Background: Patients with end-stage kidney disease, receiving haemodialysis can experience complications-hypotension, headache, muscle cramp, chest pain, nausea and vomiting. Patients who experience all or some of these symptoms will often report reduced health-related quality of life (HRQOL) and poor sleep quality, which may lead to increased morbidity and mortality.
Objective: The objective of this pilot study is to evaluate the feasibility of a larger randomised controlled trial to determine the effect of foot reflexology on a cohort of patients undergoing hospital-based haemodialysis.
Design: A nonrandomised pilot study using a multimethod approach.
Participants: Twenty patients undergoing hospital-based haemodialysis treatment.
Measurements: HRQOL and quality of sleep were measured using the SF-12 Health Survey and the Pittsburgh Sleep Quality Index (PSQI). Semi-structured interviews were completed with 10 patients, exploring their experiences, opinions and perceptions of the intervention.
Results: There was an increase in the mean scores examining the total physical health and mental health components of the SF-12. All corresponding p values were statistically significant following the intervention. The mean total sleep score postintervention signified positive changes in sleep quality, with the corresponding p values being statistically significant. The study established the feasibility of the intervention and the benefits for patients undergoing haemodialysis.
Conclusion: This pilot study demonstrated the possibility of recruiting and retaining patients undergoing haemodialysis to a reflexology study. The study did not impact the haemodialysis routine and was positively received. The intervention showed statistically significant improvements in patients’ HRQOL and sleep quality.
Keywords: haemodialysis; health related quality of life; pilot study; reflexology; sleep quality.
Matthews M, Carswell C, Redmond A, Bolton S, Murphy K, Mullan R, McAneney H, McKeaveney C, Noble H. A nonrandomised pilot study to examine the feasibility and acceptability of reflexology in patients undergoing hospital-based haemodialysis (solitude study). J Ren Care. 2021 May 5. doi: 10.1111/jorc.12372. Epub ahead of print. PMID: 33951306.
The conclusion of this research paper in Greek
The purpose of this section is to make this research paper useful to Greek speaking reflexologists. This is a tool developed by the Center of Reflexology and Research (Κέντρο Ρεφλεξολογίας και Έρευνας) in Greece and supervised volunteers from across the world.
Μετάφραση των συμπερασμάτων της συγκεκριμένης έρευνας:
Η παρέμβαση έδειξε στατιστικά σημαντική βελτίωση στην ποιότητα ζωής που σχετίζεται με την υγεία των ασθενών και την ποιότητα του ύπνου.