Göktuna Gizem, Dağcan Necibe, Arslan Gülşah Gürol
J Cardiovasc Nurs. 2025;40(2):E57-E64. doi: 10.1097/JCN.0000000000001033. Epub 2023 Aug 7.
Pain and anxiety are common postoperative problems that impair recovery and quality of life in patients undergoing coronary artery bypass graft (CABG) surgery. Reflexology is a nonpharmacologic method used to control pain and anxiety.
The aim of this study was to examine the effects of reflexology hand massage and stroking massage on pain and anxiety in patients in the immediate postoperative period after CABG.
In this double-blind, randomized, placebo-controlled study, we compared the effects of a 20-minute hand-reflexology massage to placebo stroking massage on pain and anxiety in newly extubated patients in the intensive care unit who had undergone CABG surgery. Pain was measured by visual analog scale and anxiety by the State-Trait Anxiety Inventory before and at 5, 30, and 60 minutes post intervention.
A total of 48 patients were enrolled: 24 in the intervention group and 24 in the placebo. Mean pain scores were significantly reduced in the group who received reflexology compared with the placebo group ( F = 36.569, P = .000). Mean anxiety scores were significantly reduced at 60 minutes for the reflexology group compared with the control group ( P = .000).
We found that hand reflexology massage was effective in reducing pain and anxiety in patients during the immediate postoperative period after CABG.
疼痛和焦虑是冠状动脉搭桥术（CABG）患者术后常见的问题，会影响患者的恢复和生活质量。反射疗法是一种用于控制疼痛和焦虑的非药物方法。
本研究旨在探讨反射疗法手部按摩和抚摸按摩对CABG术后即刻患者疼痛和焦虑的影响。
在这项双盲、随机、安慰剂对照研究中，我们比较了20分钟手部反射疗法按摩与安慰剂抚摸按摩对重症监护病房中刚拔管的CABG手术患者疼痛和焦虑的影响。在干预前以及干预后5、30和60分钟，通过视觉模拟量表测量疼痛，通过状态-特质焦虑量表测量焦虑。
共纳入48例患者：干预组24例，安慰剂组24例。与安慰剂组相比，接受反射疗法的组平均疼痛评分显著降低（F = 36.569，P = .000）。与对照组相比，反射疗法组在60分钟时平均焦虑评分显著降低（P = .000）。
我们发现手部反射疗法按摩对CABG术后即刻患者减轻疼痛和焦虑有效。
