Çamcı Gülşah, Bayrak Betül
Marmara University, Faculty of Health Sciences, Department of Nursing, Department of Internal Medicine Nursing - İstanbul, Türkiye.
Süleyman Demirel University, Faculty of Health Sciences, Department of Nursing, Department of Internal Medicine Nursing - Isparta, Türkiye.
Rev Assoc Med Bras (1992). 2025 Aug 8;71(7):e20250059. doi: 10.1590/1806-9282.20250059. eCollection 2025.
The aim of the study was to conduct a meta-analysis of studies on the effect of reflexology on blood pressure and heart rate in patients with cardiovascular disease.
The study collected data from PubMed, ScienceDirect, MEDLINE, Web of Science, Google Scholar, and Cochrane Library databases. The study had randomized-controlled, non-randomized-controlled, and quasi-experimental designs. Patients aged >18 years with coronary artery disease, coronary angiography, percutaneous coronary intervention, open-heart surgery, or coronary bypass were included. All analyses were performed using Comprehensive Meta-Analysis.
This study included 1,041 patients aged 18-75 years from 12 studies. According to the random-effects model, reflexology significantly reduced systolic blood pressure (95%CI, Hedges' g=-0.41, Z=-2.27, p=0.02) and diastolic blood pressure (95%CI, Hedges' g=-0.38, Z=-2.69, p=0.01). However, reflexology did not affect the heart rate (95%CI, Hedges' g=0.16, Z=-1.54, p=0.12).
The results suggest that reflexology has a positive effect on the systolic and diastolic blood pressures of cardiovascular patients, but no significant effect on the heart rate was observed.
本研究旨在对关于反射疗法对心血管疾病患者血压和心率影响的研究进行荟萃分析。
本研究从PubMed、ScienceDirect、MEDLINE、Web of Science、谷歌学术和Cochrane图书馆数据库收集数据。研究采用随机对照、非随机对照和准实验设计。纳入年龄大于18岁患有冠状动脉疾病、冠状动脉造影、经皮冠状动脉介入治疗、心脏直视手术或冠状动脉搭桥术的患者。所有分析均使用综合荟萃分析软件进行。
本研究纳入了来自12项研究的1041例年龄在18 - 75岁之间的患者。根据随机效应模型，反射疗法显著降低收缩压（95%置信区间，Hedges' g = -0.41，Z = -2.27，p = 0.02）和舒张压（95%置信区间，Hedges' g = -0.38，Z = -2.69，p = 0.01）。然而，反射疗法对心率没有影响（95%置信区间，Hedges' g = 0.16，Z = -1.54，p = 0.12）。
结果表明，反射疗法对心血管疾病患者的收缩压和舒张压有积极影响，但对心率未观察到显著影响。
