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IRCT20180304038936N2 IRCT 2018-07-16 Rafsanjan University of Medical Sciences The Effect of Foot Reflexology on Stress, Anxiety, Depression and Serum Cortisol levels in Hemodialysis Patients Investigating the Effect of Foot Reflexology on Stress, Anxiety, Depression and Serum Cortisol levels in Hemodialysis Patients 2018-06-22 anticipated 60 Complete https://irct.ir/trial/31336 interventional Randomization: Not randomized, Blinding: Single blinded, Placebo: Used, Assignment: Parallel, Purpose: Supportive, Blinding description: Patients, doctors and nurses do not say which patients are in the control or intervention group. N/A Condition 1: stress. Condition 2: Depression. Condition 3: Anxiety. Condition 4: Serum cortisol levels. Condition 5: Reflexology. Condition 6: Hemodialysis. Intervention 1: Intervention group: First, the stages of reflextive massage are described. Participants are asked to lie on the hemodialysis bed and close their eyes and put themselves in a state of tranquility. Foot reflexology massage is done an hour after starting dialysis for 30 minutes (15 minutes for each foot), first for the left leg and then for the right one.To massage the feet, warm your hands.Hold the heel with the left hand and bending and straightening it from the ankle with push the planter. Then enter direct pressure with the thumb on the solar plexus and this is done 3 times a week for 4 weeks each session for 15 minutes per foot (6 minutes of pressure and 3 minutes rest and again 6 minutes of pressure) and rotationally and with the pressure applied to the patient's tolerance. Intervention 2: Control group: By creating the same conditions with the intervention group, simple massage of the foot without compression of the standard reflexology massage points is performed with the same duration as the intervention group. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is No more information
public Zahra Shanbepour
Minab, Hormozgam
Minab Iran (Islamic Republic of) 7997193149 +98 76 4232 7277 zahra.shanbpour@yahoo.com Rafsanjan University of Medical Sciences scientific Dr. Ahmad Reza Sayadi
Nursing Street, School of Nursing and Midwifery
Rafsanjan Iran (Islamic Republic of) 7717933777 +98 34345900 sayadiahmad@yahoo.com Rafsanjan University of Medical Sciences Iran (Islamic Republic of) Patients over 18 years Dialysis for at least 3 months and at least 3 times a week, each time for 4-3 hours The absence of limb amputation or ulcer at the site of reflexology Absence of chronic and debilitating disease(Cancer, Chronic Respiratory Failure, Heart Failure, Rheumatoid Arthritis, Lupus Erythematosus) Not having a physical disability or a clear mental disorder that disables the patient in self-care The absence of coagulation disorders(due to the possibility of clot and thromboembolism) Not having a history of taking relaxing medications and antidepressants, cigarette and drug addiction The absence of neuropathy in the feet Not having a history of incident in the last 6 months Having written consent to participate in the study Non-use of other side therapies and complementary 18 years no limit Both Unwillingness to continue participation in study; During the study, refer to kidney transplants or peritoneal dialysis; Hemodynamic complications in most dialysis sessions; Absence more than three sessions; Death during the study Z63.7 F32.9 F06.4 E27.9 Z63.7 Anxiety (normal) about sick person in family Health problems within family Ill or disturbed family member Isolated family Depression NOS Depressive disorder NOS A disorder characterized by the essential descriptive features of a generalized anxiety disorder (F41.1), a panic disorder (F41.0), or a combination of both, but arising as a consequence of an organic disorder. Disorder of adrenal gland, unspecified Dialysis (renal) NOS Rehabilitation Rehabilitation Intervention group: First, the stages of reflextive massage are described. Participants are asked to lie on the hemodialysis bed and close their eyes and put themselves in a state of tranquility. Foot reflexology massage is done an hour after starting dialysis for 30 minutes (15 minutes for each foot), first for the left leg and then for the right one.To massage the feet, warm your hands.Hold the heel with the left hand and bending and straightening it from the ankle with push the planter. Then enter direct pressure with the thumb on the solar plexus and this is done 3 times a week for 4 weeks each session for 15 minutes per foot (6 minutes of pressure and 3 minutes rest and again 6 minutes of pressure) and rotationally and with the pressure applied to the patient's tolerance. Control group: By creating the same conditions with the intervention group, simple massage of the foot without compression of the standard reflexology massage points is performed with the same duration as the intervention group. Depression scores on standard questionnaires for depression, anxiety and stress 21 questions. Timepoint: Session before and after intervention. Method of measurement: Standard questionnaire for depression, anxiety and stress 21 questions(DASS-21). Anxiety scores on standard questionnaires for depression, anxiety and stress 21 questions. Timepoint: Session before and after intervention. Method of measurement: Standard questionnaire for depression, anxiety and stress 21 questions (DASS-21). Stress scores on standard questionnaires for depression, anxiety and stress 21 questions. Timepoint: Session before and after intervention. Method of measurement: Standard questionnaire for depression, anxiety and stress 21 questions. Serum cortisol levels. Timepoint: Session before and after intervention. Method of measurement: enzyme-linked immunosorbent assay test (ELISA test). Rafsanjan University of Medical Sciences Approved 2018-05-09 Ethics Committee of Rafsanjan University of Medical Sciences Central Office of Medical Sciences,Imam Ali Blvd Rafsanjan Kerman Iran (Islamic Republic of)