Budak Ertürk Elif, Karadağ Mevlüde
Altern Ther Health Med. 2025 Jan;31(1):15-21.
Reflexology is a method used to control the pain and anxiety associated with chest tube removal in patients undergoing cardiovascular surgery.
This study aimed to identify the effect of foot reflexology applied before chest tube removal on pain and anxiety levels in patients with coronary artery bypass graft surgery.
METHODS/DESIGN: This study was a randomized controlled clinical trial.
This study was conducted in the cardiovascular surgery intensive care unit of the Baskent University Ankara Hospital.
Patients, who underwent coronary artery bypass graft surgery, were randomly assigned either to the reflexology group or the control group (n = 28 individuals/group).
The reflexology group received foot reflexology for 30 minutes in two sessions (first postoperative day and before chest tube removal).
The primary outcomes of the surgery were pain, evaluated using a Numeric Pain-Rating Scale; and anxiety, evaluated using the Profile of Mood States Scale Tension-Anxiety Subscale. Pain and anxiety were determined on the first (before and after the reflexology) and second postoperative days (before and after the reflexology and immediately, 15 min, 1 hour (only pain level) after chest tube removal).
The mean pain scores of the control and intervention groups were similar during chest tube removal, 15 minutes after, and 1 hour after (P > .05). Although mean anxiety scores were comparable after chest tube removal in both groups (P > .05), a significant difference was found 15 minutes later (P < .05). The increase in pain (P = .0001) and anxiety (P = .032) levels before and after the removal was significantly less in the intervention group compared to the control group, based on pain and anxiety scores.
Foot reflexology significantly reduced the increase in pain and anxiety during chest tube removal in patients with coronary artery bypass graft surgery.
反射疗法是一种用于控制心血管手术患者拔除胸管时相关疼痛和焦虑的方法。
本研究旨在确定在冠状动脉搭桥手术患者拔除胸管前应用足部反射疗法对疼痛和焦虑水平的影响。
方法/设计：本研究为随机对照临床试验。
本研究在安卡拉巴斯肯大学医院心血管外科重症监护病房进行。
接受冠状动脉搭桥手术的患者被随机分为反射疗法组或对照组（每组28人）。
反射疗法组在两个时段接受30分钟的足部反射疗法（术后第一天和拔除胸管前）。
手术的主要观察指标为疼痛，采用数字疼痛评分量表进行评估；焦虑，采用情绪状态量表紧张-焦虑分量表进行评估。在术后第一天（反射疗法前后）和第二天（反射疗法前后以及拔除胸管后即刻、15分钟、1小时（仅疼痛水平））测定疼痛和焦虑情况。
对照组和干预组在拔除胸管时、拔除后15分钟和1小时的平均疼痛评分相似（P>.05）。虽然两组拔除胸管后的平均焦虑评分相当（P>.05），但15分钟后发现有显著差异（P<.05）。根据疼痛和焦虑评分，与对照组相比，干预组拔除胸管前后疼痛（P =.0001）和焦虑（P =.032）水平的升高明显更少。
足部反射疗法显著降低了冠状动脉搭桥手术患者拔除胸管时疼痛和焦虑的增加。
