Effect of Foot Reflexology on Arteriovenous Fistula Access Pain: A Randomized Clinical Trial

Background: Hemodialysis is the most commonly used method for dialysis; nonetheless, it causes some problems, such as the pain associated with fistula needle insertion. Pain relief is one of the main skills of nurses, and reflexology can be used as a golden key for this puzzle.Aim: The present study...

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Main Authors: Seyedeh Faezeh Razavi, Azizeh Farshbaf-Khalili, Sakineh Goljarian, Hamid Tayebi Khosroshahi, Mohammad Gholipour, Alehe Seyedrasooli
Format: Article
Language:fas
Published: Mashhad University of Medical Sciences 2022-04-01
Series:Journal of Evidence-Based Care
Subjects:
Online Access:https://ebcj.mums.ac.ir/article_19548_49ded04535f6eb3283e65b7090bce2c3.pdf
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author Seyedeh Faezeh Razavi
Azizeh Farshbaf-Khalili
Sakineh Goljarian
Hamid Tayebi Khosroshahi
Mohammad Gholipour
Alehe Seyedrasooli
author_facet Seyedeh Faezeh Razavi
Azizeh Farshbaf-Khalili
Sakineh Goljarian
Hamid Tayebi Khosroshahi
Mohammad Gholipour
Alehe Seyedrasooli
author_sort Seyedeh Faezeh Razavi
collection DOAJ
description Background: Hemodialysis is the most commonly used method for dialysis; nonetheless, it causes some problems, such as the pain associated with fistula needle insertion. Pain relief is one of the main skills of nurses, and reflexology can be used as a golden key for this puzzle.Aim: The present study aimed to assess the effect of foot reflexology on the pain of arteriovenous fistula (AVF) access.Method: This parallel double-blind clinical trial study was conducted on 50 female patients referring to Imam Reza Medical Center in Tabriz, Iran, in 2020-2021. The participants were randomly allocated to two groups of intervention and control using block randomization in a 1: 1 ratio. The intervention group received foot reflexology before hemodialysis for 20 min (10 min for each foot), while the control group received routine ward care. The data were collected through demographic characteristics and visual analog scale (VAS) questionnaires. Data were analyzed in SPSS 23.Results: In terms of place of residence, 96% and 88% of participants in the intervention and control groups lived in urban areas, respectively. Moreover, 72% and 64% of patients in the two groups of intervention and control had a history of hypertension, respectively. Furthermore, foot reflexology had a statistically significant effect on the mean score of pain intensity during three sessions of reflexology over time.Implications for Practice: It is recommended that foot reflexology be used to reduce the pain of needle entry into the arteriovenous fistula in hemodialysis patients since reflexology is non-invasive nursing care with an easy procedure and effective in pain relief.
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spelling doaj.art-a4d8e70dfab74bcebb0cdd8ab9f84ab72022-12-22T03:22:23ZfasMashhad University of Medical SciencesJournal of Evidence-Based Care2008-24872008-370X2022-04-01121233010.22038/ebcj.2022.62166.262119548Effect of Foot Reflexology on Arteriovenous Fistula Access Pain: A Randomized Clinical TrialSeyedeh Faezeh Razavi0Azizeh Farshbaf-Khalili1Sakineh Goljarian2Hamid Tayebi Khosroshahi3Mohammad Gholipour4Alehe Seyedrasooli5Assistant Professor, Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, IranAssistant Professor, Aging Research Institute, Physical Medicine and Rehabilitation Research Centre, Tabriz University of Medical Sciences, Tabriz, IranAssistant Professor, Department of physiotherapy, Faculty of Rehabilitation, Tabriz University of Medical Sciences, Tabriz, IranKidney Research Center, Tabriz University of Medical Sciences, Tabriz, IranBachelor of nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, IranMaster of medical-surgical nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, IranBackground: Hemodialysis is the most commonly used method for dialysis; nonetheless, it causes some problems, such as the pain associated with fistula needle insertion. Pain relief is one of the main skills of nurses, and reflexology can be used as a golden key for this puzzle.Aim: The present study aimed to assess the effect of foot reflexology on the pain of arteriovenous fistula (AVF) access.Method: This parallel double-blind clinical trial study was conducted on 50 female patients referring to Imam Reza Medical Center in Tabriz, Iran, in 2020-2021. The participants were randomly allocated to two groups of intervention and control using block randomization in a 1: 1 ratio. The intervention group received foot reflexology before hemodialysis for 20 min (10 min for each foot), while the control group received routine ward care. The data were collected through demographic characteristics and visual analog scale (VAS) questionnaires. Data were analyzed in SPSS 23.Results: In terms of place of residence, 96% and 88% of participants in the intervention and control groups lived in urban areas, respectively. Moreover, 72% and 64% of patients in the two groups of intervention and control had a history of hypertension, respectively. Furthermore, foot reflexology had a statistically significant effect on the mean score of pain intensity during three sessions of reflexology over time.Implications for Practice: It is recommended that foot reflexology be used to reduce the pain of needle entry into the arteriovenous fistula in hemodialysis patients since reflexology is non-invasive nursing care with an easy procedure and effective in pain relief.https://ebcj.mums.ac.ir/article_19548_49ded04535f6eb3283e65b7090bce2c3.pdfarteriovenous fistulahemodialysispainpatientsreflexology
spellingShingle Seyedeh Faezeh Razavi
Azizeh Farshbaf-Khalili
Sakineh Goljarian
Hamid Tayebi Khosroshahi
Mohammad Gholipour
Alehe Seyedrasooli
Effect of Foot Reflexology on Arteriovenous Fistula Access Pain: A Randomized Clinical Trial
Journal of Evidence-Based Care
arteriovenous fistula
hemodialysis
pain
patients
reflexology
title Effect of Foot Reflexology on Arteriovenous Fistula Access Pain: A Randomized Clinical Trial
title_full Effect of Foot Reflexology on Arteriovenous Fistula Access Pain: A Randomized Clinical Trial
title_fullStr Effect of Foot Reflexology on Arteriovenous Fistula Access Pain: A Randomized Clinical Trial
title_full_unstemmed Effect of Foot Reflexology on Arteriovenous Fistula Access Pain: A Randomized Clinical Trial
title_short Effect of Foot Reflexology on Arteriovenous Fistula Access Pain: A Randomized Clinical Trial
title_sort effect of foot reflexology on arteriovenous fistula access pain a randomized clinical trial
topic arteriovenous fistula
hemodialysis
pain
patients
reflexology
url https://ebcj.mums.ac.ir/article_19548_49ded04535f6eb3283e65b7090bce2c3.pdf
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