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The Effect of Reflexology on Chemotherapy-induced Nausea, Vomiting, and Fatigue in Breast Cancer Patients

Authors: Özdelikara Afitap, Tan MehtapJournal: Asia-Pacific journal of oncology nursingPublished: January 1, 2017DOI: 10.4103/apjon.apjon_15_17
Moderate EvidenceRandomized Controlled Trialn=60 participants

In Plain Language: reflexology for nausea, explained

Patients receiving chemotherapy struggle with the side effects of this treatment. These side effects obligate the patients to use not only the pharmacological methods but also non-pharmacological relaxing methods. This study was conducted to determine the effect of reflexology on chemotherapy-induced nausea, vomiting, and fatigue in breast cancer patients. The study was conducted as a pretest-posttest experimental design. The study was conducted with sixty patients, thirty as the control and thirty as the experimental groups. A sociodemographic form, Rhodes index of nausea, vomiting, and retching (INVR), and Brief Fatigue Inventory (BFI) were used to collect the data. Analysis of variance, t-test, percentage calculations, and Chi-square methods were used to evaluate the data. The data obtained were assessed using the "Statistical Package for Social Science 21.0" software. It was determined that the difference between the total mean scores of INVR in the experimental and control groups was significant on the onset and first and second measurements, and the difference between total mean scores of development and distress between the groups was statistically significant in the third measurement (P P < 0.05). The present study proved that reflexology decreased the experience, development, distress of nausea, vomiting, and retching as well as fatigue in the experimental group. Hence, the use of reflexology is recommended for chemotherapy-induced nausea, vomiting, and fatigue.

Key Findings: what this randomised trial found about nausea

  • ✓The study used a pretest-posttest experimental design with sixty breast cancer patients divided into control and experimental groups to evaluate reflexology's effects.
  • ✓Reflexology was evaluated for its effectiveness in reducing three chemotherapy-induced side effects: nausea, vomiting, and fatigue, using validated assessment tools (INVR and BFI).
  • ✓The research employed multiple statistical analyses including variance analysis, t-tests, and chi-square methods to compare outcomes between the reflexology and control groups.

What This Means for You

This moderate-quality study suggests reflexology may help relieve chemotherapy side effects like nausea and fatigue, though larger studies are needed to confirm the benefit.

What This Means for Practitioners

This peer-reviewed evidence supports offering reflexology as a complementary therapy for chemotherapy patients experiencing nausea, vomiting, and fatigue, with statistically significant improvements shown in your client outcomes.

Study Design: how this randomised trial was run

Sample Size
60 participants
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Reflexology for nausea: common questions

Does reflexology help with nausea?

This moderate-quality study suggests reflexology may help relieve chemotherapy side effects like nausea and fatigue, though larger studies are needed to confirm the benefit.

What did this study find?

The study used a pretest-posttest experimental design with sixty breast cancer patients divided into control and experimental groups to evaluate reflexology's effects. Reflexology was evaluated for its effectiveness in reducing three chemotherapy-induced side effects: nausea, vomiting, and fatigue, using validated assessment tools (INVR and BFI). The research employed multiple statistical analyses including variance analysis, t-tests, and chi-square methods to compare outcomes between the reflexology and control groups.

How strong is this evidence?

This is a randomised trial and we rate its evidence moderate. It covers 60 participants. It was published in Asia-Pacific journal of oncology nursing. Reflexology is a complementary therapy, not a replacement for medical treatment.

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