Ahmadidarrehsima Sudabeh, Mohammadpourhodki Reza, Ebrahimi Hossein, Keramati Maryam, Dianatinasab Mostafa
Department of Nursing and Midwifery, Jiroft University of Medical Sciences, Jiroft, Iran.
School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.
J Complement Integr Med. 2018 Sep 28;15(4):jcim-2017-0183. doi: 10.1515/jcim-2017-0183.
Background Fatigue is one of the most disturbing and the most common symptoms reported by patients dialyzed. There are methods available on complementary and alternative medicine, through which nurses can help patients to promote their health. Reflexology is a treatment which has a long history and is considered as one of the most popular and the most widespread methods of alternative medicine. In this study, the effects of foot reflexology and slow stroke back massage on the severity of fatigue in patients treated with hemodialysis were measured. Methods This is a quasi-experimental study that performed on 52 patients chosen from Imam Khomeini dialysis center in Zabol and divided into control and intervention groups by randomize allocation method. Required information collected from a demographic and fatigue severity questionnaire. After completing questionnaires by the study subjects, foot massage and slow stroke back massage was performed during three weeks, two sessions each week (5 sessions in total). At the end of intervention data of two groups was collected. Data was analyzed using independent sample t-Test, Chi-squared test, Fisher exact test, oneway ANOVA with repeated measures and Bonferroni test by SPSS software version 21. Results The mean [±SD] fatigue in patients with foot reflexology massage and slow stroke back massage reflect on the 53.61[±10.12] and 52.20 [±10.37], and the differences were not significant, but after the intervention, fatigue in the group receiving foot reflexology massage was reduced significantly compared to slow stroke back massage group (p<0.0001). Conclusions The result of this study showed that reflexology massage is a safe and economical nursing intervention for decreasing fatigue in hemodialysis patients.
背景 疲劳是透析患者报告的最令人困扰且最常见的症状之一。补充和替代医学有多种方法，护士可借此帮助患者促进健康。足部反射疗法是一种历史悠久的治疗方法，被认为是最受欢迎且应用最广泛的替代医学方法之一。在本研究中，测量了足部反射疗法和背部缓慢轻抚按摩对接受血液透析患者疲劳严重程度的影响。
方法 这是一项准实验研究，对从扎博勒伊玛目霍梅尼透析中心选取的52名患者进行研究，采用随机分配法将其分为对照组和干预组。从人口统计学和疲劳严重程度问卷收集所需信息。研究对象完成问卷后，在三周内进行足部按摩和背部缓慢轻抚按摩，每周两次（共5次）。干预结束时收集两组数据。使用SPSS 21版软件通过独立样本t检验、卡方检验、Fisher精确检验、重复测量单因素方差分析和Bonferroni检验对数据进行分析。
结果 接受足部反射疗法按摩和背部缓慢轻抚按摩患者的平均[±标准差]疲劳程度分别为53.61[±10.12]和52.20[±10.37]，差异不显著，但干预后，接受足部反射疗法按摩组的疲劳程度与背部缓慢轻抚按摩组相比显著降低（p<0.0001）。
结论 本研究结果表明，反射疗法按摩是一种安全且经济的护理干预措施，可减轻血液透析患者的疲劳。
