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Reflexology: its effects on physiological anxiety signs and sedation needs

Authors: Akin Korhan Esra, Khorshid Leyla, Uyar MehmetJournal: Holistic nursing practicePublished: January 1, 2014DOI: 10.1097/HNP.0000000000000007
Q2 JournalSJR: 0.45h-index: 47
Strong EvidenceRandomized Controlled Trialn=60 participants

In Plain Language: reflexology for anxiety, explained

To investigate whether reflexology has an effect on the physiological signs of anxiety and level of sedation in patients receiving mechanically ventilated support, a single blinded, randomized controlled design with repeated measures was used in the intensive care unit of a university hospital in Turkey. Patients (n = 60) aged between 18 and 70 years and were hospitalized in the intensive care unit and receiving mechanically ventilated support. Participants were randomized to a control group or an intervention group. The latter received 30 minutes of reflexology therapy on their feet, hands, and ears for 5 days. Subjects had vital signs taken immediately before the intervention and at the 10th, 20th, and 30th minutes of the intervention. In the collection of the data, "American Association of Critical-Care Nurses Sedation Assessment Scale" was used. The reflexology therapy group had a significantly lower heart rate, systolic blood pressure, diastolic blood pressure, and respiratory rate than the control group. A statistically significant difference was found between the averages of the scores that the patients included in the experimental and control groups received from the agitation, anxiety, sleep, and patient-ventilator synchrony subscales of the American Association of Critical-Care Nurses Sedation Assessment Scale. Reflexology can serve as an effective method of decreasing the physiological signs of anxiety and the required level of sedation in patients receiving mechanically ventilated support. Nurses who have appropriate training and certification may include reflexology in routine care to reduce the physiological signs of anxiety of patients receiving mechanical ventilation.

Key Findings: what this randomised trial found about anxiety

  • ✓Reflexology therapy administered for 30 minutes on the feet, hands, and ears over 5 days significantly reduced heart rate, systolic blood pressure, diastolic blood pressure, and respiratory rate in mechanically ventilated ICU patients.
  • ✓Physiological anxiety signs showed measurable improvements within the 30-minute reflexology treatment window, with vital sign changes recorded at 10-minute intervals.
  • ✓The study design used a single-blinded, randomized controlled approach with repeated measures in an ICU setting to evaluate reflexology's effects on sedation needs and anxiety in critically ill patients.

What This Means for You

This study provides good evidence that reflexology may help reduce anxiety and the need for sedation medications in hospitalized patients on ventilators, though results may vary for other conditions.

What This Means for Practitioners

Reflexology shows measurable benefits for reducing physiological stress markers and sedation requirements in mechanically ventilated patients, supporting its use as a complementary therapy in intensive care settings.

Study Design: how this randomised trial was run

Sample Size
60 participants
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Reflexology for anxiety: common questions

Does reflexology help with anxiety?

This study provides good evidence that reflexology may help reduce anxiety and the need for sedation medications in hospitalized patients on ventilators, though results may vary for other conditions.

What did this study find?

Reflexology therapy administered for 30 minutes on the feet, hands, and ears over 5 days significantly reduced heart rate, systolic blood pressure, diastolic blood pressure, and respiratory rate in mechanically ventilated ICU patients. Physiological anxiety signs showed measurable improvements within the 30-minute reflexology treatment window, with vital sign changes recorded at 10-minute intervals. The study design used a single-blinded, randomized controlled approach with repeated measures in an ICU setting to evaluate reflexology's effects on sedation needs and anxiety in critically ill patients.

How strong is this evidence?

This is a randomised trial and we rate its evidence strong. It covers 60 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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