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IRCT201501166318N4 IRCT 2015-03-14 Semnan University of Medical Sciences The reflexive effect of rubbing the palm of the foot palm (reflexology) on chest pain, anxiety, sleep quality, fatigue and physiological parameters in patients with acute myocardial infarction followed by treatment with Streptokinase. The reflexive effect of rubbing the palm of the foot palm (reflexology) on chest pain, anxiety, sleep quality, fatigue and physiological parameters in patients with acute myocardial infarction followed by treatment with Streptokinase. 2015-01-21 anticipated 15 Complete https://irct.ir/trial/6771 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Supportive. N/A Acute myocardial infarction. Intervention 1: Intervention 1: The masseur keeps the curtains closed around the patient and minimizes the external noises. It is requested from the patient to lie down on the bed and his foot is washed with warm water, then a pillow is placed under his knee to relax the lower limbs. Talking to the patient is not allowed during the massage. Masseur must remove his ring, clock and jewelry and wash his hands. Then he sits on the chair at the end of the patient’s bed in a comfortable position and lubricates patient's left foot for one minute by using lubricanting cream (lubricant cream is the healthy brand of transparent and water soluble product, without salt, alcohol, and essence. it will do not create sensitivity and allergic reactions, and hasn't therapeutic value) and then for 20-minute foot reflexology massage in the heart of the left foot (ball center of foot) will be performed. Intervention 2: Intervention 2: The masseur keeps the curtains closed around the patient and minimizes the external noises. It is requested from the patient to lie down on the bed and his foot is washed with warm water, then a pillow is placed under his knee to relax the lower limb. Talking to the patient is not allowed during the massage. Masseur must remove his ring, clock and jewelry and wash his hands. Then he sits on the chair at the end of the patient’s bed in a comfortable position and lubricates patient's left foot for one minute by using lubricanting cream (lubricant cream is the healthy brand of transparent and water soluble product, without salt, alcohol, and essence. it will do not create sensitivity and allergic reactions, and hasn't therapeutic value) and then for 20-minute foot reflexology massage in the heart of the right foot, the heel (the abdomen and pelvis area) will be performed. Intervention 3: Intervention 3: No intervention, the researcher will be present by the patient’s side in the whole duration of 20 minutes.
public Monir Nobahar
Faculty Nursing and Paramedical, Semnan University of Medical Sciences
Semnan Iran (Islamic Republic of) 3513138111 +98 23 3365 4170 Nobahar43@semums.ac.irNobahar43@yahoo.com Semnan University of Medical Sciences scientific Monir Nobahar
Faculty Nursing and Paramedical, Semnan University of Medical Sciences
Semnan Iran (Islamic Republic of) 3513138111 +98 23 3365 4170 Nobahar43@semums.ac.irNobahar43@yahoo.com Semnan University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: patient consent for participation in the study, acute myocardial infarction for the first time, treatment with Streptokinase, no history for the use of reflexology. Exclusion criteria: vision and hearing disorders, history of chronic pains, addiction to alcohol, or Opioids, leg fracture, sensory disorder, wound infecton in legs, skin diseases, graft, vascular disorders in legs, amputation in lower extremities, sensitivity to touch or massage, intolerance for intervention, any acute condition at the time of intervention, history of cardiopulmonary resuscitation; leg edema and keratosis. no limit no limit Both I21.9 Acute myocardial infarction, unspecified Treatment - Other Other Other Intervention 1: The masseur keeps the curtains closed around the patient and minimizes the external noises. It is requested from the patient to lie down on the bed and his foot is washed with warm water, then a pillow is placed under his knee to relax the lower limbs. Talking to the patient is not allowed during the massage. Masseur must remove his ring, clock and jewelry and wash his hands. Then he sits on the chair at the end of the patient’s bed in a comfortable position and lubricates patient's left foot for one minute by using lubricanting cream (lubricant cream is the healthy brand of transparent and water soluble product, without salt, alcohol, and essence. it will do not create sensitivity and allergic reactions, and hasn't therapeutic value) and then for 20-minute foot reflexology massage in the heart of the left foot (ball center of foot) will be performed. Intervention 2: The masseur keeps the curtains closed around the patient and minimizes the external noises. It is requested from the patient to lie down on the bed and his foot is washed with warm water, then a pillow is placed under his knee to relax the lower limb. Talking to the patient is not allowed during the massage. Masseur must remove his ring, clock and jewelry and wash his hands. Then he sits on the chair at the end of the patient’s bed in a comfortable position and lubricates patient's left foot for one minute by using lubricanting cream (lubricant cream is the healthy brand of transparent and water soluble product, without salt, alcohol, and essence. it will do not create sensitivity and allergic reactions, and hasn't therapeutic value) and then for 20-minute foot reflexology massage in the heart of the right foot, the heel (the abdomen and pelvis area) will be performed. Intervention 3: No intervention, the researcher will be present by the patient’s side in the whole duration of 20 minutes. Chest pain intensity. Timepoint: Before and immediately after and 20 minutes after the intervention. Method of measurement: Chest pain intensity will be recorded before, immediately and 20 minutes after intervention. This intervention is being performed for three consecutive days and the intensities will be assessed. Information for each person will be recorded in form of questionnaire specfic for each patient. Visual analogue scale will be used for chest pain assessment. Fatigue. Timepoint: Before and immediately after and 20 minutes after the intervention. Method of measurement: Fatigue will be measured and recorded before, immediately and 20 minutes after the intervention. This intervention is being performed for three consecutive days and the intensities will be assessed. Information for each person will be recorded in form of questionnaire specific for each patient. Visual analogue scale will be used for chest pain assessment. Anxiety. Timepoint: Before and immediately after and 20 minutes after the intervention. Method of measurement: Anxiety will be measured and recorded before, immediately and 20 minutes after the intervention. This intervention is being performed for three consecutive days and the intensities will be assessed. Information for each person will be recorded in form of questionnaire specfic for each patient. Visual analogue scale will be used for chest pain assessment. Physiological parameters. Timepoint: Before and immediately after and 20 minutes after the intervention. Method of measurement: Physiological parameters will be measured and recorded before, immediately and 20 minutes after the intervention. This intervention is being performed for three consecutive days and the intensities will be assessed. Information for each person will be recorded in form of questionnaire specific for each patient. The record of physiological parameters include ;blood pressure, pulse, respiration, temperature, blood oxygen saturation and cardiac rhythm (to determine the number of PVC and PAC). Quality of sleep. Timepoint: before intervention and the day4th. Method of measurement: The Quality of sleep will be measured and recorded before the intervention and on the day 4th. The Pittsburgh questionnaire will be used for assessing the quality of sleep. Information for each person will be recorded in a specfic questionnaire for each patient. Semnan University of Medical Sciences Approved 2015-02-12 Semnan University of Medical Sciences Semnan, University of Medical Sciences,Nursing and Paramedical Faculty Semnan Iran (Islamic Republic of)