Shahriari Azar, Sarani Hamed, Sheikh Sara, Arbabisarjou Azizollah
Medical-Surgical Nursing, Zahedan School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran.
Medical-Surgical Nursing, Zahedan University of Medical Sciences, Zahedan, Iran.
J Educ Health Promot. 2021 Feb 27;10:81. doi: 10.4103/jehp.jehp_494_20. eCollection 2021.
Pruritus is a common skin manifestation in patients undergoing hemodialysis. Pruritus has a negative impact on the quality of life of patients receiving hemodialysis. This study was aimed to investigate the effect of foot reflexology massage on pruritus in hemodialysis patients.
A quasi-experimental study was conducted on 90 hemodialysis patients referred to Khatam-al-Anbiya and Ali-Ebne Abi-Taleb hospitals affiliated to Zahedan University of Medical Sciences in 2019. Patients with moderate-to-severe pruritus scores obtained from the Pruritus Severity Scale (PSS) were included in the study. They were randomly divided into intervention and control groups using shuffling cards or envelopes. The intervention group received nine sessions of foot reflexology massage 3 days a week for 20 min (10 min on each foot) with an emphasis on the solar plexus point. The participants in both groups again completed the PSS 48 h after the intervention. Data were analyzed using the SPSS version 24, independent -test, Chi-square test, and paired -test.
The results of this study demonstrated that foot reflexology massage significantly reduced itching or pruritus in hemodialysis patients ( < 0.001). Pruritus scores in the control group were statistically significant ( < 0.001). There was no significant statistically difference between the two groups in terms of the pruritus scores before the intervention ( = 0.59).
Our findings showed that the foot reflexology massage could relieve itching or pruritus in hemodialysis patients. It is, therefore, recommended that it can be used as an effective intervention technique to alleviate itching in hemodialysis patients.
瘙痒是血液透析患者常见的皮肤表现。瘙痒对接受血液透析的患者的生活质量有负面影响。本研究旨在探讨足部反射疗法按摩对血液透析患者瘙痒的影响。
2019年，对90名转诊至扎黑丹医科大学下属的哈塔姆-安比耶医院和阿里-伊本-阿比-塔勒布医院的血液透析患者进行了一项准实验研究。纳入了从瘙痒严重程度量表（PSS）获得中度至重度瘙痒评分的患者。使用洗牌卡或信封将他们随机分为干预组和对照组。干预组每周3天接受9次足部反射疗法按摩，每次20分钟（每只脚10分钟），重点是太阳神经丛点。两组参与者在干预后48小时再次完成PSS。使用SPSS 24版、独立样本t检验、卡方检验和配对样本t检验对数据进行分析。
本研究结果表明，足部反射疗法按摩显著减轻了血液透析患者的瘙痒（P<0.
