Gok Metin Zehra, Ozdemir Leyla
Department of Internal Medicine Nursing, Hacettepe University Faculty of Nursing, Ankara, Turkey.
Department of Internal Medicine Nursing, Hacettepe University Faculty of Nursing, Ankara, Turkey.
Pain Manag Nurs. 2016 Apr;17(2):140-9. doi: 10.1016/j.pmn.2016.01.004. Epub 2016 Apr 16.
Nonpharmacologic interventions for symptom management in patients with rheumatoid arthritis are underinvestigated. Limited data suggest that aromatherapy massage and reflexology may help to reduce pain and fatigue in patients with rheumatoid arthritis. The aim of this study was to examine and compare the effects of aromatherapy massage and reflexology on pain and fatigue in patients with rheumatoid arthritis. The study sample was randomly assigned to either an aromatherapy massage (n = 17), reflexology (n = 17) or the control group (n = 17). Aromatherapy massage was applied to both knees of subjects in the first intervention group for 30 minutes. Reflexology was administered to both feet of subjects in the second intervention group for 40 minutes during weekly home visits. Control group subjects received no intervention. Fifty-one subjects with rheumatoid arthritis were recruited from a university hospital rheumatology clinic in Turkey between July 2014 and January 2015 for this randomized controlled trial. Data were collected by personal information form, DAS28 index, Visual Analog Scale and Fatigue Severity Scale. Pain and fatigue scores were measured at baseline and within an hour after each intervention for 6 weeks. Pain and fatigue scores significantly decreased in the aromatherapy massage and reflexology groups compared with the control group (p < .05). The reflexology intervention started to decrease mean pain and fatigue scores earlier than aromatherapy massage (week 1 vs week 2 for pain, week 1 vs week 4 for fatigue) (p < .05). Aromatherapy massage and reflexology are simple and effective nonpharmacologic nursing interventions that can be used to help manage pain and fatigue in patients with rheumatoid arthritis.
类风湿性关节炎患者症状管理的非药物干预研究不足。有限的数据表明，芳香疗法按摩和反射疗法可能有助于减轻类风湿性关节炎患者的疼痛和疲劳。本研究的目的是检查和比较芳香疗法按摩和反射疗法对类风湿性关节炎患者疼痛和疲劳的影响。研究样本被随机分为芳香疗法按摩组（n = 17）、反射疗法组（n = 17）或对照组（n = 17）。在第一次干预组中，对受试者的双膝进行30分钟的芳香疗法按摩。在每周的家庭访视期间，对第二次干预组的受试者双脚进行40分钟的反射疗法。对照组受试者不接受干预。2014年7月至2015年1月期间，从土耳其一家大学医院的风湿病诊所招募了51名类风湿性关节炎患者参与这项随机对照试验。通过个人信息表、DAS28指数、视觉模拟量表和疲劳严重程度量表收集数据。在基线时以及每次干预后1小时内测量疼痛和疲劳评分，持续6周。与对照组相比，芳香疗法按摩组和反射疗法组的疼痛和疲劳评分显著降低（p < 0.05）。反射疗法干预比芳香疗法按摩更早开始降低平均疼痛和疲劳评分（疼痛方面为第1周对第2周，疲劳方面为第1周对第4周）（p < 0.05）。芳香疗法按摩和反射疗法是简单有效的非药物护理干预措施，可用于帮助管理类风湿性关节炎患者的疼痛和疲劳。
