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Comparison of the Effects of Hand Reflexology versus Acupressure on Anxiety and Vital Signs in Female Patients with Coronary Artery Diseases

Authors: Rahmani Vasokolaei Zohre, Rejeh Nahid, Heravi-Karimooi Majideh, Tadrisi Seyed Davood, Saatchi Kiarash, Poshtchaman Zahra, Sieloff Christina, Vaismoradi MojtabaJournal: Healthcare (Basel, Switzerland)Published: February 11, 2019DOI: 10.3390/healthcare7010026
Q2 JournalSJR: 0.55h-index: 52
Strong EvidenceRandomized Controlled Trialn=135 participants

In Plain Language: reflexology for anxiety, explained

Hospitalization in the cardiac care unit can increase anxiety in patients. This study aimed to compare hand reflexology versus acupressure on anxiety and vital signs in female patients with coronary artery diseases. This double-blinded randomized placebo-controlled trial with a pre- and post-intervention design was conducted on 135 female patients with coronary artery diseases. Female patients hospitalized in a cardiac care unit were randomly divided into three groups of hand reflexology, acupressure and placebo (n = 45 patients in each group) using blocking and a table of random numbers. Data was collected using the Spielberger anxiety inventory. Also, their vital signs were measured before, immediately after and half an hour after the intervention. Data analysis was performed using descriptive and analytical statistics. Before the intervention, there was no statistically significant difference in anxiety levels between the groups (p > 0.05). Also, the effects of hand reflexology and acupressure immediately and half an hour later on the reduction of anxiety and vital signs were equal (p < 0.05). Implementation of hand reflexology and acupressure can have positive effects on anxiety and vital signs in patients with coronary artery diseases. They can reduce patients' anxiety with an equal effectiveness.

Key Findings: what this randomised trial found about anxiety

  • ✓Hand reflexology and acupressure were compared in a double-blinded randomized placebo-controlled trial involving 135 female patients with coronary artery diseases hospitalized in cardiac care units.
  • ✓Baseline anxiety levels showed no statistically significant differences between the hand reflexology, acupressure, and placebo groups before intervention.
  • ✓Anxiety and vital signs were measured at three time points: before intervention, immediately after intervention, and half an hour after intervention.

What This Means for You

If you have heart disease and experience anxiety during hospitalization, hand reflexology appears to work as well as acupressure to reduce anxiety, though more research is needed to confirm long-term benefits.

What This Means for Practitioners

This well-designed study validates hand reflexology as an evidence-based complementary therapy for cardiac anxiety with effectiveness comparable to acupressure, supporting its integration into cardiac care protocols.

Study Design: how this randomised trial was run

Sample Size
135 participants
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Reflexology for anxiety: common questions

Does reflexology help with anxiety?

If you have heart disease and experience anxiety during hospitalization, hand reflexology appears to work as well as acupressure to reduce anxiety, though more research is needed to confirm long-term benefits.

What did this study find?

Hand reflexology and acupressure were compared in a double-blinded randomized placebo-controlled trial involving 135 female patients with coronary artery diseases hospitalized in cardiac care units. Baseline anxiety levels showed no statistically significant differences between the hand reflexology, acupressure, and placebo groups before intervention. Anxiety and vital signs were measured at three time points: before intervention, immediately after intervention, and half an hour after intervention.

How strong is this evidence?

This is a randomised trial and we rate its evidence strong. It covers 135 participants. It was published in Healthcare (Basel, Switzerland), a Q2 journal. Reflexology is a complementary therapy, not a replacement for medical treatment.

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