College of Nursing, Konyang University, Daejeon, South Korea.
Red Cross College of Nursing, Chung-Ang University, Seoul, South Korea.
Eur J Oncol Nurs. 2019 Oct;42:82-89. doi: 10.1016/j.ejon.2019.08.007. Epub 2019 Aug 23.
PURPOSE: Chemotherapy-induced peripheral neuropathy (CIPN) can interfere with activities of daily living and can negatively affect symptoms. Thus, this study aimed to develop and implement an aroma self-foot reflexology regimen based on Cox's Interaction Model of Client Health Behaviour (IMCHB) as an intervention that can be self-performed at home and at any time. The effects of aroma self-foot reflexology on peripheral neuropathy, peripheral skin temperature, anxiety, and depression were examined in patients with gynaecologic cancer who were undergoing chemotherapy. METHODS: This randomized controlled trial included 32 experimental and 31 control patients with CIPN. Data were collected using self-reported questionnaires (CIPN assessment tool, HADS). In the experimental group, peripheral neuropathy, peripheral skin temperature, anxiety, and depression were measured before and after aroma self-foot reflexology therapy for 6 weeks. The control group was provided with identical aroma self-foot reflexology training 6 weeks later and underwent the intervention at that time. RESULTS: The intervention resulted in lower levels of symptoms of peripheral neuropathy, less interference with activities (p < .001), and higher peripheral skin temperature level (p < .001). Anxiety and depression decreased in the experimental group (p < .001). The ratio of borderline and definite cases of anxiety and depression did not differ between groups. CONCLUSIONS: An aroma self-foot reflexology intervention can reduce CIPN, anxiety, and depression in gynaecologic cancer patients. Further research is required to assess the effects of differences in the content of the intervention and the effects of various numbers of applications and durations of applications based on each individual patient's condition.
目的:化疗引起的周围神经病变(CIPN)会干扰日常生活活动,并可能对症状产生负面影响。因此,本研究旨在基于考克斯的客户健康行为相互作用模型(IMCHB)开发和实施一种芳香自助足部反射疗法方案,作为一种可以在家中随时随地进行的自我实施的干预措施。本研究调查了妇科癌症化疗患者接受芳香自助足部反射疗法对周围神经病、周围皮肤温度、焦虑和抑郁的影响。
方法:本随机对照试验纳入了 32 例实验组和 31 例对照组的 CIPN 患者。使用自我报告问卷(CIPN 评估工具、HADS)收集数据。在实验组中,在进行 6 周的芳香自助足部反射疗法治疗前后测量周围神经病、周围皮肤温度、焦虑和抑郁。对照组在 6 周后接受相同的芳香自助足部反射疗法培训,并在当时进行干预。
结果:干预后周围神经病症状减轻,活动干扰减少(p<0.001),周围皮肤温度升高(p<0.001)。实验组的焦虑和抑郁程度降低(p<0.001)。焦虑和抑郁的边缘和确诊病例比例在两组之间没有差异。
结论:芳香自助足部反射疗法干预可减轻妇科癌症患者的 CIPN、焦虑和抑郁。需要进一步研究,以评估干预内容的差异以及根据每个患者的具体情况应用次数和应用持续时间的差异对疗效的影响。
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