{"title":"足部反射疗法对急性心肌梗死患者疲劳、睡眠质量、生理指标和心电图变化的影响：随机临床试验","authors":"Nilofar Pasyar, Masoume Rambod, Zahra Najafian, Mohammad Hossein Nikoo, Amin Kordi Yoosefinejad, Mahdi Salmanpour","doi":"10.4103/ijnmr.ijnmr_310_23","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Limited evidence is available regarding the effect of reflexology on Acute Myocardial Infarction (AMI). The present study evaluated the effect of foot reflexology on fatigue, sleep quality, physiological indices, and electrocardiogram changes in AMI.</p><p><strong>Materials and methods: </strong>This clinical trial was conducted on 80 subjects with AMI. They were divided into an intervention (received reflexology for 3 consecutive days) and a control (received the routine care) group. The Multidimensional Fatigue Inventory, the Pittsburgh Sleep Quality Index, a pain numeric analog scale, a daily physiological indices form, and daily electrocardiogram were used to collect data. The collected data were analyzed in SPSS software. The study was conducted based on CONSORT criteria.</p><p><strong>Results: </strong>After controlling the covariates, a significant difference was found between the intervention and control groups with regard to the mean scores of fatigue (F<sub>5,80</sub> = 16.33; <i>p</i> < 0.001), sleep quality (F<sub>5,80</sub> = 16.56; <i>p</i> < 0.001), and chest pain intensity (F<sub>5,80</sub> = 6.86; <i>p</i> = 0.010); means of systolic blood pressure (F<sub>5,80</sub> = 22.20; <i>p</i> < 0.001), heart rate (F<sub>5,80</sub> = 5.86; <i>p</i> = 0.010), respiration (F<sub>5,80</sub> = 9.37; <i>p</i> = 0.003), and temperature (F<sub>5,80</sub>= -4.23; <i>p</i> < 0.001); and incidence of ST-segment (χ<sup>2</sup> <sub>1,80</sub> = 5.00; <i>p</i> = 0.020) and T-wave changes (χ<sup>2</sup> <sub>1,80</sub> = 6.05, <i>p</i> = 0.010) on the fourth day of the intervention.</p><p><strong>Conclusions: </strong>Given the effectiveness of foot reflexology in different aspects of AMI patients, the implementation of this intervention is recommended for these patients in coronary care units.</p>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521129/pdf/","citationCount":"0","resultStr":"{\"title\":\"The Effect of Foot Reflexology on Fatigue, Sleep Quality, Physiological Indices, and Electrocardiogram Changes in Patients with Acute Myocardial Infarction: A Randomized Clinical Trial.\",\"authors\":\"Nilofar Pasyar, Masoume Rambod, Zahra Najafian, Mohammad Hossein Nikoo, Amin Kordi Yoosefinejad, Mahdi Salmanpour\",\"doi\":\"10.4103/ijnmr.ijnmr_310_23\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Limited evidence is available regarding the effect of reflexology on Acute Myocardial Infarction (AMI). The present study evaluated the effect of foot reflexology on fatigue, sleep quality, physiological indices, and electrocardiogram changes in AMI.</p><p><strong>Materials and methods: </strong>This clinical trial was conducted on 80 subjects with AMI. They were divided into an intervention (received reflexology for 3 consecutive days) and a control (received the routine care) group. The Multidimensional Fatigue Inventory, the Pittsburgh Sleep Quality Index, a pain numeric analog scale, a daily physiological indices form, and daily electrocardiogram were used to collect data. The collected data were analyzed in SPSS software. The study was conducted based on CONSORT criteria.</p><p><strong>Results: </strong>After controlling the covariates, a significant difference was found between the intervention and control groups with regard to the mean scores of fatigue (F<sub>5,80</sub> = 16.33; <i>p</i> < 0.001), sleep quality (F<sub>5,80</sub> = 16.56; <i>p</i> < 0.001), and chest pain intensity (F<sub>5,80</sub> = 6.86; <i>p</i> = 0.010); means of systolic blood pressure (F<sub>5,80</sub> = 22.20; <i>p</i> < 0.001), heart rate (F<sub>5,80</sub> = 5.86; <i>p</i> = 0.010), respiration (F<sub>5,80</sub> = 9.37; <i>p</i> = 0.003), and temperature (F<sub>5,80</sub>= -4.23; <i>p</i> < 0.001); and incidence of ST-segment (χ<sup>2</sup> <sub>1,80</sub> = 5.00; <i>p</i> = 0.020) and T-wave changes (χ<sup>2</sup> <sub>1,80</sub> = 6.05, <i>p</i> = 0.010) on the fourth day of the intervention.</p><p><strong>Conclusions: </strong>Given the effectiveness of foot reflexology in different aspects of AMI patients, the implementation of this intervention is recommended for these patients in coronary care units.</p>\",\"PeriodicalId\":1,\"journal\":{\"name\":\"Accounts of Chemical Research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":16.4000,\"publicationDate\":\"2024-09-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521129/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Accounts of Chemical Research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/ijnmr.ijnmr_310_23\",\"RegionNum\":1,\"RegionCategory\":\"化学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/9/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q1\",\"JCRName\":\"CHEMISTRY, MULTIDISCIPLINARY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/ijnmr.ijnmr_310_23","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/9/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}
引用次数: 0
摘要
背景：有关足部反射疗法对急性心肌梗死（AMI）的影响的证据有限。本研究评估了足部反射疗法对急性心肌梗死患者疲劳、睡眠质量、生理指标和心电图变化的影响：本临床试验针对 80 名急性心肌梗死患者。他们被分为干预组（连续 3 天接受反射疗法）和对照组（接受常规护理）。采用多维疲劳量表、匹兹堡睡眠质量指数、疼痛数字模拟量表、每日生理指标表和每日心电图收集数据。收集到的数据通过 SPSS 软件进行分析。研究根据 CONSORT 标准进行：在控制协变量后，发现干预组和对照组在疲劳（F5,80 = 16.33；P < 0.001）、睡眠质量（F5,80 = 16.56；P < 0.001）和胸痛强度（F5,80 = 6.86；P = 0.010）的平均得分、收缩压（F5,80 = 22.20; p < 0.001）、心率（F5,80 = 5.86; p = 0.010）、呼吸（F5,80 = 9.37; p = 0.003）和体温（F5,80= -4.23; p < 0.001）；以及干预第四天 ST 段（χ2 1,80 = 5.00；P = 0.020）和 T 波变化（χ2 1,80 = 6.05，P = 0.010）的发生率：鉴于足部反射疗法对急性心肌梗死患者各方面的疗效，建议冠心病监护病房对这些患者实施这种干预。
The Effect of Foot Reflexology on Fatigue, Sleep Quality, Physiological Indices, and Electrocardiogram Changes in Patients with Acute Myocardial Infarction: A Randomized Clinical Trial.
Background: Limited evidence is available regarding the effect of reflexology on Acute Myocardial Infarction (AMI). The present study evaluated the effect of foot reflexology on fatigue, sleep quality, physiological indices, and electrocardiogram changes in AMI.
Materials and methods: This clinical trial was conducted on 80 subjects with AMI. They were divided into an intervention (received reflexology for 3 consecutive days) and a control (received the routine care) group. The Multidimensional Fatigue Inventory, the Pittsburgh Sleep Quality Index, a pain numeric analog scale, a daily physiological indices form, and daily electrocardiogram were used to collect data. The collected data were analyzed in SPSS software. The study was conducted based on CONSORT criteria.
Results: After controlling the covariates, a significant difference was found between the intervention and control groups with regard to the mean scores of fatigue (F5,80 = 16.33; p < 0.001), sleep quality (F5,80 = 16.56; p < 0.001), and chest pain intensity (F5,80 = 6.86; p = 0.010); means of systolic blood pressure (F5,80 = 22.20; p < 0.001), heart rate (F5,80 = 5.86; p = 0.010), respiration (F5,80 = 9.37; p = 0.003), and temperature (F5,80= -4.23; p < 0.001); and incidence of ST-segment (χ21,80 = 5.00; p = 0.020) and T-wave changes (χ21,80 = 6.05, p = 0.010) on the fourth day of the intervention.
Conclusions: Given the effectiveness of foot reflexology in different aspects of AMI patients, the implementation of this intervention is recommended for these patients in coronary care units.
期刊介绍：
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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