Reflexology on Pain After Appendectomy (38 Cases)

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Comparing the Effect of Foot and Hand Reflexology on Pain Severity after Appendectomy: A Randomized Clinical Trial

Abstract

Background:

Appendicitis is one of the main causes of acute pain. The aim of this study was to determine the effects of foot and hand reflexology on pain severity following appendectomy.

Materials and Methods:

This clinical trial was conducted on 38 patients undergoing appendectomy in Alimoradian Hospital of Nahavand, Iran, in 2016. The samples were selected using convenience sampling, and then, randomly assigned to hand and foot reflexology groups via simple random sampling. In the foot reflexology group, the dorsal and plantar surfaces of the feet were lubricated using natural olive oil for five minutes. Next, reflexology was done by applying pressure to the appendix reflex area for 20 minutes. The same intervention was applied in the hand reflexology group. The severity of pain was measured using a Visual Analog Scale (VAS) before the intervention and one, three, and 24 hours after the intervention. Data were analyzed using Chi-square, One-way Analysis Of Variance (ANOVA), and repeated measures ANOVA.

Results:

The results of one-way ANOVA showed no significant difference in the mean pain severity between the two groups (p = 0.771), whereas pain severity in the foot reflexology group was significantly lower than that of the hand reflexology group after the intervention (t = 1.63, p = 0.001).

Conclusions:

The results of this study showed that foot reflexology was more effective than hand reflexology in pain alleviation.

Keywords: Abdominal pain, appendectomy, Iran, nursing, pain

Citation:

Taheri H, Naseri-Salahshour V, Abedi A, Sajadi M. Comparing the Effect of Foot and Hand Reflexology on Pain Severity after Appendectomy: A Randomized Clinical Trial. Iran J Nurs Midwifery Res. 2019;24(6):451‐456. Published 2019 Nov 7. doi:10.4103/ijnmr.IJNMR_85_18

Actionable Information for Reflexologists

In this section you will find how this research paper enacted reflexology to produce these results. We at Reflexology.Report distilled the Methodology portion of this research paper and we are presenting you with:

  • General methods used
  • Organization and duration of sessions
  • Reflexology points

The purpose of this section is to make this research paper useful to all 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.

In the foot reflexology group, the dorsal and plantar surfaces of the feet were lubricated using natural olive oil for five minutes. Next, reflexology was done by applying pressure to the appendix reflex area for 20 minutes. Also, pressure was applied to the heels of the feet (outer edge of the right foot and inner edge of the left foot), and in the hand reflexology group, pressure was applied to the palms of the hands (deep palmar arch of the right hand and scaphoid tubercle of the left hand).

Στην ρεφλεξολογία ποδιών, οι ραχιαίες και πελματιαίες επιφάνειες των ποδιών λιπάνθηκαν για πέντε λεπτά χρησιμοποιώντας φυσικό ελαιόλαδο. Στη συνέχεια, ασκήθηκε πίεση στην περιοχή του αντανακλαστικού της σκωληκοειδούς απόφυσης για 20 λεπτά. Επιπλέον ασκήθηκε πίεση στη φτέρνα (εξωτερική άκρη του δεξιού ποδιού και εσωτερική άκρη του αριστερού ποδιού). Στην ομάδα ρεφλεξολογίας χεριών, ασκήθηκε πίεση στις παλάμες των χεριών (βαθιά αψίδα του δεξιού χεριού και σκαφοειδής σωλήνας του αριστερού χεριού).

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