The effect of foot reflexology applied to patients with hypertension on blood pressure, colesterol levels and quality of life

Year 2013, Volume: 15 Issue: 3, 56 - 67, 01.12.2013

Ş. Dilek Güven Nimet Karataş

Abstract

Objective: In hypertension treatment, nonpharmacological precautions have an important place together with medication or alone. Those precautions usually eliminate any need for medication or help to reduce drug dose. One of the methods used in nonpharmacological treatment of diseases is reflexology. This research which was conducted as a self-controlled clinical trial to determine the effect of foot reflexology applied to patients with hypertension on blood pressure BP , cholesterol levels and quality of life. Method: The self-controlled clinical trial was applied on 219 patients with essential hypertension, and the patients were observed before and after the application. The data were collected using a questionnaire, a blood pressure and cholesterol levels record form, and short form-36 SF-36 quality of life scale. In evaluation of the data, Friedman Test and Wilcoxon Signed Ranks Test were used to test the difference between the groups. A p-value

Keywords

Reflexology, hypertension, quality of life, cholesterol, nursing

Hipertansiyonlu hastalara uygulanan ayak refleksolojinin kan basıncı, kolesterol düzeyleri ve yaşam kalitesine etkisi

Abstract

Amaç: Hipertansiyon tedavisinde, ilaç tedavisine ek olarak veya tek başına nonfarmakolojik önlemlerin de önemli bir yeri vardır. Bu önlemler birçok defa ilaç tedavisi gerekliliğini ortadan kaldırabilmekte veya kullanılan ilaç dozunu azaltmaya yardımcı olabilmektedir. Hastalıkların tedavisinde kullanılan nonfarmokolojik yöntemlerden birisi refleksolojidir. Bu araştırma hipertansiyonlu hastalara uygulanan ayak refleksolojinin kan basıncı, kolesterol düzeyleri ve yaşam kalitesine etkisini belirlemek amacıyla kendinden kontrollü klinik çalışma olarak yapıldı. Yöntem: Kendinden kontrollü klinik çalışmanın örneklemini 219 esansiyel hipertansiyon tanısı olan hasta oluşturmuş, hastalar önce müdahale öncesi dönemde izlenmiş sonra müdahale uygulanmıştır. Araştırmada veriler; anket formu, kan basıncı ve kolesterol düzeyleri kayıt formu, kısa form-36 SF-36 yaşam kalitesi ölçeği kullanılarak toplanmıştır. Elde edilen verilerin değerlendirilmesinde, gruplar arası farklılığı test etmek için Friedman ve Wilcoxon İşaretli Sıra testleri kullanılmıştır. Friedman testi karşılaştırmalarında p

Keywords

Refleksoloji, hipertansiyon, yaşam kalitesi, kolesterol, hemşirelik

References

• Erkoç Y, Yardım N. Türkiye’de bulaşıcı olmayan hastalıklar ve risk faktörleri ile mücadele politikaları. Ankara, Anıl Matbaası,2011;18.
• Tosun N, Erkoç Y, Buzgan T, Keskinkılıç B, Aras D, Yardım N, Gönen S, Sarıoğlu G, Soylu M. Türkiye kalp ve damar hastalıklarını önleme ve kontrol programı. T.C. Sağlık Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü. Ankara, Anıl Matbaası, 2010;4-13.
• Wolf-Maier K, Cooper RS, Banegas JR, Giampaoli S, Hense HW , Joffres M, Kastarinen M, N Poulter, Primatesta P, Rodríguez-Artalejo F, Stegmayr B, Thamm M, Tuomilehto J, Vanuzzo D, Vescio F. Hypertansion prevalence and blood pressure levels in 6 european countries, Canada and United States. JAMA 2003;289(18):2363-2369.
• Australian Bureau of Statistics.Cardiovascular Disease in Australia: A Snapshot, 2004-05.2006. (İnternet). Ulaşım adresi: http://www.abs.gov.au/ausstats/abs@.nsf/mf/4821.0.55.001, (Ulaşım tarihi: 30.05.2011).
• Gu D, Reynolds K, Wu X,Chen J, Duan X, Muntner P, Huang G, Reynolds RF, Su S, Whelton PK, He J. Prevalence, awareness, treatment, and control of hypertension in China. Hypertension 2002;40(6):920-927.
• Gupta PC, GuptaR, Pednekar MS. Hypertension prevalence and blood pressure trends in 88 653 subjects in Mumbai, India. J Hum Hypertens 2004;18(12):907–910.
• Sekikawa A, Hayakawa T. Prevalence of hypertension, its awarness and control in adult population in Japan, 2004. J Hum Hypertens 2004;18(12):911-912.
• Cappuccio FP, Micah FB, Emmett L, Kerry SM, Antwi S, Martin-Peprah R, Phillips RO, Plange-Rhule J, Eastwood JB. Prevalence, detection, management, and control of hypertension in Ashanti, West Africa. Hypertension 2004;43(5):1017- 1022.
• Onat A, Türkmen S, Karabulut A, Yazıcı M, Can G, Sansoy V.Türk yetişkinlerinde hiperkolesterolemi ve hipertansiyon birlikteliği: Sıklığına ve kardiyovasküler riski öngördürmesine ilişkin TEKHARF çalışması verileri. Türk Kardiyol Dern Arş 2004; 32:533–541.
• Altun B, Arıcı M, Nergizoğlu G, Derici Ü, Karatan O, Turgan Ç, Sindel Ş, Erbay B, Hasanoğlu E, Çağlar S. Prevalence, awareness, treatment and control of hypertension in Turkey (the PatenT study) in 2003. J Hypertens 2005; 23(10):1817-23.
• Kozan Ö, Oğuz A, Abacı A, Erol C, Öngen Z, Temizhan A,Çelik S. Prevalance of the metabolic syndrome among Turkish adults. Eur J Clin Nutr 2007;61(4):548–553.
• Satman İ, Yılmaz T, Şengül A, Salman S, Salman F, Uygur S, Bastar İ, Tütüncu Y, Sargın M, Dinç N, Karşıdağ K, Kalaça S, Özcan C, King H.
• Population-based study of diabetes and risk characteristics in Turkey: results of the Turkish Diabetes
• Epidemiology Study (TURDEP). Diabetes Care 2002;25(9):1551-1556.
• WHO-ISH Guidelines Subcommittee. WHO International society of hypertension guidelines for the management of hypertension. Guidelines subcommittee. J Hypertens 1999;17(2):151-183.
• Burt VL, Whelton P, Roccella EJ,Kahverengi C, Cutler JA, Higgins M,Horan MJ, Labarthe D. Prevalence of hypertension in the US adult population: results of the third national health and nutrition examination surveys, 1988–1991. Hypertension 1995;25(3):305–313.
• Türk Kardiyoloji Derneği Ulusal Hipertansiyon Tedavi ve Takip Klavuzu (TKDUHTTK). 2000. (İnternet) Ulaşım adresi: http://www.tkd.org.tr/kilavuz/k03.htm, (Ulaşım tarihi: 04/06/2011).
• Quinn F, Baxter GD, Hughes CM. Reflexology in the management of low back pain: a pilot randomised controlled trial. Complementary Therapies in Medicine2008;16(1):3-8.
• Oh HS, Ahn SA. The efeects of food reflexology on pain and depression of middle-age women with osteoarthritis. Korean J Rehabil Nurs 2006;9(1):25-33.
• Won JS, Jeong IS, Kim JS, Kim KS. Effect of food reflexology on vital sings, fatigue and mood in cancer patients receiving chemotherapy. J Korean Acad Fundam Nurs 2002;9(1):16-26.
• Yang IS. The effects on food reflexology on nausea, vomiting and fatigue of breast cancer patients undergoing chemotherapy. J Korean Acad Fundam Nurs 2005;35(1):177-185.
• Jeong IS. Effects of self-food reflexology on peripheral blood circulation and peripheral neuropathy in patients with diabetes mellitus. J Korean Acad Fundam Nurs 2006;13(2):225-234.
• Kim KS. Effect of food reflexology massage on stres responses and glucose level of non-insulin dependet diabetes mellitus patients. Korean J Rehabil Nurs. 2003;6(2):152-163.
• Oh SY. The effects of hand reflexology on seeng-chi and immunity in ESRD patients. J Korean Acad Fundam Nurs 2002;9(2):213-225.
• Lee YM. Effect of self-food refloxology massage on depression, stress response and immune functions of middle age women. J Korean Acad Fundam Nurs 2006;36(1):179-188.
• Park HS, Cho GY. Effects of food reflexology on essential hypertansion. J Korean Acad Fundam Nurs 2004;34(5):739-750.
• Kim YH, Choi ES. Efeects of food reflexology education program on bowel fonction, anxiety and depression in nursing students. Korean J Women Health Nurs 2003;9(3):277-286.
• Kim KS, Sea H, Kang J. The effects of community based self-help manangement program on the activity of daily life, muscle strenght, depression and life satisfaction of post-stroke patients. Korean J Rehabil Nurs 2000;3(1):108-117.
• Song MR, Song HM. The efeects of food reflexology on ADL and fatigue in stroke patients. Korean J Rehabil Nurs 2005;8(2):139-148.
• Beilin LJ, Puddey IB, Burke V. Lifestyle and hypertension.Am J Hypertens 1999;12(9):934-945.
• Turan N, Öztürk A, Kaya N. Hemşirelikte yeni bir sorumluluk alanı: Tamamlayıcı terapi Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi 2010;3(1):93-98.
• Meldrum M, Katz M, Clemente I, Nutkiewicz M, Zeltzer L. Complementary and alternative medicine therapies for pediatric pain: A qualitative study of expectations and adherence. The Journal of Pain 1999;(4):52.
• Öztürk A, Altuntaş Y, Özsan M, Gündüz E. Hemodiyaliz tedavisi alan kronik böbrek yetmezliği olgularının hastalıkları ve hemodiyaliz hakkındaki bilgi, tutum ve davranışlarının incelenmesi. Erciyes Med J 2009;31(2):119-125.
• Akın B, Seviğ Ü, Karataş N. Türkiye’de gerontoloji hemşireliği eğitimi bir sertifika eğitim programı geliştirme çalışması- deneyimler ve eğitim programı önerisi. Cumhuriyet Üniversitesi Hemşirelik Yüksek Okulu Dergisi 2004;5(1):33-43.
• Cameron K, Gregür F. Chronic ilness and compliance. Journal of Advanced Nursing 1987;12(6):671-676.
• Akdemir N, Fesçi HB. Hipertansiyon ve hemşirelik bakımı. Hacettepe Üniversitesi Hemşirelik Yüksekokulu Dergisi 1995;2(2):1-9.
• Kurçer MA., Özbay A. Koroner arter hastalarında uygulanan yaşam tarzı eğitim ve danışmanlığının yaşam kalitesine etkisi. Anadolu Kardiyol Derg. 2011;1(2): 107-13.
• Neaton JD, Grimm RH Jr, Prineas RJ, Stamler J, Grandits GA, Elmer PJ, Cutler JA, Flack JM, Schoenberger JA, McDonald R. Treatment of mild hypertension study. JAMA 1993;270(6):713-724.
• Lacey M. The effects of foot massage and reflexology on decreasing anxiety, pain, and nausea in patients with cancer. Clinical Journal of Oncology Nursing 2002;6(3):182-183.
• Cho GY, Park HS. Effects of 6-week food reflexology on the blood pressure and fatigue in elderly patients with hypertansion. J Korean Acad Fundam Nurs 2004;11(2):138-147.
• Han SH, Lee YH. The effects of foot reflexologic massage on blood pressure and sleep of the elderly with essential hypertension. J Korean Acad Adult Nurs 2005;17(3):349-357.
• Frankel BSM. The effects of reflexology on baroreceptor reflex sensitivity, blood pressure and sinus arrhythmia. Complementary Therapies in Medicine 1997; 5(2): 80-84.
• Kaya A, VT Gedik, Bayram F, Bahçeci N. Obezite, dislipidemi, hipertansiyon hekim için tanı ve tedavi rehberi Türkiye Endokrinoloji ve Metabolizma Derneği. Ankara, Miki Matbaacılık,2011;81
• Mahley RW, Palaoğlu KE, Atak Z, Dawson-Pepin J, Langlois AM, Cheung V, Onat H, Fulks P, Mahley LL, Vakar F. Turkish Heart Study: lipids, lipoproteins, and apolipoproteins. J Lipid Res 1995;36(4):839- 859.
• Jaddou HY, Bateıha AM, Ajlounı KM. Prevalance awareness and management of hypertension in a recently urbanised community, Eastern Jordan. Journal of Human Hypertension 2000;14(8):497-501.
• Williams GH. Assessing patient wellness; new perspective on quality of life and compliance. American Journal of Hypertension 1998;11(S8): 186S–191S.
• Stein JS, Brown GC, Brown MM, Sharma S, Hollands H, Stein HD. The quality of life of patients with hypertension. The JCH 2002;4(3):181-188.
• Wang R, Zhao Y, He X, Ma X, Yan X, Sun Y, Liu W, Gu Z, Zhao J, He J. Impact of hypertension on health-related quality of life in a population-based study in Shanghai, China. Public Health 2009;123(8):534-539.
• Trevisol DJ, Moreira LB, Kerkhoff A, Fuchs SC, Fuchs FD. Health-releated quality of life and hipertension: a systematic review and meta-analysis of observational studies. Journal of Hypertension 2011;29(2):179-188.
• Hayes DK, Denny CH, Kenan NL, Croft JB, Greenlund KJ. Health-releated quality of life and hipertension status, awareness, treatment and control: National Health and Nutrition Examination Survey, 2001-2004. J Hypertens 2008;26(4):641-647.
• Hodgson H. Does reflexology impact on cancer patient' quality of life? Nurs Stand 2000;14(31): 33-38.
• Khan S, Otter S, Springett K. The effects of reflexology on foot pain and quality of life in a patient with rheumatoid arthritis: A case report. The Food 2006;16(2):112-116.