The effect of foot reflexology massage on burn-specific pain anxiety and sleep quality and quantity of patients hospitalized in the burn intensive care unit (ICU).
Study Goal
The researchers aimed to investigate the effect of foot reflexology massage on burn-specific pain anxiety and sleep quality in burn ICU patients.
Results Summary
Foot reflexology massage significantly reduced pain anxiety and improved sleep quality (latency, duration, and satisfaction) in burn patients compared to routine care, with a large effect size (0.82) for pain anxiety reduction.
Population
Burn patients hospitalized in the ICU.
Effective Dosage
20 minutes of foot reflexology massage for 3 days (on days 3, 4, and 5 of hospitalization) and 15 minutes before wound dressing changes.
Duration
3 days (plus additional sessions before dressing changes).
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
foot reflexology massage | decrease | pain anxiety levels | patients with burn injuries | - | can effectively reduce | #1 |
foot reflexology massage | increase | sleep quality | patients with burn injuries | - | can effectively improve | #2 |
foot reflexology massage | increase | sleep quantity | patients with burn injuries | - | can effectively improve | #3 |
foot reflexology massage | decrease | pain anxiety | patients hospitalized in the burn ICU | - | showed that pain anxiety had a significant difference | #4 |
foot reflexology massage | decrease | sleep latency | patients hospitalized in the burn ICU | - | showed that sleep latency had a significant difference | #5 |
foot reflexology massage | increase | duration of the last day's sleep | patients hospitalized in the burn ICU | - | showed that duration of the last day's sleep had a significant difference | #6 |
foot reflexology massage | increase | satisfaction of the last night sleep | patients hospitalized in the burn ICU | - | showed that satisfaction of the last night sleep had a significant difference | #7 |
foot reflexology massage | neutral | pain anxiety, sleep latency, duration of the last day's sleep, satisfaction of the last night sleep | patients hospitalized in the burn ICU | - | there were significant differences between the two groups at different times in terms of the above variables | #8 |
foot reflexology massage | decrease | pain anxiety | patients hospitalized in the burn ICU | 0.82 | The effect size was=0.82 for pain anxiety between group after the intervention | #9 |
BACKGROUND: Burn-specific pain anxiety and sleep disorders are common factors in burned patients that affect wound healing process, as well as the severity of burn pain. This study aimed to investigate the effect of foot reflexology massage on burn-specific pain anxiety and sleep condition of patients hospitalized in the burn ICU. METHOD: In this randomized controlled clinical trial, 52 patients were assigned by permuted block randomization 1:1 to the intervention (n=26) and control (n=26) groups. The intervention group received 20min of foot reflexology massage during 3 days on their third, fourth and fifth days of hospitalization and 15min before changing wound dressings. Patients in the control group merely received routine care. The Burn-Specific Pain Anxiety Scale (BSPAS) was completed for three consecutive days before and after changing wound dressings, and St. Mary's Hospital Sleep Questionnaire (SMHSQ) was filled out for four consecutive days before changing wound dressings for patients in both groups. The data were analyzed by IBM SPSS 16 software, Chicago, independent t, Chi-square, Friedman, Mann-Whitney and Wilcoxon tests. FINDINGS: We found no significant difference between pain-anxiety in the two groups before the intervention. The trend of different days in each groups were compared with Friedman test and showed that pain anxiety (p<0.001), sleep latency (p<0.001), duration of the last day's sleep (p<0.001) and satisfaction of the last night sleep (p<0.001) had a significant difference. In addition, Mann-Whitney test results showed that there were significant differences between the two groups at different times in terms of the above variables (p<0.05). The effect size was=0.82 for pain anxiety between group after the intervention. CONCLUSION: Based on the results, foot reflexology massage can effectively reduce pain anxiety levels and improve sleep quality and quantity of patients with burn injuries; therefore, this non- pharmacological therapeutic method is recommended to be used in the burn ICUs. (Clinical trial's registration code: IRCT20110906007494N27).