Effectiveness of Foot Reflexology on Maternal Post C-Section Fatigue: A Non-Randomized Clinical Trial

Document Type : Original Quantitative and Qualitative Research Paper

Authors

1 Professor, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran

2 MS in Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran

3 Faculty member, Biostatistics Dept., School of Public Health, Iran University of Medical Sciences, Tehran, Iran

Abstract

Background: Fatigue is associated with postpartum period, predicting postpartum depression and reduced self-efficacy. However, few experimental studies were conducted on postpartum fatigue and the necessary actions to reduce it.
Aim: This study aims to investigate the effectiveness of foot reflexology on maternal post C-section fatigue.
Methods: In this non-randomized clinical trial, 99 mothers having cesarean section, reffering to Valiasr.and Gynecologic Hospitals of Tehran were divided into three groups of 33 in 2012 Foot reflexology and leg massage were performed on patients in the intervention (40 minutes) and placebo groups, respectively. The patients in the control group received the common post C-section care. Visual analogue scale to evaluate fatigue severity was filled out before and three days after the intervention. The data were analyzed performing one-way ANOVA, Chi-Square, Repeated Measures ANOVA and Bonferroni tests, using SPSS version 14.
Results: The three groups did not demonstrate any significant differences regarding demographic information and the mean scores of fatigue severity. However, after the interventions, the mean scores of fatigue severity in the experimental and placebo groups were significantly lower than the control group (P<0/001). The comparative analysis of mean fatigue scores, between the experimental (23/2±23/4) and placebo groups (11/7±13/1), indicated that the reflexology intervention was more effective in reducing fatigue.
Conclusion: Sincereduced fatigue was observed in the placebo group, further studies on foot reflexology are required.

Keywords

Main Subjects


  1. References

    1. Fisher C, Hauck Y, Fenwick J. How Social Context Impacts on Women's Fears of Childbirth: A Western Australian Example. Soc Sci Med. 2006; 63(1):64-75.
    2. Lundgren I. Swedish Women's Experience of Childbirth 2 Years after Birth. Midwifery. 2005; 21(4):346-54.
    3. Khosh Tarash M, Ghanbari A, Yegane MR, Kazem Nezhad E, Soltani R. Survey the Effect of Foot Reflexology on Pain and Physiological Parameters After Cesarean Section in Patients Referring to Alzahra Educational Center in Rasht:Journal of Nursing and Midwifery Guilan.  2010; 20(64): 33-27. (Persian)
    4. Lobel M, DeLuca RS. Psychosocial Sequelae of Cesarean Delivery: Review and Analysis of Their Causes and Implications. Soc Sci Med. 2007;64(11):2272-84.
    5. Punthmatharith B, Buddharat U, Kamlangdee T. Comparisons of Needs, Need Responses, and Need Response Satisfaction of Mothers of Infants in Neonatal Intensive Care Units. J Pediatr Nurs. 2007; 22(6):498-506.
    6. Badakhsh MH, Seifoddin M, Khodakarami N, Gholami R, Moghimi S. Rise in Cesarean Section Rate Over a 30-year Period in a Public Hospital in Tehran, Iran. Arch Iran Med. 2012; 15(1):4-7.(Persian)
    7. Lee S-Y, Lee KA. Early Postpartum Sleep and Fatigue for Mothers after Cesarean Delivery Compared with Vaginal Delivery: An Exploratory Study. J Perinat Neonatal Nurs. 2007; 21(2):109-13.
    8. Varcho MS, Hill PD, Anderson M. Evaluation of the Tiredness Management Guide: A Pilot Study. Appl Nurs Res. 2012; 25(2):123-8.
    9. Corwin EJ, Arbour M. Postpartum Fatigue and Evidence‐Based Interventions. MCN Am J Matern Child Nurs. 2007; 32(4):215-20.
    10.  Lai Y-L, Hung C-H, Stocker J, Chan T-F, Liu Y. Postpartum Fatigue, Baby-Care Activities, and Maternal–Infant Attachment of Vaginal and Cesarean Births Following Rooming-in. Appl Nurs Res. 2015; 28(2):116-20.
    11. Groër MW, Shelton MM. Exercise is Associated with Elevated Proinflammatory Cytokines in Human Milk. J Obstet Gynecol Neonatal Nurs. 2009; 38(1):35-41.
    12. Troy NW, Dalgas-Pelish P. The Effectiveness of a Self-Care Intervention for the Management of Postpartum Fatigue. Appl Nurs Res. 2003; 16(1):38-45.
    13. Lerdal A, Kottorp A, Gay C, Aouizerat BE, Portillo CJ, Lee KA. A 7-Item Version of the Fatigue Severity Scale Has Better Psychometric Properties Among HIV-Infected Adults: an Application of a Rasch Model. Qual Life Res. 2011;20(9):1447-56.
    14. Taylor J, Johnson M. How Women Manage Fatigue after Childbirth. Midwifery. 2010; 26 (3):367-75.
    15. Bahraini S, Naji A, Mannani R, Bekhradi R. The Comparison of the Effects of Effleurage Massage with Aromatic Oil and non Aromatic oil on Fatigue Severity in Women with Multiple Sclerosis. Journal of Urmia Nursing and Midwifery Faculty. 2011; 9(5): 327-36.(Persian)
    16. Ghasemi K, Jamshidi A, Mostofi M, Kihany M. A Study and Comparison of Massage and Rest on the Knee Extensor Muscles Fatigue and Isokinetic Parameters. 2010; 4(2): 9-15. (Persian)
    17. Jin SJ, Kim YK. The Effects of Foot Reflexology Massage on Sleep and Fatigue of Elderly Women. J Korean Acad Nurs. 2005; 17(3):493-502.
    18. Wilkinson S, Lockhart K, Gambles M, Storey L. Reflexology for Symptom Relief in Patients with Cancer. See comment in PubMed Commons belowCancer Nurs. 2008; 31(5):354-60.
    19. Bjerså K, Forsberg A, Olsén MF. Perceptions of Complementary Therapies among Swedish Registered Professions in Surgical Care. Complement Ther Clin Pract. 2011; 17(1):44-9.
    20. Bagheri-Nesami M, Zargar N, Gholipour-Baradari A, Khalilian A. The Effects of Foot Reflexology Massage on Pain and Fatigue of Patients after Coronary Artery Bypass Graft. Journal of Mazandaran University of Medical Sciences. 2012; 22(92): 52-62.
    21. Sharp DM, Walker MB, Chaturvedi A, Upadhyay S, Hamid A, Walker AA, et al. A Randomised, Controlled Trial of the Psychological Effects of Reflexology in Early Breast Cancer. Eur J Cancer. 2010; 46(2):312-22.
    22. KO YS, Park MK. Effects of Self-Foot Reflexology on Fatigue and Sleep States in Women Nurses. J Korean Acad Womens Health Nurs. 2007; 13(1):21-7.
    23. Tehrani  Banihashemi SA, Asghari fard H, Hag hdoost AA, Barghamdi M, Mohammad hosseini N . The Use of Complementary/Alternative Medicine among the General Population in Tehran, Iran: Payesh. 2008; 7(4): 355-62. (Persian)
    24. McNeill JA, Alderdice FA, McMurray F. A Retrospective Cohort Study Exploring the Relationship between Antenatal Reflexology and Intranatal Outcomes. Complement Ther Clin Pract. 2006; 12(2):119-25.
    25. Lee J, Han M, Chung Y, Kim J, Choi J. Effects of Foot Reflexology on Fatigue, Sleep and Pain: A Systematic Review and Meta-Analysis. See comment in PubMed Commons belowJ Korean Acad Nurs. 2011; 41(6):821-33.
    26. Ghaffari F, Pourghaznein T. The Reflexology of Sole on Tiredness Intensity in Pregnant Women: Caspian Journal of Internal Medicine.2010; 1(2): 58-62. (Persian)
    27. Ernst E. Is Reflexology an Effective Intervention? A Systematic Review of Randomised Controlled Trials. Med J Aust. 2009; 191(5): 263-6.
    28. Tiran D, Mackereth PA. Clinical Reflexology: A Guide for Integrated Practice: Elsevier Health Sciences UK; 2010.
    29. Soheili shahreza M, nazari F, shayegannejad V, valiani M. The Effects of Reflexology on Physical Symptoms in Women with Multiple Sclerosis. Complementary Medicine Journal. 2014; 4(2): 820-30. (Persian)
    30. Wang MY, Tsai PS, Lee PH, Chang WY, Yang CM. The Efficacy of Reflexology: Systematic Review. J Adv Nurs. 2008; 62(5):512-20.
    31. Pourghaznein T, Ghafari F. The Effect of Sole Reflexology on Severity of Fatigue in Pregnant Women. Hayat. 2006; 12(4):5-11. (Persian)
    32. Talebi F. Comparison of Pain and Fatigue, and the Satisfaction in Physiologic Delivery in Shahid Akbar Abadi Hospital Tehran (Thesis MSC Midwifery) Tehran University of Medical Sciences.2011. (Persian)
    33. Lee KA, Hicks G, Nino-Murcia G. Validity and Reliability of a Scale to Assess Fatigue. Psychiatry Res. 1991; 36(3):291-8.
    34. Shahid A, Wilkinson K, Marcu S, Shapiro CM. Visual Analogue Scale to Evaluate Fatigue Severity (VAS-F).  STOP, THAT and One Hundred Other Sleep Scales: Springer; 2012. 399-402.
    35. Yang JH.The Effects of Foot Reflexology on Nausea, Vomiting and Fatigue of Breast Cancer Patients Undergoing Chemotherapy. Taehan Kanho Hakhoe Chi .2005; 35(1): 177-85.
    36. Stephenson N, Weinrich SP, Tavakolil AS. The Effects of Foot Reflexology on Anxiety and Pain in Patients with Breast and Lung Cancer. Oncol Nurs Forum . 2000;27(1):67-72
    37. Tsay S-L, Chen H-L, Chen S-C, Lin H-R, Lin K-C. Effects of Reflexotherapy on Acute Postoperative Pain and Anxiety among Patients with Digestive Cancer. Cancer Nurs. 2008; 31(2):109-15.
    38. Chumthi L-O. Effect of Foot Reflexology on Stress Reduction among Adolescent. Thai Health Science Journals. 2012; 57(1):24-35.
    39. Robinson MM. Complementary Therapies for Health Care Providers. Adv Emerg Nurs J. 2000; 22(1):77-8.
    40. Williamson EM, Rankin-Box D. Complementary Therapies, the Placebo Effect and the Pharmacist.  See comment in PubMed Commons belowComplement Ther Clin Pract. 2009; 15(3):172-9.
    41. Bazargani Poor  F, Laeemian M, Heshmat R , Taghavi R, Faghih Zaded, AV . Effect of Pressure on the Third Point of the Liver Channel on the Quality of Life of Girls with Primary Dysmenorrhea in Tehran Teacher Training Center: Journal of Qom University of Medical Science. 2010; 14(3): 10-7. (Persian)
    42. Lee YM, Sohng KY. The Effects of Foot Reflexology on Fatigue and Insomnia in Patients Suffering from Coal Workers' Pneumoconiosis. Taehan Kanho Hakhoe Chi. 2005; 35(7):1221-8.
    43. Lee J, Han M, Chung Y, Kim J, Choi J. Effects of Foot Reflexology on Fatigue, Sleep and Pain: A Systematic Review and Meta-Analysis. J Korean Acad Nurs. 2011; 41(6):821- 33.
    44. Field TM, Sunshine W, Hernandez-Reif M, Quintino O, Schanberg S, Kuhn C, et al. Massage Therapy Effects on Depression and Somatic Symptoms in Chronic Fatigue Syndrome. J. Chronic Fatigue Syndr. 2011. 3(3): 43-51.