足部反射疗法对血液透析患者性功能的影响：一项随机平行对照临床试验
Effect of Foot Reflexology on Sexual Function of Patients under Hemodialysis: A Randomized Parallel Controlled Clinical Trial.
作者信息
Zeidabadinejad Somayeh, Mangolian Shahrbabaki Parvin, Dehghan Mahlagha
机构信息
Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran.
Department of Critical Care Nursing, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
出版信息
Evid Based Complement Alternat Med. 2021 Oct 21;2021:8553549. doi: 10.1155/2021/8553549. eCollection 2021.
INTRODUCTION
Hemodialysis patients experience sexual dysfunction due to the nature of their disease and its complications. Dialysis patients have reported sexual dysfunction as one of the most important stressors, which leads to many psychological and physiological problems. Sexual function in hemodialysis patients has been improved with pharmaceutical and nonpharmacological therapies. Foot reflexology is a complementary and alternative treatment that can be used in conjunction with contemporary care. By activating the chemical nerve system, reflexology may balance enzymes and regulate endocrine function.
OBJECTIVES
To determine the effect of foot reflexology on the sexual function of hemodialysis patients.
METHODS
This randomized controlled trial was conducted on 47 patients on chronic hemodialysis referred to Imam Reza Hospital in Sirjan, Iran, who were divided into two groups of reflexology ( = 24; male = 19 and female = 5) and sham ( = 23; male = 18, and female = 5). The intervention group received foot reflexology during dialysis for four weeks, three times a week, 30 minutes each time (15 minutes per foot). The sham group received nonspecific foot massage without applying pressure on standard reflex points with the same condition and duration as the intervention group. The international index of erectile function and female sexual function index was assessed before, immediately, and one month after the intervention.
RESULTS
The results showed that immediately after the intervention, male orgasm function, sexual desire, and intercourse satisfaction in the reflexology group was significantly higher than those of the sham group. There was no significant difference between the two groups regarding erectile function and overall satisfaction. Furthermore, there was no significant difference between the two groups in terms of different aspects of female sexual function.
CONCLUSIONS
Foot reflexology, as an effective intervention treatment, can reduce some aspects of sexual dysfunction of male patients under hemodialysis.
引言
血液透析患者因其疾病的性质及其并发症而经历性功能障碍。透析患者将性功能障碍报告为最重要的压力源之一，这会导致许多心理和生理问题。药物和非药物疗法已改善了血液透析患者的性功能。足部反射疗法是一种补充和替代疗法，可与现代护理结合使用。通过激活化学神经系统，反射疗法可能平衡酶并调节内分泌功能。
目的
确定足部反射疗法对血液透析患者性功能的影响。
方法
这项随机对照试验对转诊至伊朗锡尔詹伊玛目礼萨医院的47例慢性血液透析患者进行，这些患者被分为反射疗法组（n = 24；男性 = 19，女性 = 5）和假治疗组（n = 23；男性 = 18，女性 = 5）。干预组在透析期间接受足部反射疗法，为期四周，每周三次，每次30分钟（每只脚15分钟）。假治疗组接受非特异性足部按摩，不对标准反射点施加压力，条件和持续时间与干预组相同。在干预前、干预后立即和干预后一个月评估国际勃起功能指数和女性性功能指数。
结果
结果显示，干预后立即，反射疗法组男性的性高潮功能、性欲和性交满意度显著高于假治疗组。两组在勃起功能和总体满意度方面无显著差异。此外，两组在女性性功能的不同方面也无显著差异。
结论
足部反射疗法作为一种有效的干预治疗，可以减轻血液透析男性患者性功能障碍的某些方面。
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