强度、产程持续时间、焦虑程度，增加自然分娩的频率分布，并提高阿氏评分。通过使用这种非侵入性技术，产科医生在一定程度上可以实现助产的一个最重要目标，即缓解分娩期间的疼痛和减轻焦虑，并鼓励母亲进行阴道分娩。
