Pasyar Nilofar, Rambod Masoume, Najafian Zahra, Nikoo Mohammad Hossein, Yoosefinejad Amin Kordi, Salmanpour Mahdi
Department of Nursing, Community Based Psychiatric Care Research Center, Nursing and Midwifery School, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Nursing, Student Research Committee of Shiraz University of Medical Sciences, Shiraz, Iran.
Iran J Nurs Midwifery Res. 2024 Sep 4;29(5):608-616. doi: 10.4103/ijnmr.ijnmr_310_23. eCollection 2024 Sep-Oct.
Limited evidence is available regarding the effect of reflexology on Acute Myocardial Infarction (AMI). The present study evaluated the effect of foot reflexology on fatigue, sleep quality, physiological indices, and electrocardiogram changes in AMI.
This clinical trial was conducted on 80 subjects with AMI. They were divided into an intervention (received reflexology for 3 consecutive days) and a control (received the routine care) group. The Multidimensional Fatigue Inventory, the Pittsburgh Sleep Quality Index, a pain numeric analog scale, a daily physiological indices form, and daily electrocardiogram were used to collect data. The collected data were analyzed in SPSS software. The study was conducted based on CONSORT criteria.
After controlling the covariates, a significant difference was found between the intervention and control groups with regard to the mean scores of fatigue (F = 16.33; < 0.001), sleep quality (F = 16.56; < 0.001), and chest pain intensity (F = 6.86; = 0.010); means of systolic blood pressure (F = 22.20; < 0.001), heart rate (F = 5.86; = 0.010), respiration (F = 9.37; = 0.003), and temperature (F= -4.23; < 0.001); and incidence of ST-segment (χ = 5.00; = 0.020) and T-wave changes (χ = 6.05, = 0.010) on the fourth day of the intervention.
Given the effectiveness of foot reflexology in different aspects of AMI patients, the implementation of this intervention is recommended for these patients in coronary care units.
关于反射疗法对急性心肌梗死（AMI）的影响，现有证据有限。本研究评估了足部反射疗法对AMI患者疲劳、睡眠质量、生理指标和心电图变化的影响。
本临床试验对80例AMI患者进行。他们被分为干预组（连续3天接受反射疗法）和对照组（接受常规护理）。使用多维疲劳量表、匹兹堡睡眠质量指数、疼痛数字模拟量表、每日生理指标表和每日心电图来收集数据。收集的数据在SPSS软件中进行分析。本研究按照CONSORT标准进行。
在控制协变量后，干预组和对照组在疲劳平均得分（F = 16.33；P < 0.001）、睡眠质量（F = 16.56；P < 0.001）和胸痛强度（F = 6.86；P = 0.010）；收缩压均值（F = 22.20；P < 0.001）、心率（F = 5.86；P = 0.010）、呼吸（F = 9.37；P = 0.003）和体温（F = -4.23；P < 0.001）；以及干预第4天ST段（χ² = 5.00；P = 0.020）和T波变化发生率（χ² = 6.05，P = 0.010）方面存在显著差异。
鉴于足部反射疗法在AMI患者不同方面的有效性，建议在冠心病监护病房对这些患者实施该干预措施。
