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The effect of foot reflexology on fatigue, pain, and sleep quality in lymphoma patients: A clinical trial

Authors: Rambod Masoume, Pasyar Nilofar, Shamsadini MohammadJournal: European journal of oncology nursing : the official journal of European Oncology Nursing SocietyPublished: December 1, 2019DOI: 10.1016/j.ejon.2019.101678
Q1 JournalSJR: 0.85h-index: 73SCImago
Strong EvidenceRandomized Controlled Trialn=72 participants

In Plain Language: reflexology for sleep, explained

This study aimed to evaluate the effect of reflexology on fatigue, pain, and sleep quality in lymphoma patients. This study was a randomized clinical trial with pre-post design. Seventy-two lymphoma patients admitted in hematology wards affiliated to Shiraz University of Medical Sciences, Shiraz, Iran in 2018 were randomly assigned to intervention and control groups. Patients in the intervention group underwent foot reflexology for five consecutive days. The control group received usual care. The data were collected by the Multidimensional Fatigue Inventory, a numerical pain scale, and Pittsburgh Sleep Quality index. Data analysis was done by the SPSS software, version 21 using ANCOVA, paired t-test, and Wilcoxon test. At baseline, both intervention and control groups were the same in terms of fatigue, pain, and sleep quality (p > 0.05). However, a significant difference was found between the two groups regarding fatigue, pain, and sleep quality after the intervention (all p < 0.05). The results showed that reflexology could reduce fatigue and pain and improve the quality of sleep in patients with lymphoma. Considering the effectiveness of reflexology in lymphoma patients, healthcare workers including nurses are recommended to use this complementary therapy to reduce fatigue and pain and improve sleep quality in lymphoma patients.

Key Findings: what this randomised trial found about sleep

  • ✓Foot reflexology administered over five consecutive days significantly reduced fatigue in lymphoma patients compared to the control group receiving usual care.
  • ✓Reflexology treatment produced significant improvements in pain levels among lymphoma patients in the intervention group relative to controls.
  • ✓Sleep quality in lymphoma patients improved significantly following the five-day reflexology intervention compared to the usual care control group.

What This Means for You

This study provides solid evidence that foot reflexology may help reduce fatigue and pain while improving sleep in lymphoma patients, though results from a single trial should be considered alongside other treatments recommended by your medical team.

What This Means for Practitioners

A well-designed randomized trial of 72 patients demonstrates that five consecutive days of foot reflexology can measurably reduce fatigue and pain and improve sleep quality in lymphoma patients—evidence that supports offering reflexology as a complementary therapy in oncology settings.

Study Design: how this randomised trial was run

Sample Size
72 participants
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Reflexology for sleep: common questions

Does reflexology help with sleep?

This study provides solid evidence that foot reflexology may help reduce fatigue and pain while improving sleep in lymphoma patients, though results from a single trial should be considered alongside other treatments recommended by your medical team.

What did this study find?

Foot reflexology administered over five consecutive days significantly reduced fatigue in lymphoma patients compared to the control group receiving usual care. Reflexology treatment produced significant improvements in pain levels among lymphoma patients in the intervention group relative to controls. Sleep quality in lymphoma patients improved significantly following the five-day reflexology intervention compared to the usual care control group.

How strong is this evidence?

This is a randomised trial and we rate its evidence strong. It covers 72 participants. It was published in European journal of oncology nursing : the official journal of European Oncology Nursing Society, a Q1 journal. Reflexology is a complementary therapy, not a replacement for medical treatment.

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