Jazayeri Zahra, Sajadi Mahbobeh, Dalvand Hamid, Zolfaghari Mohammadreza
Student Research Committee, School of Nursing, Arak University of Medical Sciences, Arak, Iran.
Department of Pediatric Nursing, School of Nursing, Arak University of Medical Sciences, Arak, Iran.
Complement Ther Med. 2021 Jun;59:102684. doi: 10.1016/j.ctim.2021.102684. Epub 2021 Feb 17.
Hyperbilirubinemia is one of the most common problems in infancy in the world. The aim of this study was to compare the effect of foot therapy and body massage on physiological indicators and bilirubin levels in infants under phototherapy.
This study was a randomized clinical trial that conducted on 51 infants with jaundice at Imam Hussein Pediatrics' Medical Center, Goldis Hospital in Isfahan (Iran). The samples randomly assigned to first intervention (reflexology), second intervention (body massage) and control groups using the block randomization. In the reflexology group, the relevant area on each foot was massaged for 15 min in a relaxed position. In the massage body group, the limbs were massaged with circular motion. The massage was performed once a day for 15 min and the control group did not receive any intervention. Physiological indicators were monitored using vital sign monitoring tools, and blood bilirubin levels were measured photo metrically (intravenous blood samples from the wrist). Finally, the data were analyzed using descriptive and inferential statistics and SPSS software version 18.
The results showed that before the intervention there was no significant difference in the mean of physiological indicators and bilirubin level between the three groups (p > 0.05), but after the intervention the average percentage of arterial oxygen saturation and bilirubin levels were significantly improved in the intervention groups compared to the control group (p < 0.05), while the mean of heart rate and respiration rate between the three groups were not significant (p > 0.05).
The results showed that reflexology and massage therapy can be effective in improving the condition of physiological indicators and blood bilirubin levels.
高胆红素血症是全球婴儿期最常见的问题之一。本研究旨在比较足部疗法和全身按摩对接受光疗的婴儿生理指标和胆红素水平的影响。
本研究是一项随机临床试验，在伊朗伊斯法罕戈尔迪斯医院伊玛目侯赛因儿科医学中心对51名黄疸婴儿进行。采用区组随机化将样本随机分为第一干预组（反射疗法）、第二干预组（全身按摩）和对照组。在反射疗法组，让婴儿在放松体位下，对每只脚的相关区域按摩15分钟。在全身按摩组，用圆周运动方式对四肢进行按摩。每天按摩一次，每次15分钟，对照组不接受任何干预。使用生命体征监测工具监测生理指标，通过光度法测量血胆红素水平（从手腕采集静脉血样本）。最后，使用描述性和推断性统计方法以及SPSS 18版软件对数据进行分析。
结果显示，干预前三组的生理指标均值和胆红素水平无显著差异（p＞0.05），但干预后，与对照组相比，干预组的动脉血氧饱和度平均百分比和胆红素水平显著改善（p＜0.05），而三组之间的心率和呼吸频率均值无显著差异（p＞0.05）。
结果表明，反射疗法和按摩疗法可有效改善生理指标状况和血胆红素水平。
