Baqiyatallah University of Medical Sciences, Tehran, Iran.
Atherosclerosis Research Center & Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Complement Ther Med. 2021 Aug;60:102738. doi: 10.1016/j.ctim.2021.102738. Epub 2021 May 21.
Delirium is the most common neurologic disorder after cardiac surgery and affects both short and long-term outcomes. This study was conducted to evaluate the effect of foot reflexology massage on the incidence of delirium and sleep quality in patients undergoing cardiac surgery.
In this randomized clinical trial, 60 patients who were candidates for CABG surgery were randomly assigned into two equal groups (n = 30); intervention and control groups. In the intervention group, foot reflexology massage was done on each foot for 15 min, for two consecutive days. Delirium observation screening scale, the Richard Campbell sleep questionnaire (RSCQ), and pain intensity using VAS were compared.
in the second postoperative day, delirium was observed in 8 (26.7 %) and 7 (23.3 %) of patients in the intervention and control groups, respectively (p > 0.05). The measured odds ratio for the effect of massage on delirium is 0.83 (95 %CI 0.71-2.69, p = 0.76). The difference in RSCQ scores was not significant between groups of intervention and control (68.32 ± 10.41 VS. 62.80 ± 11.86, P = 0.06). The pain intensity was lower in the intervention group (P < 0.001).
Foot reflexology was not effective in reducing delirium and improving the sleep quality, but the pain intensity was decreased. It seems that the precise pathology and predicting model of delirium should be identified, and appropriate interventions should be planned accordingly.
谵妄是心脏手术后最常见的神经系统疾病，影响短期和长期预后。本研究旨在评估足底反射按摩对心脏手术患者谵妄发生率和睡眠质量的影响。
在这项随机临床试验中，将 60 名符合 CABG 手术条件的患者随机分为两组（n=30）；干预组和对照组。在干预组中，对每只脚进行 15 分钟的足底反射按摩，连续两天进行。比较谵妄观察筛选量表、Richard Campbell 睡眠问卷（RSCQ）和 VAS 疼痛强度。
在术后第二天，干预组和对照组分别有 8 例（26.7%）和 7 例（23.3%）患者出现谵妄（p>0.05）。按摩对谵妄影响的测量比值比为 0.83（95%CI 0.71-2.69，p=0.76）。干预组和对照组的 RSCQ 评分差异无统计学意义（68.32±10.41 VS. 62.80±11.86，P=0.06）。干预组疼痛强度较低（P<0.001）。
足底反射按摩不能有效降低谵妄发生率和改善睡眠质量，但可降低疼痛强度。似乎需要明确谵妄的精确病理和预测模型，并相应地制定适当的干预措施。
