J Korean Oncol Nurs. 2011 Aug;11(2):127-135. Korean.
Published online Aug 31, 2011.
© 2011 Korean Oncology Nursing Society
Original Article

Meta-Analysis of the Effectiveness on Foot-Reflexo-Massage for Cancer Patients

Min Young Kim,1 and Pok-Ja Oh2
    • 1Department of Nursing, Graduate School of Sahmyook University, Seoul, Korea.
    • 2Professor, Department of Nursing, Sahmyook University, Seoul, Korea.
Received June 02, 2011; Accepted July 28, 2011.

Abstract

Purpose

This study was performed to analyze the characteristics and effect sizes of intervention studies on foot-reflexo-massage applied to cancer patients.

Methods

For meta-analysis, a total of 159 studies were retrieved from search engines such as RISS, nanet, KISS, richis and KoreaMed. 16 studies published from 1990 to 2010 were selected based on the inclusion criteria. The data were analyzed with the RevMan 5.0 program of Cochrane library.

Results

1) The mean score of 1 implement time on foot-reflexo-massage was 25.62 minutes, the average number of days was 4.12 days, and the total number of average intervention frequency was 4.25 times. 2) Intervention studies on foot-reflexo-massage included 9 studies on anxiety (56.3%), 7 for pain (43.8%), 5 for BP/pulse (31.3%), 5 for fatigue (31.3%), 3 for nausea/vomiting (18.8%), 3 for sleep satisfaction (18.8%), and 2 for depression (12.5%). 3) The effect sizes of the intervention studies that showed higher effect size were in order, anxiety (d=-1.76), fatigue (d=-1.43), depression (d=-1.03), nausea and vomiting (d=-0.83), pain (d=-0.77), pulse rate (d=-0.61), blood pressure (d=-0.55), and sleep satisfaction (d=0.43).

Conclusion

This study suggests that foot-reflexo-massage can increase sleep satisfaction, whereas decreasing blood pressure, pulse rate, anxiety, fatigue, depression, nausea, vomiting and pain.

Keywords
Neoplasms; Meta-Analysis; Intervention Studies; Foot; Massage

Figures

Fig. 1
Flow of included studies through database searching.

Fig. 2
Forest plot of effect size and 95% CI by foot reflexology on pain.

Fig. 3
Forest plot of effect size and 95% CI by foot reflexology on anxiety (scale: STAI).

Fig. 4
Forest plot of effect size and 95% CI by foot reflexology on nausea & vomiting.

Fig. 5
Forest plot of effect size and 95% CI by foot reflexology on fatigue (scale: RPFS).

Tables

Table 1
Characteristics of included studies (N=16)

Table 2
Methodological quality of included studies (N=16)

Table 3
Content analysis of foot reflexology Intervention

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