足部反射疗法对急性心肌梗死患者胸痛和焦虑的影响：一项双盲随机临床试验。
Effect of foot reflexology on chest pain and anxiety in patients with acute myocardial infarction: A double blind randomized clinical trial.
机构信息
Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran.
Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran; Department of Nursing, Faculty of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran; Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran.
出版信息
Complement Ther Clin Pract. 2021 Feb;42:101296. doi: 10.1016/j.ctcp.2020.101296. Epub 2020 Dec 17.
BACKGROUND AND PURPOSE
The aim of this study was to determine the effect of foot reflexology on chest pain and anxiety in patients with AMI.
MATERIALS AND METHODS
This study was a double blind randomized clinical trial. Stratified random sampling was carried out on 90 patients with AMI in the three groups of treatment, placebo and control. Foot reflexology was done for three consecutive days, each time for 20 min. Chest pain and anxiety were evaluated with Visual Analogue Scale before, immediately and 20 min later.
RESULTS
20 min after the intervention, severity of chest pain in treatment group was significantly lower than control group (p < 0.001) and placebo group (p = 0.002). Severity of anxiety between groups and at different times was not significant.
CONCLUSIONS
Foot reflexology was effective in attenuating chest pain, had the most effect in 20 min after intervention, and can be used to relieve chest pain in patients with AMI.
背景与目的
本研究旨在探讨足部反射疗法对急性心肌梗死（AMI）患者胸痛和焦虑的影响。
材料与方法
这是一项双盲随机临床试验。采用分层随机抽样方法，将 90 例 AMI 患者分为治疗组、安慰剂组和对照组。连续 3 天，每天进行 20 分钟的足部反射疗法。在干预前、干预即刻和干预 20 分钟后，采用视觉模拟评分法评估胸痛和焦虑程度。
结果
干预 20 分钟后，治疗组胸痛严重程度明显低于对照组（p<0.001）和安慰剂组（p=0.002）。组间和不同时间点的焦虑严重程度无显著差异。
结论
足部反射疗法可有效减轻胸痛，干预后 20 分钟效果最明显，可用于缓解 AMI 患者的胸痛。
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