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The effect of listening to music and foot reflexology on nausea, pain and anxiety in children during perioperative period: A randomized controlled study

Authors: Yücel Şebnem, Küçük Alemdar DilekJournal: Journal of pediatric nursingPublished: January 1, 2024DOI: 10.1016/j.pedn.2023.12.013
Strong EvidenceRandomized Controlled Trialn=99 participants

In Plain Language: reflexology for anxiety, explained

The purpose of this research was to examine the effects of listening to music and foot reflexology during the perioperative period on nausea, pain and anxiety in children aged 7-12 years. The sample for the randomized controlled experimental study included children who underwent outpatient surgery in the Pediatric Surgery Clinic. Research data were collected. A total of 99 children were included in the study with 33 in the music group, 33 in the foot reflexology group, and 33 in the control group. In the preoperative and postoperative periods, Children's Perioperative Multidimensional Anxiety Scale (CPMAS) scores for the music listening and reflexology groups were significantly lower than the control group (p < 0.05). In the postoperative period, the Children's Emotional Manifestation Scale (CEMS) scores for the reflexology and music listening groups after the application were significantly lower than the control group (p < 0.001). Postoperative Baxter Retching Faces (BARF) scores were found to be significantly lower in children who listened to music compared to the control group (p = 0.002). The Children's Hospital of Eastern Ontario Pain Scale (CHEOPS) scores for children in the control group were found to be significantly higher in the postoperative period than for children in the music and reflexology groups (p < 0.001). As a result, listening to music and reflexology during the perioperative period were effective in reducing anxiety, pain and nausea in children. In the perioperative period, listening to music and reflexology for children can be recommended as non-pharmacological nursing interventions with low cost and easy implementation.

Key Findings: what this randomised trial found about anxiety

  • ✓Both music listening and foot reflexology significantly reduced anxiety in children during the perioperative period, as measured by lower CPMAS scores compared to the control group (p < 0.05).
  • ✓Foot reflexology and music listening produced significantly lower emotional distress scores (CEMS) in the postoperative period compared to control group (p < 0.001).
  • ✓The study included 99 children aged 7-12 years undergoing outpatient surgery, with 33 participants randomly assigned to each intervention group (music, reflexology, and control).

What This Means for You

If your child is facing surgery, this solid research suggests that foot reflexology (or music listening) could genuinely help reduce their anxiety and pain during the perioperative period.

What This Means for Practitioners

This well-designed trial provides strong evidence that foot reflexology can reduce postoperative nausea, pain, and anxiety in children aged 7-12, supporting its use as a complementary intervention in surgical settings.

Study Design: how this randomised trial was run

Sample Size
99 participants
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Reflexology for anxiety: common questions

Does reflexology help with anxiety?

If your child is facing surgery, this solid research suggests that foot reflexology (or music listening) could genuinely help reduce their anxiety and pain during the perioperative period.

What did this study find?

Both music listening and foot reflexology significantly reduced anxiety in children during the perioperative period, as measured by lower CPMAS scores compared to the control group (p < 0.05). Foot reflexology and music listening produced significantly lower emotional distress scores (CEMS) in the postoperative period compared to control group (p < 0.001). The study included 99 children aged 7-12 years undergoing outpatient surgery, with 33 participants randomly assigned to each intervention group (music, reflexology, and control).

How strong is this evidence?

This is a randomised trial and we rate its evidence strong. It covers 99 participants. It was published in Journal of pediatric nursing. Reflexology is a complementary therapy, not a replacement for medical treatment.

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