Comparing the Effect of Acupressure and Reflexology on Sleep Condition Following Coronary Artery Bypass Graft Surgery

Authors

  • Hoseini, Seyed Milad MSc in Intensive Care Unit Nursing, Student Research Committee, Traditional and Complementary Medicine Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran
  • Abasi Teshnizi, Mohamad Associate Professor, Department of Cardiology, Faculty of Medicine, Lung Diseases Research Center, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
  • Bagheri-Nesami, Masoumeh Professor, Traditional and Complementary Medicine Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran 3 World Federation of Acupuncture-Moxibustion Societies (WFAS), Beijing, China
  • Farid Hoseini, Farhad Assistant Professor, Department of Psychiatry, Faculty of Medicine, Psychiatry and Behavioral Sciences Research Center, Ebnsina Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
  • Jafari, Hedayat Associate Professor, Traditional and Complementary Medicine Research Center, Addiction institute, Mazandaran University of Medical Sciences, Sari, Iran
  • Mousavinasab, Seyed Noureddin Associate Professor, Department of Biostatistics and Epidemiology, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran
  • Saatchi, Kiarash General Practitioner, Board of Directors of Acupuncture Society of Iran, Tehran, Iran
Abstract:

Background and purpose: Sleep disorders after heart surgery lead to increased heart rate, increased myocardial oxygen demand, and cause dysrhythmia that worsen heart ischemia. The purpose of this study was to compare the effect of acupressure and reflexology on sleep condition following coronary artery bypass graft surgery. Materials and methods: A randomized controlled trial was performed in 60 patients. They were randomly assigned into three groups. Two intervention groups; reflexology (n=20) and acupressure (n=20), and a control group (n=20). For three to six days after the surgery, foot reflexology and acupressure were done for 30 min and 21 min, respectively. St. Mary's Hospital Sleep Questionnaire was administered for five consecutive days for each group. Data was analyzed in SPSS V25. Results: The General Estimated Equation (GEE) showed that, compared to acupressure, reflexology significantly improved duration of the last day sleep (P<0.001). The depth of sleep and last night's sleep satisfaction were significantly higher in acupressure group than reflexology group (P<0.001). Conclusion: In this study, reflexology and acupressure led to higher last night's sleep satisfaction. Compared to reflexology, acupressure is performed in less time and is more effective. Therefore, it can be an appropriate non pharmacological treatment following open heart surgery.   (Clinical Trials Registry Number: IRCT20110906007494N29)  

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Journal title

volume 30  issue 186

pages  90- 106

publication date 2020-07

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