Mohan Manju, Varghese Linda
Department of Obstetrical and Gynecological Nursing, Amrita College of Nursing, Amrita Vishwa Vidyapeetham, Kerala, India.
Int J Ther Massage Bodywork. 2021 Mar 1;14(1):21-29. eCollection 2021 Mar.
Reflexology may help induce labour and reduce pain during childbirth. Fear of pain associated with childbirth leads to increase in the irregular use of cesarean method.
This study was performed to evaluate the effect of reflexology on relieving labour pain and assess the recipient's opinion regarding foot reflexology.
The study taken place in the labour room, Amrita Institute of Medical Sciences, Kerala, South India.
50 primigravida patients experiencing labour.
A quasi-experimental study design was used. Subjects were selected by convenience sampling technique with the first 25 patients allocated to the experimental group and the successive 25 primigravida mothers to a time-control group, to avoid data contamination.
Intervention consisted of foot reflexology applied by a trained therapist to five pressure points of both feet that correspond to the uterus. Total intervention time lasted 20 minutes. Control group rested quietly for 20 minutes to serve as a time control.
Pain associated with labour was recorded on a visual analogue scale immediately prior to intervention, and at 20- and 40-minutes postintervention. Patient satisfaction with reflexology treatment was recorded.
Mean baseline pain score in foot reflexology group was significantly reduced across the study timeframe relative to control group ( < .001). Post hoc tests confirmed a reduction in labour pain at both the 20-min ( < .001, 95%CI 0.764-1.796) and 40-min ( < .001, 95%CI 0.643-1.677) time points. Eighty-one per cent of patients would recommend reflexology during labour.
The findings showed that foot reflexology was effective in relief of labour pain, with a high degree of patient satisfaction in primigravida mothers.
反射疗法可能有助于引产并减轻分娩时的疼痛。对分娩相关疼痛的恐惧导致剖宫产方法的不规范使用增加。
本研究旨在评估反射疗法对减轻分娩疼痛的效果，并评估接受者对足部反射疗法的看法。
该研究在印度南部喀拉拉邦阿姆里塔医学科学研究所的产房进行。
50名初产妇。
采用准实验研究设计。通过便利抽样技术选择受试者，前25名患者分配到实验组，随后的25名初产妇作为时间对照组，以避免数据污染。
由一名训练有素的治疗师对双脚对应子宫的五个压力点进行足部反射疗法。总干预时间持续20分钟。对照组安静休息20分钟作为时间对照。
在干预前、干预后20分钟和40分钟，使用视觉模拟量表记录与分娩相关的疼痛。记录患者对反射疗法治疗的满意度。
在整个研究时间段内，足部反射疗法组的平均基线疼痛评分相对于对照组显著降低（<.001）。事后检验证实，在20分钟（<.001，95%CI 0.764 - 1.796）和40分钟（<.001，95%CI 0.643 - 1.677）时间点分娩疼痛均有所减轻。81%的患者会推荐在分娩时使用反射疗法。
研究结果表明，足部反射疗法在减轻分娩疼痛方面有效，初产妇对其满意度较高。
