Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
J Complement Integr Med. 2020 Sep 23;17(3):jcim-2019-0229. doi: 10.1515/jcim-2019-0229.
Introduction Anxiety is a common feeling in cesarean section and lack of attention to it is associated with negative consequences for health of mother and child. Reflexology is a way to reduce anxiety. So far, the effect of reflexology on pre-cesarean anxiety has not been evaluated. Therefore, we aimed to evaluate the effect of pre-cesarean foot reflexology massage on the anxiety of women during their first pregnancy. Materials and Methods This study is a three-group clinical trial that was conducted in 2019. The study sample consisted of 90 pregnant women hospitalized for cesarean section in Zahedan who were randomly divided into three groups of 30 women. The subjects completed the state section of Spielberger anxiety questionnaire. The control group did not receive any intervention. For two groups, 1 h before surgery, a group received reflexive massage, and the another group simple massage. Duration of massage for each group was 30 min. After 30 min, the subjects completed the state section of Spielberger questionnaire again. Statistical analysis was performed by SPSS software program, version 21.0. ANOVA and ANCOVA tests were used to compare between groups and paired t-test was used for intra-group comparisons. Results The results showed that the level of anxiety was significantly reduced in the reflexology massage group (from 55 ± 8 to 40 ± 7) as well as simple massage group (from 51 ± 10 to 47 ± 7) (p<0.001). In the control group, anxiety was increased (from 49 ± 9 to 56 ± 9) (p<0.001). Comparison between the three groups by ANCOVA indicated that reflexology massage and simple massage significantly decreased anxiety scores (p>0.001 and p>0.001,respectively). Reflexive massage significantly reduced anxiety scores (p>0.001) as compared to simple massage. Conclusion The results of this study revealed the positive effect of reflexology massage on pre-cesarean anxiety. Because reflexology massage is an inexpensive, simple, and easy approach, the use of this non-pharmaceutical method is recommended to reduce pre-cesarean anxiety.
简介 焦虑是剖宫产中常见的一种情绪，如果对此缺乏关注，可能会对母婴健康产生负面影响。反射疗法是一种减轻焦虑的方法。迄今为止，还没有评估反射疗法对剖宫产前焦虑的影响。因此，我们旨在评估剖宫产前足部反射按摩对初产妇焦虑的影响。
材料与方法 这是一项于 2019 年进行的三臂临床试验。研究样本包括 90 名因剖宫产住院的扎黑丹孕妇，他们被随机分为三组，每组 30 名妇女。研究对象完成了斯皮尔伯格焦虑状态问卷的状态部分。对照组未接受任何干预。手术前 1 小时，一组接受反射按摩，另一组接受简单按摩。每组按摩时长为 30 分钟。30 分钟后，研究对象再次完成斯皮尔伯格问卷的状态部分。统计分析采用 SPSS 软件程序，版本 21.0。采用方差分析和协方差分析比较组间差异，采用配对 t 检验进行组内比较。
结果 结果显示，反射按摩组（从 55 ± 8 降至 40 ± 7）和简单按摩组（从 51 ± 10 降至 47 ± 7）的焦虑水平显著降低（均 p<0.001）。对照组焦虑程度增加（从 49 ± 9 增至 56 ± 9）（p<0.001）。协方差分析比较三组结果显示，反射按摩和简单按摩均显著降低焦虑评分（均 p>0.001）。与简单按摩相比，反射按摩显著降低焦虑评分（p>0.001）。
结论 本研究结果表明，反射按摩对剖宫产前焦虑有积极影响。由于反射按摩价格低廉、简单易行，建议使用这种非药物方法来减轻剖宫产前的焦虑。
