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IRCT20230221057475N1 IRCT 2023-03-02 Zanjan University of Medical Sciences Investigating the effect of hand and foot reflexology on chest pain and anxiety in patients after primary coronary angioplasty Comparing the effect of hand reflexology with foot reflexology on chest pain and anxiety in patients after primary coronary angioplasty. 2023-03-01 anticipated 114 Complete https://irct.ir/trial/68731 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Allocating the samples to the study groups randomly, the random permutation block design with six blocks will be used; Then the website https://www.sealedenvelope.com will be used to determine the required random blocks and their sequence. Sealed envelopes will be used for concealment. Thus, based on the sequence of randomly determined blocks, cards with the letters A (for the hand reflexology group), B (for the foot reflexology group) and C (for the control group) will be placed inside the envelope, which shows the allocation sequence. became. Then an envelope will be opened for each participant in the study, and based on the card inside the envelope, the participant will be assigned to the control or test group. N/A acute myocardial infraction. Intervention 1: Intervention group:The patient lies on the bed in a quiet environment. We place a pillow under the patient's feet, after removing the ornaments and washing the hands, the masseur begins to perform the intervention. Foot reflexology is performed on the patient's left foot for 15 minutes. Massage oil, which has no therapeutic value, is used to perform reflexology. Pressure will be applied for 30 seconds with the tip of the thumb to the center of the sole of the foot at the point of the solar plexus at the junction of the ball of the foot and the arch of the foot. Reflexology will be done with a circular movement with both thumbs from the center of the foot to the outside of the foot. Finally, the heart area (the center of the ball of the foot) will be massaged with the thumb in one movement. Intervention 2: Intervention group: The patient lies on the bed in a quiet environment. After removing the jewelry and washing the hands, the masseuse starts to perform the intervention. Hand reflexology is performed on the patient's left hand for 15 minutes. To perform reflexology, massage oil is used, which has no therapeutic value. To perform hand reflexology, the researcher will start massaging the hand from the sides of the hand and move towards the palm, the back of the hand, and finally the fingers. This process will be repeated eight to ten times until the hand is completely relaxed and ready for reflexology. The reflex point for the cardiovascular system includes: the heart point located on the palm, under the soft area at the bottom of the ring and little fingers, the massager will press the reflexology point with his thumb. Reflexology points will be massaged 14 times in a row clockwise and with circular movements. Intervention 3: Control group: The patient lies on the bed in a quiet environment, we place a pillow under the patient's feet, after removing the ornaments and washing the hands, the masseuse begins to perform the intervention. Foot reflexology is performed on the patient's right foot for 15 minutes. Massage oil, which has no therapeutic value, is used to perform reflexology. Pressure will be applied for 30 seconds with the tip of the thumb to the center of the sole of the foot at the point of the solar plexus at the junction of the ball of the foot and the arch of the foot. Reflexology will be done with a circular movement with both thumbs from the center of the foot to the outside of the foot. Finally, the heart area (the center of the ball of the foot) will be massaged with the thumb in one movement. 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 There is no further information
public Sahar Asali
School of Nursing and Midwifer Zanjan, Mahdavi Blvd., Karmandan Town,Zanjan
Zanjan Iran (Islamic Republic of) 4513956113 +98 24 3314 8318 sasali075@gmail.com Zanjan University of Medical Sciences scientific Sahar Asali
School of Nursing and Midwifery,Mahdavi Blvd, Karmandan Town
Zanjan Iran (Islamic Republic of) 4513956113 +98 24 3314 8318 sasali075@gmail.com Zanjan University of Medical Sciences Iran (Islamic Republic of) People who have been subjected to angioplasty for the first time Trans femoral angiography Having a pulse on the leg and a normal posterior tibial pulse Age between 30 and 70 years Having healthy hands and feet Full consciousness 30 years 70 years Both Having a history of diabetes Having an addiction Having mental problems People who have received thrombolytic drugs (retplase) after MI and then underwent angiography. 5) Any physiological or hemodynamic instability during and after angiography, such as cardiac dysrhythmia. Active bleeding at the catheter site People who have already been subjected to angiography DVT history The presence of wounds, scars on the leg Use of anti-anxiety drugs Peripheral neuropathy Tickling feeling in hands and feet The presence of coagulation problems in the patient hypertension I21 ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction Treatment - Other Treatment - Other Treatment - Other Intervention group:The patient lies on the bed in a quiet environment. We place a pillow under the patient's feet, after removing the ornaments and washing the hands, the masseur begins to perform the intervention. Foot reflexology is performed on the patient's left foot for 15 minutes. Massage oil, which has no therapeutic value, is used to perform reflexology. Pressure will be applied for 30 seconds with the tip of the thumb to the center of the sole of the foot at the point of the solar plexus at the junction of the ball of the foot and the arch of the foot. Reflexology will be done with a circular movement with both thumbs from the center of the foot to the outside of the foot. Finally, the heart area (the center of the ball of the foot) will be massaged with the thumb in one movement. Intervention group: The patient lies on the bed in a quiet environment. After removing the jewelry and washing the hands, the masseuse starts to perform the intervention. Hand reflexology is performed on the patient's left hand for 15 minutes. To perform reflexology, massage oil is used, which has no therapeutic value. To perform hand reflexology, the researcher will start massaging the hand from the sides of the hand and move towards the palm, the back of the hand, and finally the fingers. This process will be repeated eight to ten times until the hand is completely relaxed and ready for reflexology. The reflex point for the cardiovascular system includes: the heart point located on the palm, under the soft area at the bottom of the ring and little fingers, the massager will press the reflexology point with his thumb. Reflexology points will be massaged 14 times in a row clockwise and with circular movements. Control group: The patient lies on the bed in a quiet environment, we place a pillow under the patient's feet, after removing the ornaments and washing the hands, the masseuse begins to perform the intervention. Foot reflexology is performed on the patient's right foot for 15 minutes. Massage oil, which has no therapeutic value, is used to perform reflexology. Pressure will be applied for 30 seconds with the tip of the thumb to the center of the sole of the foot at the point of the solar plexus at the junction of the ball of the foot and the arch of the foot. Reflexology will be done with a circular movement with both thumbs from the center of the foot to the outside of the foot. Finally, the heart area (the center of the ball of the foot) will be massaged with the thumb in one movement. Chest pain. Timepoint: Before the start of the intervention, 15 minutes, 3 hours and 6 hours after the end of the intervention. Method of measurement: Visual Analogue Scale. Anxiety. Timepoint: Before the start of the intervention, 15 minutes, 3 hours and 6 hours after the end of the intervention. Method of measurement: Visual Analogue Scale. Zanjan University of Medical Sciences Approved 2023-02-14 Ethics Committee of Zanjan University of Medical Sciences No.1154, West second Eshragh Ave., Shahryar Town Zanjan Zanjan Iran (Islamic Republic of)