Περίληψη:
Objectives: Comparison of the effects of reflexology and relaxation on pain, anxiety, and depression, and quality of life (QoL) of patients with cancer. Design: A stratified random sample was selected, using an experimental design. Location: An outpatient Palliative Care Unit in Attica, Greece. Subjects: 88 patients suffering with cancer. Interventions: The sample was randomly divided into two equal groups, a reflexology and a relaxation group. The number of interventions for both groups was six 30-min weekly sessions. Outcome measures: The Greek Brief Pain Inventory (G-BPI) was used to measure pain, the Greek Hospital Anxiety and Depression Scale for screening anxiety and depression, and finally the Short Form Health Survey was used to measure QoL. Measurements of the above tools were taken three times in both groups as follows: preintervention, at fourth and at sixth week of intervention. Results: Anxiety and depression for both groups exhibited a statistically significant decrease during the observation period (p < 0.001, η2 > 0.25) but at the sixth week, there was a more significant decrease in the reflexology group compared with the relaxation group (p = 0.062, η2 = 0.044 vs. p = 0.005, η2 = 0.096 for anxiety), (p = 0.006, η2 = 0.094 vs. p = 0.001, η2 = 0.138 for depression). QoL physical and mental component measurements were significantly greater for the reflexology group (p < 0.001, η2 = 0.168 and p = 0.017, η2 = 0.071, respectively). The baseline-to-sixth week G-BPI measurements were markedly decreased for the reflexology group (p = 0.207, η2 = 0.020). Conclusions: Both interventions, relaxation and reflexology, seemed to be effective in decreasing anxiety and depression in patients with cancer. However, reflexology was found to be more effective in improving QoL (physical component) and to have a greater effect on pain management than relaxation. © Copyright 2020, Mary Ann Liebert, Inc., publishers 2020.
Συγγραφείς:
Mantoudi, A.
Parpa, E.
Tsilika, E.
Batistaki, C.
Nikoloudi, M.
Kouloulias, V.
Kostopoulou, S.
Galanos, A.
Mystakidou, K.
Λέξεις-κλειδιά:
adult; alternative medicine; anxiety disorder; Article; breast cancer; Brief Pain Inventory; cancer chemotherapy; cancer palliative therapy; cancer patient; cancer radiotherapy; comorbidity; comparative study; controlled study; depression; digestive system cancer; female; Greece; Hospital Anxiety and Depression Scale; human; integrative oncology; lung cancer; major clinical study; male; malignant neoplasm; metastasis; middle aged; outpatient; priority journal; progressive muscle relaxation; prostate cancer; randomized controlled trial; reflexology; relaxation training; Short Form 36; treatment outcome; urogenital tract cancer; aged; analgesia; anxiety; anxiety disorder; complication; daily life activity; depression; integrative medicine; musculoskeletal manipulation; neoplasm; pain; palliative therapy; procedures; quality of life, Activities of Daily Living; Adult; Aged; Anxiety; Anxiety Disorders; Complementary Therapies; Depression; Depressive Disorder; Female; Humans; Integrative Medicine; Male; Middle Aged; Musculoskeletal Manipulations; Neoplasms; Pain; Pain Management; Palliative Care; Palliative Medicine; Quality of Life; Relaxation Therapy
