Effect of Foot Reflexology and Aromatherapy on Anxiety and Pain During Brachytherapy for Cervical Cancer
In Plain Language: reflexology for anxiety, explained
To determine if the addition of aromatherapy and foot reflexology to the standard of care improves pain and anxiety in patients receiving brachytherapy for cervical cancer. 41 women with locally advanced cervical cancer who received intracavitary brachytherapy as part of their treatment. Participants were randomized to either the control group, which received the standard-of-care management during brachytherapy, or the intervention group, which received the addition of aromatherapy and foot reflexology to standard of care. Participants rated their pain on a numeric rating scale and anxiety on the State-Trait Anxiety Inventory (STAI) and a numeric rating scale at five different time points. All average pain and anxiety scores were equal or lower at each key time point for the intervention group. Statistically significant differences were found for the intervention group for anxiety on the numeric rating scale and on the STAI, but only post-reflexology. Nurses and other healthcare providers can be trained to provide reflexology during painful, anxiety-producing procedures to increase patient tolerance of these treatments and overall quality of life.
Key Findings: what this randomised trial found about anxiety
- ✓Patients receiving foot reflexology and aromatherapy in addition to standard care showed statistically significant reductions in anxiety on both the numeric rating scale and State-Trait Anxiety Inventory, measured immediately post-reflexology.
- ✓The intervention group experienced equal or lower pain and anxiety scores compared to the control group at all five measured time points during brachytherapy treatment.
- ✓Foot reflexology combined with aromatherapy demonstrated measurable anxiety-reducing benefits for cervical cancer patients undergoing intracavitary brachytherapy.
What This Means for You
If you're undergoing brachytherapy for cervical cancer, reflexology may help reduce anxiety during the procedure, though evidence is still developing and results were most noticeable immediately after treatment.
What This Means for Practitioners
Training to provide reflexology during medical procedures like brachytherapy can help patients manage anxiety and potentially improve treatment tolerance and quality of life.
Study Design: how this randomised trial was run
Reflexology for anxiety: common questions
Does reflexology help with anxiety?
If you're undergoing brachytherapy for cervical cancer, reflexology may help reduce anxiety during the procedure, though evidence is still developing and results were most noticeable immediately after treatment.
What did this study find?
Patients receiving foot reflexology and aromatherapy in addition to standard care showed statistically significant reductions in anxiety on both the numeric rating scale and State-Trait Anxiety Inventory, measured immediately post-reflexology. The intervention group experienced equal or lower pain and anxiety scores compared to the control group at all five measured time points during brachytherapy treatment. Foot reflexology combined with aromatherapy demonstrated measurable anxiety-reducing benefits for cervical cancer patients undergoing intracavitary brachytherapy.
How strong is this evidence?
This is a randomised trial and we rate its evidence moderate. It covers 41 participants. It was published in Oncology nursing forum, a Q1 journal. Reflexology is a complementary therapy, not a replacement for medical treatment.
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