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Post surgical pain

To compare the effect of preoperative information, preoperative information combined with foot reflexology with aromatherapy, and conventional nursing care on unpleasant symptoms in post opened-heart surgery patients. The subjects were 45 post opened-heart surgery patients admitted at King Chulalongkorn Memorial Hospital, and were selected by a purposive sampling. The subjects were arranged into a control group, and two experimental groups. The groups were matched in terms of age, sex heart disease and type of surgery, regimen of analgesic and sedative drugs, and type of ward. The control group received conventional nursing care. The first experimental group received information "Pain relieving after cardiac surgery" before the surgery. The second experimental group received information "Pain relieving after cardiac surgery" before the surgery and foot reflexology with aromatherapy on 1st, 2nd, and 3rd day after opened-heart surgery. The instrument was a set of questionnaires including a demographic data form, and the unpleasant symptoms form. The unpleasant symptoms questionnaire was tested for the content validity by a panel of experts. Cronbach's alpha coefficient of the unpleasant symptoms questionnaire was .95. Data were analysed by descriptive statistics, one way analysis of variance (ANOVA), and pairwise comparison. Results were as follows 1. Mean of unpleasant symptoms score in opened-heart surgery patients on 2nd, 3rd, and 4th day after the surgery were statistical different among groups at the level of .05. Mean of unpleasant symptoms score in the group receiving preoperative information combined with foot reflexology with aromatherapy was the lowest. Mean of unpleasant symptoms score in the group receiving conventional nursing care was the highest. 2. Mean of unpleasant symptoms score in opened-heart surgery patients add 3 times were statistical different among groups at the level of .05. Mean of unpleasant symptoms score in the group receiving preoperative information combined with foot reflexology with aromatherapy was the lowest. Mean of unpleasant symptoms score in the group receiving conventional nursing care was the highest Suthathip Kasedluksame, "The Effect of preoperative information combined with foot reflexology with aromatherapy on unpleasant symptoms in post opened-heart surgery patients," Thesis, 2005 Chulalongkorn University, Nursing Science, Thailand (Chanokporn jitpanya, Advisor) http://bit.ly/75nMaT

The purposes of this research were to compare effects of symptom management with reflexology program on pain and frequency of pain medication taking in elderly patient with prostatectomy. The quasi-experimental design was used with pretest-posttest control groups. Sample were 40 elderly patients who received treatment at Suratthanee Hospital which were equally matched pair and assigned to experimental and control. Groups. The intervention instrument was the symptom management with reflexology program on pain, consisted of four sessions: 1) symptom experienced assessment 2) knowledge providing 3) reflexology and 4) evaluation phases. Data were analyzed by using descriptive statistics and t-test. The major finding were as follows: 1. The posttest mean score on pain of an experimental group was significantly lower than of the pretest (X = 7.230, X = 3.75, t=16.335, p<.001) 2. The posttest mean score of pain of an experimental group was significantly lower than of a control group0 (X = 3.75, X =6.65, t =-10.627, p<.001) 3. The posttest mean score of frequency pain medication taking of an experimental group was significantly lower than of a control group (X = 1.05, X = 1.85, t-=-2.36, p<.05)

Tanyakhanok Pongpiyapibon, "Effects of symptom management with reflexology program on pain and frequency of pain medication taking in elderly patient with prostatectomy" Thesis, 2005, Chulalongkorn University, Nursing Science, Thailand (Sirphan Sasat, Advisor)

Objective: to examine the effectiveness of using foot reflexology to improve sleep quality in postpartum women.

Design and Setting: randomised controlled trial, conducted at two postpartum centres in northern Taiwan.

Participants: 65 postpartum women reporting poor quality of sleep were recruited from July 2007 to December 2007.

Interventions: participants were assigned randomly to either an intervention or a control group. Participants in both groups received the same care except for reflexology therapy. The intervention group received a single 30-minute foot reflexology session at the same time each evening for five consecutive days. Sessions were administered by a certified nurse reflexologist. Measures and Findings: the outcome measure was the Pittsburgh sleep quality index (PSQI), and this was performed at baseline and post test. Mean PQSI scores for both groups declined over time between baseline and post test. Using a generalised estimation equation to control several confounding variables, the changes in mean PSQI were found to be significantly lower in the intervention group (beta=-2.24, standard error=0.38, p<0.001) than in the control group. Conclusion: an intervention involving foot reflexology in the postnatal period significantly improved the quality of sleep.

Implications for Practice: Midwives should evaluate maternal sleep quality and design early intervention programmes to improve quality of sleep in order to increase maternal biopsychosocial well-being. Midwives interested in complementary therapies should be encouraged to obtain training in reflexology and to apply it in clinical settings if it is allowed

Li CY, Chen SC, Li CY, Gau ML, Huang CM, "Randomised controlled trial of the effectiveness of using foot reflexology to improve quality of sleep amongst Taiwanese postpartum women,"Midwifery. 2009 Jul 3. (Department of Nursing, Tri-Service General Hospital, No. 325, Sec.2, Cheng-Gong Rd., Neihu, Taipei 114, Taiwan, ROC)

Objective: To investigate the maternal mental health promotion effective method: mothers were randomly divided into four groups, each with 60 cases, a total of 240 cases observed. After 6 hours in group A respectively to Chinese foot massage with plantar Group B medicine Footbath, Group C heated foot bath and massage, in Group D after 36 hours does not impose any factors Results: Chinese foot massage with plantar after the intervention group anxiety, depression score and the group has significant difference, P < 0.01.

Conclusion: Footbath intervention on the maternal role of promoting mental health, medicine foot massage with plantar intervention method is the best.

Bangguizhi, hatred snow-sheung, Li Meng Fong, Zhou, Wei Dan He, "Nursing Intervention on postpartum anxiety and depression impact study," Chinese health Chinese Health Care 2007, 14

Zhou Xiaoqing Zhou Xiaoqin, Zhou Xiaoqing, "Foot after cesarean section on the recovery of gastrointestinal function; the Influence of Foot Soaking and Massage on the Recovery of Digestive System after Cesarean," Contemporary nurses (Academic Edition) Today Nurse 2004, Section 01

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