Reflexology as an adjunctive nursing intervention for management of nausea in hemodialysis patients: A randomized clinical trial

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Reflexology as an adjunctive nursing intervention for management of nausea in hemodialysis patients: A randomized clinical trial

Abstract

Introduction: Nausea is common side effect of hemodialysis. Nonpharmacological methods such as reflexology or other branches of integrative medicine can be used to control nausea. The aim of this study was to determine the effect of reflexology on nausea in hemodialysis patients.

Methods: This study was a double-blind randomized clinical trial conducted from March 2018 to June 2018 at the Arak Dialysis Center, Iran, in which 72 eligible hemodialysis patients were randomly assigned into intervention (n = 36) and control (n = 36) groups. Reflexology was performed on the solar plexus and soles of the feet once (30 min per session) per day for twelve days, one hour after the onset of hemodialysis in the area of nausea on the solar plexus and on the soles of the feet.

Results: The results showed there was no significant difference in severity of nausea (P = 0.28) between the two groups before intervention. However, after intervention the severity of nausea in the 3rd, 6th, 9th, and 12th days in the intervention group was significantly lower than the control group.

Conclusions: The results showed that reflexology had a positive effect on reducing the severity of nausea in hemodialysis patients. Therefore, reflexology is recommended as part of nursing care to reduce patient suffering. Universities can train students in reflexology and managers can use the protocols to apply this method to reduce patient discomfort during hemodialysis.

Keywords: Chronic Illness; Hemodialysis; Nausea; Nursing Care; Reflexology.

Citation:

Naseri-Salahshour V, Sajadi M, Abedi A, Fournier A, Saeidi N. Reflexology as an adjunctive nursing intervention for management of nausea in hemodialysis patients: A randomized clinical trial. Complement Ther Clin Pract. 2019 Aug;36:29-33. doi: 10.1016/j.ctcp.2019.04.006. Epub 2019 May 3. PMID: 31383439.

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:

Τα αποτελέσματα έδειξαν ότι η ρεφλεξολογία είχε θετική επίδραση στη μείωση της σοβαρότητας της ναυτίας σε ασθενείς με αιμοκάθαρση. Ως εκ τούτου, η ρεφλεξολογία συνιστάται ως μέρος της νοσηλευτικής φροντίδας για τη μείωση του πόνου των ασθενών. Τα πανεπιστήμια μπορούν να εκπαιδεύσουν τους φοιτητές στη ρεφλεξολογία και οι διευθυντές μπορούν να να εφαρμόσουν τα πρωτόκολλα αυτής της μεθόδου για να μειώσουν τη δυσφορία των ασθενών κατά την αιμοκάθαρση.

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