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The effects of foot reflexology on anxiety and pain in patients with breast and lung cancer

Authors: Stephenson N L, Weinrich S P, Tavakoli A SJournal: Oncology nursing forumPublished: January 1, 2000
Q1 JournalSJR: 0.9h-index: 97SCImago
Limited EvidenceObservationaln=23 participants

In Plain Language: reflexology for anxiety, explained

To test the effects of foot reflexology on anxiety and pain in patients with breast and lung cancer. Quasi-experimental, pre/post, crossover. A medical/oncology unit in a 314-bed hospital in the southeastern United States. Twenty-three inpatients with breast or lung cancer. The majority of the sample were female, Caucasian, and 65 years or older; had 12 or fewer years of education and an annual income of $20,000 or more; and were receiving regularly scheduled opioids and adjuvant medications on the control and intervention day. Procedures included an intervention condition (foot reflexology to both feet for 30 minutes total by a certified reflexologist) and a control condition for each patient (with at least a two-day break). No changes were made in patients' regular schedule or medications. Anxiety and pain. Following the foot reflexology intervention, patients with breast and lung cancer experienced a significant decrease in anxiety. One of three pain measures showed that patients with breast cancer experienced a significant decrease in pain. The significant decrease in anxiety observed in this sample of patients with breast and lung cancer following foot reflexology suggests that this may be a self-care approach to decrease anxiety in this patient population. Professionals and lay people can be taught reflexology. Foot reflexology is an avenue for human touch, can be performed anywhere, requires no special equipment, is noninvasive, and does not interfere with patients' privacy.

Key Findings: what this observational study found about anxiety

  • ✓Foot reflexology administered for 30 minutes by a certified reflexologist significantly decreased anxiety levels in patients with breast and lung cancer.
  • ✓The study used a quasi-experimental crossover design with at least a two-day break between control and intervention conditions, with no changes made to patients' regular medications or schedules.
  • ✓The research included 23 hospitalized inpatients, with the majority being female, Caucasian, age 65 or older, and already receiving regularly scheduled opioids and adjuvant medications.

What This Means for You

Foot reflexology may help reduce anxiety if you have cancer, though this finding is based on a small study and more research is needed to confirm the benefit.

What This Means for Practitioners

This study supports reflexology as a low-risk, accessible tool for reducing anxiety in oncology settings, positioning it as a complementary self-care option that doesn't interfere with standard medical treatment.

Study Design: how this observational study was run

Sample Size
23 participants
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Reflexology for anxiety: common questions

Does reflexology help with anxiety?

Foot reflexology may help reduce anxiety if you have cancer, though this finding is based on a small study and more research is needed to confirm the benefit.

What did this study find?

Foot reflexology administered for 30 minutes by a certified reflexologist significantly decreased anxiety levels in patients with breast and lung cancer. The study used a quasi-experimental crossover design with at least a two-day break between control and intervention conditions, with no changes made to patients' regular medications or schedules. The research included 23 hospitalized inpatients, with the majority being female, Caucasian, age 65 or older, and already receiving regularly scheduled opioids and adjuvant medications.

How strong is this evidence?

This is a observational study and we rate its evidence limited. It covers 23 participants. It was published in Oncology nursing forum, a Q1 journal. Reflexology is a complementary therapy, not a replacement for medical treatment.

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