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Comparing the Effect of Foot Reflexology Massage, Foot Bath and Their Combination on Quality of Sleep in Patients with Acute Coronary Syndrome

Authors: Rahmani Ali, Naseri Mahdi, Salaree Mohammad Mahdi, Nehrir BatoolJournal: Journal of caring sciencesPublished: December 1, 2016DOI: 10.15171/jcs.2016.031
Q2 JournalSJR: 0.3h-index: 22
Moderate EvidenceObservationaln=140 participants

In Plain Language: reflexology for sleep, explained

Introduction: Many patients in coronary care unit (CCU) suffer from decreased sleep quality caused by environmental and mental factors. This study compared the efficacy of foot reflexology massage, foot bath, and a combination of them on the quality of sleep of patients with acute coronary syndrome (ACS). Methods: This quasi-experimental study was implemented on ACS patients in Iran. Random sampling was used to divide the patients into four groups of 35 subjects. The groups were foot reflexology massage, foot bath, a combination of the two and the control group. Sleep quality was measured using the Veran Snyder-Halpern questionnaire. Data were analyzed by SPSS version 13. Results: The mean age of the four groups was 61.22 (11.67) years. The mean sleep disturbance in intervention groups (foot reflexology massage and foot bath groups) during the second and third nights was significantly less than before intervention. The results also showed a greater reduction in sleep disturbance in the combined group than in the other groups when compared to the control group. Conclusion: It can be concluded that the intervention of foot bath and massage are effective in reducing sleep disorders and there was a synergistic effect when used in combination. This complementary care method can be recommended to be implemented by CCU nurses.

Key Findings: what this observational study found about sleep

  • ✓Both foot reflexology massage and foot bath significantly reduced sleep disturbance in ACS patients by the second and third nights after intervention.
  • ✓Foot reflexology massage and foot bath were effective interventions for improving sleep quality in coronary care unit patients who experienced sleep disruption due to environmental and mental stressors.
  • ✓The combination of foot reflexology massage and foot bath showed greater reduction in sleep disturbance compared to either intervention alone in ACS patients.

What This Means for You

This moderate-quality study suggests foot reflexology and foot baths may help improve sleep in a hospital setting, particularly when combined, though more rigorous research is needed to confirm these benefits.

What This Means for Practitioners

Consider combining foot reflexology massage with foot bath treatments for coronary care patients, as the study suggests this combination may produce synergistic benefits for sleep quality.

Study Design: how this observational study was run

Sample Size
140 participants
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Reflexology for sleep: common questions

Does reflexology help with sleep?

This moderate-quality study suggests foot reflexology and foot baths may help improve sleep in a hospital setting, particularly when combined, though more rigorous research is needed to confirm these benefits.

What did this study find?

Both foot reflexology massage and foot bath significantly reduced sleep disturbance in ACS patients by the second and third nights after intervention. Foot reflexology massage and foot bath were effective interventions for improving sleep quality in coronary care unit patients who experienced sleep disruption due to environmental and mental stressors. The combination of foot reflexology massage and foot bath showed greater reduction in sleep disturbance compared to either intervention alone in ACS patients.

How strong is this evidence?

This is a observational study and we rate its evidence moderate. It covers 140 participants. It was published in Journal of caring sciences, a Q2 journal. Reflexology is a complementary therapy, not a replacement for medical treatment.

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