Rahmani Ali, Naseri Mahdi, Salaree Mohammad Mahdi, Nehrir Batool
Department of Nursing, Atherosclerosis Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Department of Nursing, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran.
J Caring Sci. 2016 Dec 1;5(4):299-306. doi: 10.15171/jcs.2016.031. eCollection 2016 Dec.
Many patients in coronary care unit (CCU) suffer from decreased sleep quality caused by environmental and mental factors. This study compared the efficacy of foot reflexology massage, foot bath, and a combination of them on the quality of sleep of patients with acute coronary syndrome (ACS). This quasi-experimental study was implemented on ACS patients in Iran. Random sampling was used to divide the patients into four groups of 35 subjects. The groups were foot reflexology massage, foot bath, a combination of the two and the control group. Sleep quality was measured using the Veran Snyder-Halpern questionnaire. Data were analyzed by SPSS version 13. The mean age of the four groups was 61.22 (11.67) years. The mean sleep disturbance in intervention groups (foot reflexology massage and foot bath groups) during the second and third nights was significantly less than before intervention. The results also showed a greater reduction in sleep disturbance in the combined group than in the other groups when compared to the control group. It can be concluded that the intervention of foot bath and massage are effective in reducing sleep disorders and there was a synergistic effect when used in combination. This complementary care method can be recommended to be implemented by CCU nurses.
许多冠心病监护病房（CCU）的患者因环境和心理因素而睡眠质量下降。本研究比较了足部反射疗法按摩、足浴及其联合应用对急性冠状动脉综合征（ACS）患者睡眠质量的影响。这项准实验研究在伊朗的ACS患者中开展。采用随机抽样将患者分为四组，每组35名受试者。分组分别为足部反射疗法按摩组、足浴组、两者联合组和对照组。使用韦兰·斯奈德 - 哈尔彭问卷测量睡眠质量。数据采用SPSS 13版进行分析。四组的平均年龄为61.22（11.67）岁。干预组（足部反射疗法按摩组和足浴组）在第二晚和第三晚的平均睡眠干扰明显低于干预前。结果还显示，与对照组相比，联合组的睡眠干扰减少幅度大于其他组。可以得出结论，足浴和按摩干预在减少睡眠障碍方面是有效的，联合使用时有协同作用。这种辅助护理方法可推荐给CCU护士实施。
