School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
Post-Baccalaureate Program in Nursing, College of Nursing and Cochrane Taiwan, Taipei Medical University, Taipei, Taiwan.
J Adv Nurs. 2021 Apr;77(4):1683-1697. doi: 10.1111/jan.14699. Epub 2020 Dec 8.
To systematically summarize and quantify the effects of foot reflexology on improvements in sleep disturbances.
Systematic review and meta-analysis.
Datasets including PubMed, Web of Science, Scopus, EMBASE, Cochrane Library, Google Scholar, CINAHL and two Chinese electronic databases (i.e., AiritiLibrary and China National Knowledge Infrastructure) were used to search from their inception to 31 January 2019.
Studies which were randomized controlled trials that reported changes in sleep disturbances after the intervention among adults over 18 years old and written in the English or Chinese language were included. Two reviewers' independently assessed the eligibility, extracted data, and conducted a quality assessment. Based on the extracted data, two separate meta-analyses were performed.
Forty-two articles with a total sample of 3,928 participants were included in the systematic review and were eligible for the meta-analysis. The most commonly employed outcome measurement tool was the Pittsburgh Sleep Quality Index, followed by the therapeutic effect between the intervention and control groups (as evaluated by participants with sleep problems compared with those without sleep problems in each group after the intervention). Results revealed that foot reflexology resulted in a greater reduction in the sleep quality score compared with the controls (Hedges' g = -1.37; 95% confidence interval (CI) = -1.81~-0.94). As for the therapeutic effect, participants in the intervention group were less likely to have sleep problems than those in the control group (pooled odds ratio = 0.25; 95% CI = 0.19 ~ 0.31).
The findings suggested that foot reflexology produced significant improvements in sleep disturbances.
Foot reflexology is a non-invasive and convenient intervention and regularly receiving foot reflexology can be considered complementary therapy to improve the sleep quality of adults with sleep disturbances. Furthermore, healthcare providers can actively press the solar plexus and heart zones to alleviate sleep disturbances when performing foot reflexology.
系统总结和量化足部反射疗法对改善睡眠障碍的效果。
系统评价和荟萃分析。
使用 PubMed、Web of Science、Scopus、EMBASE、Cochrane 图书馆、Google Scholar、CINAHL 和两个中文电子数据库（即 AiritiLibrary 和中国国家知识基础设施）的数据集，从其成立到 2019 年 1 月 31 日进行搜索。
纳入的研究为随机对照试验，报告了 18 岁以上成年人接受干预后睡眠障碍的变化情况，语言为英语或中文。两位评审员独立评估合格性、提取数据并进行质量评估。根据提取的数据，进行了两项独立的荟萃分析。
纳入了 42 篇文章，共有 3928 名参与者，进行了系统评价，并符合荟萃分析的条件。最常用的结果测量工具是匹兹堡睡眠质量指数，其次是干预组和对照组之间的治疗效果（根据每组中接受干预后有睡眠问题的参与者与无睡眠问题的参与者进行评估）。结果表明，与对照组相比，足部反射疗法使睡眠质量评分的降低更为显著（Hedges'g=-1.37；95%置信区间[CI]为-1.81-0.94）。至于治疗效果，干预组的参与者发生睡眠问题的可能性低于对照组（合并优势比[OR]=0.25；95%CI 为 0.190.31）。
足部反射疗法对睡眠障碍有显著改善作用。
足部反射疗法是一种非侵入性且方便的干预措施，定期接受足部反射疗法可以被视为改善有睡眠障碍的成年人睡眠质量的补充疗法。此外，医疗保健提供者在进行足部反射疗法时可以积极按压太阳神经丛和心脏区域来缓解睡眠障碍。
