A randomized-controlled trial examining the effects of reflexology on anxiety of patients undergoing coronary angiography

Mehdi Molavi Vardanjani, Negin Masoudi Alavi, Narges Sadat Razavi, Mohammad Aghajani, Esmail Azizi-Fini, Seied Morteza Vaghefi, Mehdi Molavi Vardanjani, Negin Masoudi Alavi, Narges Sadat Razavi, Mohammad Aghajani, Esmail Azizi-Fini, Seied Morteza Vaghefi

Abstract

Background: The anxiety reduction before coronary angiography has clinical advantages and is one of the objectives of nursing. Reflexology is a non-invasive method that has been used in several clinical situations. Applying reflexology might have effect on the reduction of anxiety before coronary angiography.

Objectives: The aim of this randomized clinical trial was to investigate the effect of reflexology on anxiety among patients undergoing coronary angiography.

Patients and methods: This trial was conducted in Shahid Beheshti Hospital, in Kashan, Iran. One hundred male patients who were undergoing coronary angiography were randomly enrolled into intervention and placebo groups. The intervention protocol was included 30 minutes of general foot massage and the stimulation of three reflex points including solar plexus, pituitary gland, and heart. The placebo group only received the general foot massage. Spielbergers state trait anxiety inventory was used to assess the anxiety experienced by patients. Data was analyzed using Man-Witney, Wilcoxon and Chi-square tests. The stepwise multiple regressions used to analyze the variables that are involved in anxiety reduction.

Results: The mean range of anxiety decreased from 53.24 to 45.24 in reflexology group which represented 8 score reduction (P = 0.0001). The reduction in anxiety was 5.9 score in placebo group which was also significant (P = 0.0001). The anxiety reduction was significantly higher in reflexology group (P = 0.014). The stepwise multiple regression analysis showed that doing reflexology can explain the 7.5% of anxiety reduction which made a significant model.

Conclusions: Reflexology can decrease the anxiety level before coronary angiography. Therefore, reflexology before coronary angiography is recommended.

Keywords: Anxiety; Coronary angiography; Foot massage.

Figures

Figure 1.. The Sampling Framework of the…
Figure 1.. The Sampling Framework of the Study
Figure 2.. The Location of Reflexology Points…
Figure 2.. The Location of Reflexology Points Used in this Research

References

    1. Alizadehsani R, Habibi J, Hosseini MJ, Mashayekhi H, Boghrati R, Ghandeharioun A, et al. A data mining approach for diagnosis of coronary artery disease. Comput Methods Programs Biomed. 2013;111(1):52–61. doi: 10.1016/j.cmpb.2013.03.004.
    1. Akbari Sari A, Babashahy S, Olyaeimanesh A, Rashidian A. Estimating the frequency and rate of first 50 common types of invasive procedures in iran healthcare system. Iran J Public Health. 2012;41(10):60–4.
    1. Mikosch P, Hadrawa T, Laubreiter K, Brandl J, Pilz J, Stettner H, et al. Effectiveness of respiratory-sinus-arrhythmia biofeedback on state-anxiety in patients undergoing coronary angiography. J Adv Nurs. 2010;66(5):1101–10. doi: 10.1111/j.1365-2648.2010.05277.x.
    1. De Jong-Watt WJ, Arthur HM. Anxiety and health-related quality of life in patients awaiting elective coronary angiography. Heart Lung. 2004;33(4):237–48.
    1. McCaffrey R, Taylor N. Effective anxiety treatment prior to diagnostic cardiac catheterization. Holist Nurs Pract. 2005;19(2):70–3.
    1. McNamara ME, Burnham DC, Smith C, Carroll DL. The effects of back massage before diagnostic cardiac catheterization. Altern Ther Health Med. 2003;9(1):50–7.
    1. Okvat HA, Oz MC, Ting W, Namerow PB. Massage therapy for patients undergoing cardiac catheterization. Altern Ther Health Med. 2002;8(3):68-70–74-5.
    1. Taylor-Piliae RE, Chair SY. The effect of nursing interventions utilizing music therapy or sensory information on Chinese patients' anxiety prior to cardiac catheterization: a pilot study. Eur J Cardiovasc Nurs. 2002;1(3):203–11.
    1. Astley CM, Chew DP, Aylward PE, Molloy DA, De Pasquale CG. A randomised study of three different informational AIDS prior to coronary angiography, measuring patient recall, satisfaction and anxiety. Heart Lung Circ. 2008;17(1):25–32. doi: 10.1016/j.hlc.2007.04.008.
    1. Bally K, Campbell D, Chesnick K, Tranmer JE. Effects of patient-controlled music therapy during coronary angiography on procedural pain and anxiety distress syndrome. Crit Care Nurse. 2003;23(2):50–8.
    1. Wyatt G, Sikorskii A, Rahbar MH, Victorson D, You M. Health-related quality-of-life outcomes: a reflexology trial with patients with advanced-stage breast cancer. Oncol Nurs Forum. 2012;39(6):568–77. doi: 10.1188/12.ONF.568-577.
    1. Quinn F, Baxter GD, Hughes C. M. . Complementary therapies in the management of low back pain, A survey of reflexologists. Complement Ther Med. 2008;16(1):9–14.
    1. Jones J, Thomson P, Lauder W, Howie K, Leslie SJ. Reflexology has an acute (immediate) haemodynamic effect in healthy volunteers: a double-blind randomised controlled trial. Complement Ther Clin Pract. 2012;18(4):204–11. doi: 10.1016/j.ctcp.2012.03.006.
    1. Gunnarsdottir TJ, Jonsdottir H. Healing crisis in reflexology: becoming worse before becoming better. Complement Ther Clin Pract. 2010;16(4):239–43. doi: 10.1016/j.ctcp.2010.01.005.
    1. Nakamarua T, Miurab N, Fukushima A, Kawashima R. Somatotopical relationships between cortical activity and reflex areas in reflexology: A functional magnetic resonance imaging study. Neurosci Lett. 2008;448(1):6–9.
    1. Wilkinson IS, Prigmore S, Rayner CF. A randomised-controlled trail examining the effects of reflexology of patients with chronic obstructive pulmonary disease (COPD). Complement Ther Clin Pract. 2006;12(2):141–7. doi: 10.1016/j.ctcp.2005.10.004.
    1. Dolatian M, Hasanpour A, Montazeri S, Heshmat R, Alavi Majd H. The Effect of Reflexology on Pain Intensity and Duration of Labor on Primiparas. Iran Red Crescent Med J. 2011;13(7):475–479.
    1. Wang MY, Tsai PS, Lee PH, Chang WY, Yang CM. The efficacy of reflexology: systematic review. J Adv Nurs. 2008;62(5):512–20. doi: 10.1111/j.1365-2648.2008.04606.x.
    1. McVicar AJ, Greenwood CR, Fewell F, D'Arcy V, Chandrasekharan S, Alldridge LC. Evaluation of anxiety, salivary cortisol and melatonin secretion following reflexology treatment: a pilot study in healthy individuals. Complement Ther Clin Pract. 2007;13(3):137–45. doi: 10.1016/j.ctcp.2006.11.001.
    1. Majidi SA. Recitation effect of holy Quran on anxiety of patients before undergoing coronary artery angiography. J Med Faculty Guilan Univ Med Sci. 2004;13(49):61–7.
    1. Jones J, Thomson P, Lauder W, Leslie SJ. Reported treatment strategies for reflexology in cardiac patients and inconsistencies in the location of the heart reflex point: an online survey. Complement Ther Clin Pract. 2012;18(3):145–50. doi: 10.1016/j.ctcp.2012.04.001.
    1. Kvaal K, Ulstein I, Nordhus IH, Engedal K. The Spielberger State-Trait Anxiety Inventory (STAI): the state scale in detecting mental disorders in geriatric patients. Int J Geriatr Psychiatry. 2005;20(7):629–34. doi: 10.1002/gps.1330.
    1. Quek KF, Low WY, Razack AH, Loh CS, Chua CB. Reliability and validity of the Spielberger State-Trait Anxiety Inventory (STAI) among urological patients: a Malaysian study. Med J Malaysia. 2004;59(2):258–67.
    1. Hughes CM, Krirsnakriengkrai S, Kumar S, McDonough SM. The effect of reflexology on the autonomic nervous system in healthy adults: a feasibility study. Altern Ther Health Med. 2011;17(3):32–7.
    1. Lu WA, Chen GY, Kuo CD. Foot reflexology can increase vagal modulation, decrease sympathetic modulation, and lower blood pressure in healthy subjects and patients with coronary artery disease. Altern Ther Health Med. 2011;17(4):8–14.
    1. Ernst E. Is reflexology an effective intervention? A systematic review of randomised controlled trials. Med J Aust. 2009;191(5):263–6.
    1. Jamali R, Jamali A, Poorrahnama M, Omidi A, Jamali B, Moslemi N, et al. Evaluation of health related quality of life in irritable bowel syndrome patients. Health Qual Life Outcomes. 2012;10:12. doi: 10.1186/1477-7525-10-12.
    1. Romanowski M. Issues that need to be addressed in massage therapy. Nurs Midwifery Stud. 2012;1(2):109–10.
    1. Adib-Hajbaghery M, Ali Abasi A, Rajabi-Beheshtabad R, Azizi-Fini I. The effects of massage therapy by the patient’s relative on vital signs of males admitted in critical care unit. Nurs Midwifery Stud. 2012;1(1):16–21.
    1. Etri M, Adib-Hajbaghery M. Effects of acupressure on pain and vital signs of patients after small abdominal surgeries: A clinical trial. Nurs Midwifery Stud. 2012;1(2):67–71.
    1. Oshvandi KH. Massage therapy and vital signs of patients in coronary care units. Nurs Midwifery Stud. 2012;1(2):111–2.

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