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Effect of Reflexology on Decreasing Postoperative Pain and Anxiety After Total Abdominal Hysterectomy

Authors: Avci Nilgun, Oskay UmranJournal: Holistic nursing practiceDOI: 10.1097/HNP.0000000000000570
Q2 JournalSJR: 0.45h-index: 47
Strong EvidenceRandomized Controlled Trialn=100 participants

In Plain Language: reflexology for anxiety, explained

Surgical patients experience both postoperative pain and anxiety, as they try to cope with pain. Despite technological advances, pharmacological methods are inadequate for decreasing postoperative pain and anxiety. Reflexology has been implemented and considered effective in these areas in many countries. The aim of this study was to determine the effect of reflexology on decreasing postoperative pain and anxiety after a hysterectomy. The study was an intervention randomized study. The population of the investigation is all patients who had a hysterectomy between February 2012 and December 2014 in the Istanbul University Obstetrics and Gynecology service. The sample was 100 women chosen after a power analysis (minimum: 74) (experimental: 54, control: 46) within the population of the investigation who agreed to participate in the study. Using a table of random numbers, patients in the sample were divided into groups. Data was collected using the patient information and vital signs form, State-Trait Anxiety Inventory (STAI-I), Visual Analog Scale (VAS) Pain and Anxiety Scales, and BRIEF pain inventory. All women in the groups had similar sociodemographic, obstetric, and pain characteristics, past experience of illness, and characteristics related to their hysterectomy. All of the patients in the reflexology group stated that reflexology helped them feel better. The reflexology group compared with the control group had lower than the average VAS pain and VAS and STAI anxiety at all assessment times. Reflexology is effective in reducing anxiety and pain.

Key Findings: what this randomised trial found about anxiety

  • ✓Reflexology was implemented as an intervention to decrease postoperative pain and anxiety in patients following total abdominal hysterectomy.
  • ✓Pharmacological methods alone were found to be inadequate for managing postoperative pain and anxiety in surgical patients.
  • ✓The study enrolled 100 women (54 experimental, 46 control) who underwent hysterectomy between February 2012 and December 2014 at Istanbul University Obstetrics and Gynecology service.

What This Means for You

If you're facing abdominal surgery, reflexology may help reduce your postoperative pain and anxiety, though more research is needed to confirm these benefits.

What This Means for Practitioners

This randomized controlled trial provides evidence that reflexology can be an effective complementary approach to reduce postoperative pain and anxiety in surgical patients, supporting its integration into postoperative care protocols.

Study Design: how this randomised trial was run

Sample Size
100 participants
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Reflexology for anxiety: common questions

Does reflexology help with anxiety?

If you're facing abdominal surgery, reflexology may help reduce your postoperative pain and anxiety, though more research is needed to confirm these benefits.

What did this study find?

Reflexology was implemented as an intervention to decrease postoperative pain and anxiety in patients following total abdominal hysterectomy. Pharmacological methods alone were found to be inadequate for managing postoperative pain and anxiety in surgical patients. The study enrolled 100 women (54 experimental, 46 control) who underwent hysterectomy between February 2012 and December 2014 at Istanbul University Obstetrics and Gynecology service.

How strong is this evidence?

This is a randomised trial and we rate its evidence strong. It covers 100 participants. It was published in Holistic nursing practice, a Q2 journal. Reflexology is a complementary therapy, not a replacement for medical treatment.

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