Hafizi Leili, Razmjoo Nastaran, Yousefi Fatemeh, Azizi Hoda
Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Midwifery, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
J Educ Health Promot. 2021 Jan 28;10:26. doi: 10.4103/jehp.jehp_961_20. eCollection 2021.
During the immediate post delivery period, women are particularly susceptible to distension of the bladder. Complementary and alternative medicine is becoming an established intervention modality within the contemporary health care system. However, very little is known about the impact of foot reflexology on the urinary system. The aim of this study was to evaluate the effect of the most popular type of complementary therapy (the foot reflexology) on first voiding time following elective cesarean section without urinary catheter.
This experimental study was performed on 61 pregnant women in Pastor Hospital, Mashhad, Iran, who met the inclusion criteria. Accordingly, participants were randomly allotted to either treatment or control groups. The intervention group received a single 20-min foot re?exology session at 2-3 h after the surgery. The time taken for first void was recorded by research assistant that blinded to the allocation of groups. The findings were recorded and analyzed with the SPSS software by using of Chi-square, independent -test, Mann-Whitney, and Fisher exact methods < 0.05 was considered as statistically significant.
Using General Linear Model (GLM) for controlling of confounding variables, the results of t-test showed significant differences between two groups in terms of first voiding time ( = 0.001) following surgery.
It seems that the use of foot reflexology as a nursing care plan to prevent urinary retention after cesarean section without urinary catheter does shorten first voiding time and increase maternal satisfaction.
在产后即刻，女性膀胱特别容易扩张。补充和替代医学正在成为当代医疗保健系统中一种既定的干预方式。然而，关于足部反射疗法对泌尿系统的影响知之甚少。本研究的目的是评估最流行的补充疗法（足部反射疗法）对择期剖宫产术后无导尿管情况下首次排尿时间的影响。
本实验研究在伊朗马什哈德帕斯托尔医院对61名符合纳入标准的孕妇进行。相应地，参与者被随机分配到治疗组或对照组。干预组在术后2 - 3小时接受一次20分钟的足部反射疗法。首次排尿时间由对分组不知情的研究助理记录。研究结果使用SPSS软件，采用卡方检验、独立样本t检验、曼 - 惠特尼检验和费舍尔精确检验法进行记录和分析。P < 0.05被认为具有统计学意义。
使用一般线性模型（GLM）控制混杂变量，t检验结果显示两组在术后首次排尿时间方面存在显著差异（P = 0.001）。
似乎将足部反射疗法作为一种护理计划用于预防无导尿管剖宫产术后尿潴留确实能缩短首次排尿时间并提高产妇满意度。
