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Hand reflexology significantly reduces anxiety, pain, and fatigue in patients undergoing coronary angiography. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

November 24, 2023Open Access

Effect of hand reflexology in ameliorating anxiety, pain, and fatigue among patients undergoing coronary angiography

Structured PICO

Does hand reflexology reduce anxiety, pain, and fatigue in patients undergoing coronary angiography?

Population

60 patients aged 20-60 scheduled for non-emergency coronary angiography at Alexandria Main University Hospital. Exclusions: hands' sensory motor disorders, upper limb vascular injuries, amputations, burns, skin lesions, intervertebral disc herniation, and history of mental illnesses.

Intervention

Hand reflexology (8 sessions, 10 min each, followed by 5-min rest, using Ingham's approach with almond oil) applied by a researcher of the same gender, in addition to treatment as usual.

Comparator

Treatment as usual (routine hospital care including assessment of vital signs, supine position, complete bed rest, and hygienic care) without hand reflexology.

Outcome

Anxiety (Beck Anxiety Inventory), pain intensity (Visual Analogue Scale), and fatigue (Rhoten Fatigue Scale) evaluated 2 hours and 3 days after coronary angiography.patient reported

Hand reflexology is a simple, non-invasive intervention that significantly reduces pain, fatigue, and anxiety in patients following coronary angiography.

Abstract

BACKGROUND: Reflexology is a popular non-invasive complementary medicine technique to enhance anxiety, pain, and fatigue among patients undergoing coronary angiography. OBJECTIVE: This study aimed to investigate the effect of hand reflexology in ameliorating anxiety, pain, and fatigue among patients undergoing coronary angiography. METHODS: A quasi-experimental research design was used on 60 patients undergoing coronary angiography at Alexandria Main University Hospital's cardiology department (30 patients in each study and control group). Four tools were used to collect data: the socio-demographic and clinical data assessment sheet, the visual analogue scale, the Rhoten fatigue scale, and the Beck anxiety inventory. RESULTS: Scores of moderate anxiety, intractable pain, and severe fatigue among the study group significantly decreased after 2 h and three days of applying hand reflexology. CONCLUSION: The current study findings showed that hand reflexology is a simple, non-invasive nursing intervention that is effective and useful for managing pain, fatigue, and anxiety in patients undergoing coronary angiography as it resulted in a significant reduction in the severity of pain, fatigue, and anxiety after coronary angiography in the study group compared to the control group. TRIAL REGISTRATION: The study was registered in the clinical trial.gov database (Clinicaltrials.gov NCT05887362 , 23/05/2023).

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