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A randomized controlled trial of reflexology effect after abdominal surgery on patient satisfaction, pain and vital signs

Authors: Kapıkıran Gürkan, Bulbuloglu Semra, Gunes Huseyin, Saritaş Serdar, Demir BilsevJournal: Explore (New York, N.Y.)Published: January 1, 2023DOI: 10.1016/j.explore.2022.10.017
Q2 JournalSJR: 0.5h-index: 55
Strong EvidenceRandomized Controlled Trialn=156 participants

In Plain Language: reflexology for high blood pressure, explained

In our study, we investigated the effect of reflexology on patient satisfaction, pain and vital signs after abdominal surgery. This study was conducted as a randomized controlled trial with the participation of 156 abdominal surgery patients hospitalized in the general surgery unit of a training and research hospital. Personal Information Form, Visual Analogue Scale and Newcastle Nursing Care Satisfaction Scale were used in data collection. We performed the data analysis with One-way analysis of variance, Chi-squared test, paired samples t-test, and independent samples t-test. When the pain, vital signs and satisfaction levels of the experimental and control groups were compared, the pain intensity of the experimental group was found to be lower and the level of satisfaction was higher after reflexology (p<0.01). After reflexology, the blood pressure was closer to 120/80 in the experimental group, the respiratory rate was between 16-22 (number/minute), the difference between the experimental and control groups were statistically significant (p<0.01). There was no statistically significant difference between the pulce oximetry values between the experimental and control groups. Surgical pain and non-optimal vital signs that are not well managed after surgery causes various complications and decrease patient satisfaction. The results of our study emphasize the power of reflexology in effective surgical pain management and normalizing vital signs and increasing patient satisfaction. We suggest that reflexology be performed to patients following abdominal surgery.

Key Findings: what this randomised trial found about high blood pressure

  • ✓Reflexology significantly reduced pain intensity in abdominal surgery patients compared to the control group (p<0.01).
  • ✓Patient satisfaction levels were significantly higher in the reflexology group compared to the control group (p<0.01).
  • ✓Reflexology improved vital signs in the experimental group, bringing blood pressure closer to normal (120/80) and respiratory rate within the normal range (16-22 breaths/minute).

What This Means for You

If you're having abdominal surgery, reflexology may help reduce your pain and improve your vital signs during recovery, though more research is needed to confirm these benefits.

What This Means for Practitioners

This RCT provides evidence that reflexology can meaningfully reduce post-surgical pain and normalize vital signs in abdominal surgery patients, supporting its integration into post-operative care protocols.

Study Design: how this randomised trial was run

Sample Size
156 participants
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Reflexology for high blood pressure: common questions

Does reflexology help with high blood pressure?

If you're having abdominal surgery, reflexology may help reduce your pain and improve your vital signs during recovery, though more research is needed to confirm these benefits.

What did this study find?

Reflexology significantly reduced pain intensity in abdominal surgery patients compared to the control group (p<0.01). Patient satisfaction levels were significantly higher in the reflexology group compared to the control group (p<0.01). Reflexology improved vital signs in the experimental group, bringing blood pressure closer to normal (120/80) and respiratory rate within the normal range (16-22 breaths/minute).

How strong is this evidence?

This is a randomised trial and we rate its evidence strong. It covers 156 participants. It was published in Explore (New York, N.Y.), a Q2 journal. Reflexology is a complementary therapy, not a replacement for medical treatment.

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