Khaledifar Ali, Nasiri Marzeih, Khaledifar Borzoo, Khaledifar Arsalan, Mokhtari Ali
Medical Intern, Student Research Committee, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Associate Professor, Department of Cardiology, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran.
ARYA Atheroscler. 2017 Mar;13(2):50-55.
Complementary medicine interventions are now successfully used to reduce stress as well as to stabilize hemodynamic indices within different procedures. The present study aimed to examine the effect of massage therapy and reflexotherapy on reducing stress in patients before coronary angiography.
In this open-label clinical trial, 75 consecutive patients who were candidate for coronary angiography were randomly assigned to receive reflexotherapy (n = 25), or massage therapy (n = 25), or routine care (n = 25) before angiography. The Spielberger State-Trait Anxiety Inventory was used to determine the stress level of patients before and after interventions and vital signs were also measured.
Improvement in diastolic blood pressure, heart rate, and respiratory rate was shown in the reflexotherapy group, and similar effects were observed following other interventions including massage therapy and routine resting program. In subjects who received reflexotherapy the level of stress decreased slightly compared with the other two groups. However, following interventions the level of stress in reflexotherapy group was shown to be lower than other study groups.
Reflexotherapy before coronary angiography can help to stabilize vital sign as well as reduce the level of stress. The effect of massage therapy was limited to reducing stress.
辅助医学干预措施目前已成功用于减轻压力以及在不同操作过程中稳定血流动力学指标。本研究旨在探讨按摩疗法和反射疗法对冠状动脉造影术前患者减轻压力的效果。
在这项开放标签的临床试验中，75例连续入选的冠状动脉造影候选患者在造影术前被随机分配接受反射疗法（n = 25）、按摩疗法（n = 25）或常规护理（n = 25）。采用斯皮尔伯格状态-特质焦虑量表来确定患者在干预前后的压力水平，并测量生命体征。
反射疗法组患者的舒张压、心率和呼吸频率有所改善，在包括按摩疗法和常规休息方案在内的其他干预措施后也观察到了类似效果。与其他两组相比，接受反射疗法的受试者压力水平略有下降。然而，干预后反射疗法组的压力水平低于其他研究组。
冠状动脉造影术前进行反射疗法有助于稳定生命体征并减轻压力水平。按摩疗法的效果仅限于减轻压力。
