Reflexology: its effects on physiological anxiety signs and sedation needs
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
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.
Related Research
Effect of Reflexology on Decreasing Postoperative Pain and Anxiety After Total Abdominal Hysterectomy: Erratum
Improving Quality of Life in The Constipated Older Person: Reflexology or Abdominal Massage? A Two-Group, Randomized Comparative Trial
Effect of Reflexology on Decreasing Postoperative Pain and Anxiety After Total Abdominal Hysterectomy
The Effect of Hand Reflexology Massage on Pain and Anxiety After Coronary Artery Bypass Graft Surgery: A Double-Blind, Randomized, Placebo-Controlled Trial
The Effect of Foot Massage with Biofeedback: A Pilot Study to Enhance Health Promotion in Elderly.
Looking for a reflexologist?
Find practitioners who can help with the conditions studied in this research.
Find a Reflexologist