足部反射疗法对淋巴瘤患者疲劳、疼痛和睡眠质量的影响:一项临床试验。

The effect of foot reflexology on fatigue, pain, and sleep quality in lymphoma patients: A clinical trial.

机构信息

Community Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

Student Research Committee of Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Eur J Oncol Nurs. 2019 Dec;43:101678. doi: 10.1016/j.ejon.2019.101678. Epub 2019 Oct 18.

Abstract

PURPOSE

This study aimed to evaluate the effect of reflexology on fatigue, pain, and sleep quality in lymphoma patients.

METHOD

This study was a randomized clinical trial with pre-post design. Seventy-two lymphoma patients admitted in hematology wards affiliated to Shiraz University of Medical Sciences, Shiraz, Iran in 2018 were randomly assigned to intervention and control groups. Patients in the intervention group underwent foot reflexology for five consecutive days. The control group received usual care. The data were collected by the Multidimensional Fatigue Inventory, a numerical pain scale, and Pittsburgh Sleep Quality index. Data analysis was done by the SPSS software, version 21 using ANCOVA, paired t-test, and Wilcoxon test.

RESULTS

At baseline, both intervention and control groups were the same in terms of fatigue, pain, and sleep quality (p > 0.05). However, a significant difference was found between the two groups regarding fatigue, pain, and sleep quality after the intervention (all p < 0.05).

CONCLUSION

The results showed that reflexology could reduce fatigue and pain and improve the quality of sleep in patients with lymphoma. Considering the effectiveness of reflexology in lymphoma patients, healthcare workers including nurses are recommended to use this complementary therapy to reduce fatigue and pain and improve sleep quality in lymphoma patients.

摘要

目的

本研究旨在评估足部反射疗法对淋巴瘤患者疲劳、疼痛和睡眠质量的影响。

方法

这是一项随机临床试验,采用前后设计。2018 年,伊朗设拉子 Shiraz 大学医学科学附属医院血液科收治的 72 例淋巴瘤患者被随机分为干预组和对照组。干预组连续 5 天接受足部反射疗法,对照组接受常规护理。采用多维疲劳量表、数字疼痛量表和匹兹堡睡眠质量指数评估数据。使用 SPSS 软件(版本 21)进行协方差分析、配对 t 检验和 Wilcoxon 检验进行数据分析。

结果

在基线时,干预组和对照组在疲劳、疼痛和睡眠质量方面没有差异(p>0.05)。然而,干预后两组在疲劳、疼痛和睡眠质量方面存在显著差异(均 p<0.05)。

结论

结果表明,足部反射疗法可以减轻淋巴瘤患者的疲劳和疼痛,改善睡眠质量。鉴于足部反射疗法对淋巴瘤患者的有效性,建议包括护士在内的医护人员使用这种补充疗法来减轻淋巴瘤患者的疲劳和疼痛,改善睡眠质量。

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